Abstract
This study tested the inclusion of allostatic load as an expansion of the biobehavioral reactivity measurement in the Biobehavioral Family Model (BBFM). The BBFM is a biopsychosocial approach to health which proposes biobehavioral reactivity (anxiety and depression) mediates the relationship between family emotional climate and disease activity. Data for this study included a subsample of n = 1255 single and married, English-speaking adult participants (57% female, M age = 56 years) from the National Survey of Midlife Development in the United States (MIDUS II), a nationally representative epidemiological study of health and aging in the United States. Participants completed self-reported measures of family and marital functioning, anxiety and depression (biobehavioral reactivity), number of chronic health conditions, number of prescribed medications, and a biological protocol in which the following indices were obtained: cardiovascular functioning, sympathetic and parasympathetic nervous system activity, hypothalamic pituitary adrenal axis activity, inflammation, lipid/fat metabolism, and glucose metabolism. Structural equation modeling indicated good fit of the data to the hypothesized family model (χ (2) = 125.13 p = .00, SR...Continue Reading
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