Couples who routinely trade nasty
or controlling remarks during marital spats might be harming
their hearts and not just emotionally, a study suggests.
The findings fit in with a body of
research suggesting that hostile and domineering men and
women are at risk of developing heart disease, the No. 1
killer in the USA.
"This kind of anger can be bad for
the heart," says Redford Williams of Duke University, an
expert on anger management. Williams and others have shown
a link between anger and heart disease.
Researcher Tim Smith of the University
of Utah and his colleagues brought 150 married couples into
the lab and asked them to pick a subject that often triggered
fights.
The list of risky subjects included
in-laws, finances and household chores. Couples were told
to discuss the topic for six minutes while the researchers
videotaped the talk.
Some couples had calm discussions,
but others had spats filled with hostile or domineering
remarks. The most hostile couples probably have fights at
home that are even more volatile, Smith says.
Researchers then watched the tapes
and rated each comment for the degree of hostility or control.
All men and women also were given a
CT scan that looked for deposits in the coronary arteries,
the vessels that supply the heart with blood.
When those vessels are clogged, a clot
can form and trigger a heart attack.
The team discovered that:
• Wives who made a lot of hostile
remarks had double the level of clogged arteries as those
who discussed matters in a less hostile way. And the clogs
were even worse for women with husbands who returned the
fire.
• Husbands who made lots of domineering
statements or those with a wife who displayed such behavior
had arteries that were 1½ times more clogged than husbands
who were not in controlling relationships.
Smith, who presented the team's findings
on Friday at the American Psychosomatic Society meeting
in Denver, said men and women who were rated as hostile
said things such as "You are so stupid." Those who were
termed domineering made remarks such as "You need to try
this my way."
Such remarks are thought to trigger
a stress response, one that keeps blood pressure high long
after the fight has stopped, Smith says. That stress response
may damage the blood vessels in a process that leads to
clogged arteries, he says.
Couples can learn to interact in a
kinder way when discussing hot topics, Williams says.
Couples who stop and listen instead
of immediately firing back a nasty barb might end up with
a better relationship and a healthier heart, he says.