OBJECTIVE The present study examined positive and negative aspects of relationship quality with one's spouse or partner as predictors of mortality and the role of gender in moderating this link. METHOD Data were drawn from 2 waves, 5 years apart, of the National Social Life, Health, and Aging Project (N = 1,734). Positive aspects of relationship quality (frequency of opening up to the partner to talk about worries and relying on the partner) and negative aspects (frequency of the partner making too many demands and criticism by the partner) were assessed. Survival/mortality status was recorded at the time of Wave 2 data collection 5 years later (1,567 alive; 167 deceased). Covariates included sociodemographic variables, relationship type, health status, and the network size of close family relationships and friendships. RESULTS Logistic regression analyses showed that negative relationship quality with one's spouse or partner was associated with significantly higher odds for mortality after 5 years (odds ratio [OR] = 1.20, 95% CI [1.03, 1.38], p < .001), after including the statistical covariates. Also, age, gender, education, self-rated health, and medication use were significantly related to mortality. Propensity score matching replicated these findings. Follow-up analyses revealed that criticism from one's spouse or partner, in particular, was linked to a higher mortality risk (OR = 1.44, 95% CI [1.10, 1.88]). Gender did not moderate the relationship-quality-mortality link. CONCLUSIONS Negative relationship quality, notably, criticism received from one's spouse or partner, heightens older adults' risk of mortality. These results suggest the value of developing interventions that target reducing expressed criticism in couple relationships. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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关系质量和5年死亡率风险。

目的本研究研究了与配偶或伴侣的关系质量的正面和负面方面，这些关系可作为死亡率的预测指标以及性别在调节这种联系方面的作用。方法数据来自国家社会生活，健康与老龄化项目（N = 1,734），相隔5年，共2次。评估了关系质量的积极方面（对伴侣开放谈论担忧和依靠伴侣的频率）和消极方面（对伴侣提出过多要求和批评的频率）。5年后的第2轮数据收集时记录了生存/死亡率状态（1,567个活着； 167个死者）。协变量包括社会人口统计学变量，关系类型，健康状况以及亲密家庭关系和友谊的网络规模。结果Logistic回归分析显示，与配偶或伴侣的负相关质量与5年后死亡率的显着较高相关（赔率[OR] = 1.20，95％CI [1.03，1.38]，p <.001）。包括统计协变量。此外，年龄，性别，教育程度，自我评估的健康状况和药物使用与死亡率也有显着相关。倾向得分匹配重复了这些发现。后续分析显示，特别是来自配偶或伴侣的批评与更高的死亡率风险相关（OR = 1.44，95％CI [1.10，1.88]）。性别并未缓和关系-质量-死亡率的联系。结论负性关系质量，特别是来自配偶或伴侣的批评，增加了老年人的死亡风险。这些结果表明，开发旨在减少夫妻关系中表达的批评的干预措施的价值。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。