Older women with osteoarthritis and their caregiving husbands: Effects of pain and pain expression on husbands' well-being and support

Objectives: To examine the moderating effects of wives' pain expression (verbal disclosure, nonverbal behavior) on the relationship between wives' pain and husbands' well-being and support provision. Design: Interviews were conducted with couples at baseline; questionnaires were mailed 6 months later. Setting: All women were patients at a rheumatology clinic. Participants: The sample included older women (n = 101) with a diagnosis of osteoarthritis (OA) and their caregiving husbands. Main Outcome Measures: Outcomes were husbands' psychological well-being (depressive symptoms, life satisfaction) and the quality of their support to wives (emotional support, critical attitudes). Results: Verbal and nonverbal expression of OA pain increased the likelihood that women experiencing severe pain would have husbands with poor psychological well-being. Moreover, verbal pain disclosure strengthened the association between the severity of wives' pain and less emotional support from husbands. Conclusions: Findings suggest that wives' verbal and nonverbal communications about their pain, especially about severe pain, have the potential to decrease the psychological well-being and support resources of their caregiving spouses.