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This research is required as psychological distress has been independently linked to CVD incidence, morbidity, and mortality. This study assessed associations of relationship quality with depression and anxiety among patients with CVD and their spouses. Participants completed questionnaires measuring four dimensions of relationship quality and mental health. Data were analyzed using an Actor\u2010Partner Interdependence Model with hierarchical moderation analyses. 181 dyads (<jats:italic>N<\/jats:italic>\u00a0=\u00a0362 participants) comprised the study sample. Most patients had coronary artery disease (66.3%) and 25.9% were female. Patients reported higher relationship satisfaction and fewer anxiety symptoms than did spouses. Patients and spouses with high dyadic consensus and affectional expression reported fewer mental health symptoms, but only when the other partner also perceived high levels of consensus and affectional expression in the relationship. Patients and spouses with low dyadic cohesion reported worse mental health symptoms (actor effects), but those effects were no longer significant when both the patient and the spouse appraised the relationship as having high levels of dyadic cohesion. Taken together, relationship quality is linked to mental health symptoms in patients with CVD and their spouses. Longitudinal and experimental studies are now warranted to further substantiate the cross\u2010sectional findings of this study.<\/jats:p>","DOI":"10.1111\/famp.12836","type":"journal-article","created":{"date-parts":[[2022,11,21]],"date-time":"2022-11-21T04:58:25Z","timestamp":1669006705000},"page":"1624-1639","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Better together: Relationship quality and mental health among cardiac patients and spouses"],"prefix":"10.1111","volume":"62","author":[{"given":"Karen","family":"Bouchard","sequence":"first","affiliation":[{"name":"University of Ottawa Heart Institute Ottawa Ontario Canada"},{"name":"University of Ottawa Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Gareau","sequence":"additional","affiliation":[{"name":"Laval University Laval Qu\u00e9bec City Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karolina","family":"Sztajerowska","sequence":"additional","affiliation":[{"name":"University of Ottawa Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul S.","family":"Greenman","sequence":"additional","affiliation":[{"name":"Universit\u00e9 du Qu\u00e9bec en Outaouais Gatineau Qu\u00e9bec City Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Lalande","sequence":"additional","affiliation":[{"name":"University of Ottawa Heart Institute Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Tulloch","sequence":"additional","affiliation":[{"name":"University of Ottawa Heart Institute Ottawa Ontario Canada"},{"name":"University of Ottawa Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0140742"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105310368189"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2013.08.001"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/135485099106397"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2008.06.029"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbv023"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/44.3.328"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2019.05.007"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.130.3.201"},{"key":"e_1_2_7_11_1","volume-title":"Attachment and loss","author":"Bowlby J.","year":"1980"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-006-9071-1"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13836"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000016973"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-3737.2008.00488.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203774441"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2016.07.015"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/01650250444000405"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcnurse.2011.01.006"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.31887\/DCNS.2018.20.1\/mdehert"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-0606.2012.00291.x"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000790"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2009.05.025"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010014\u20100371\u2010z"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.20982\/tqmp.12.2.p101"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000027"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/01494929.2019.1610136"},{"key":"e_1_2_7_28_1","volume-title":"The science of trust: Emotional attunement for couples","author":"Gottman J. 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