Lynn M. Martire
Associate Professor, Human Development and Family Studies
411 BBH Building
The Pennsylvania State University
University Park PA 16802
My research focuses on family relationships and chronic illness. I am interested in the effects of interactions with an adult child or spouse on older patients’ health and well-being, as well as the effects of patient health on the family member. In this work I often apply social cognitive models to better understand mechanisms linking relationships and health. Findings from these studies are used to inform the development of dyadic (patient and close family member) interventions for chronic illness. Much of this research has been conducted with colleagues in Penn State’s Center for Healthy Aging and Department of Biobehavioral Health (J. Mogle, J. Graham-Engeland); the University of Pittsburgh (R. Schulz), Duke University (F. Keefe), and Kent State University (M. Stephens). This work has been supported by the National Institute on Aging, the National Institute of Mental Health, the National Heart, Lung and Blood Institute, and Penn State’s Social Science Research Institute.
Influence of Close Relationships on Health Behaviors and Illness Management
One line of our research focuses on the extent to which close family members bolster or undermine patients’ self-efficacy for managing symptoms and engagement in healthy behaviors. In a recent study of 152 individuals with knee osteoarthritis, we examined spouses’ daily behaviors with regard to patient pain, mood, and physical activity (e.g., empathic responses, autonomy support, and solicitousness). Patients and spouses were assessed 3 times per day for 22 days using electronic diaries while wearing accelerometers to measure daytime physical activity, and were also interviewed over 18 months. We found that patients were more active on days when their spouses provided autonomy support for their physical activity, whereas male patients spent less time in moderate activity when their spouses pressured them to be more active (Martire, Stephens, Mogle, Schulz, Brach, & Keefe, 2013). We have also shown that spouses respond more positively to nonverbal pain expression when it is accompanied by verbal expression (Wilson, Martire, Keefe, Mogle, Stephens, & Schulz, 2013) and spouse confidence in patient efficacy for arthritis management predicts improvements in patients’ perceived health, lower extremity function, and arthritis severity up to one year later (Gere, Martire, Keefe, Stephens, & Schulz, 2014).
Effects of Chronic Pain on Close Relationships
A second line of research examines the implications of chronic pain for close family members, with a recent focus on spouses’ health and health behaviors. In our study of knee osteoarthritis, we found that greater patient knee pain at the end of the day is associated with poorer sleep for the spouse that evening, especially for spouses in a close relationship (Martire, Keefe, Schulz, Stephens, & Mogle, 2013). We are currently conducting a pilot study to examine associations between patient pain expression and changes in spouses’ heart rate variability as an indicator of emotional regulation.
Dyadic Intervention for Chronic Illness
For much of my career I have been involved in developing and evaluating dyadic interventions for chronic illnesses such as arthritis, late-life depression, heart disease, and spinal cord injury. Together with my colleagues, I have conducted quantitative and qualitative reviews of randomized trials testing these programs. These reviews show that dyadic interventions have small but significant benefits for patients’ depressive symptoms, marital functioning, and pain; such interventions also improve family members’ depressive symptoms, anxiety, and caregiver burden. With the support of a mid-career development award from the National Institute on Aging, I am currently developing a web-based dyadic intervention for individuals with chronic illness.
Margret M. and Paul B. Baltes Foundation Award for Early Career Contributions in Behavioral and Social Gerontology, Gerontological Society of America, 2007
Outstanding Contribution to Health Psychology Award (Junior level), Division 38 of the American Psychological Association, 2006
Early Career Achievement Award in Research on Adult Development & Aging, Division 20 of the American Psychological Association, 2004
Junior Faculty Scholars Program, Dept. of Psychiatry, University of Pittsburgh 1999-2001
Research Award at the Postdoctoral Level, Division 20 of the American Psychological Association & the Retirement Research Foundation, 1998
Dissertation Award, Behavioral and Social Sciences Section of the Gerontological Society of America, 1997
Ph.D., 1997, Kent State University, Social Psychology
M.A., 1990, California State University, Psychology
B.A., 1988, California State University, Psychology
2010 - Present: Associate Professor of Human Development and Family Studies, The Pennsylvania State University
2006 - 2010: Associate Professor of Psychiatry, University of Pittsburgh School of Medicine
1999 – 2006: Assistant Professor of Psychiatry, University of Pittsburgh School of Medicine
1999 - 2010: Associate Director of Gerontology, University of Pittsburgh
1997 – 1999: Postdoctoral Fellow (T32 MH19986), Department of Psychiatry, University of Pittsburgh School of Medicine
Martire, L.M., Keefe, F.J., Schulz, R., Stephens, M.A.P., & Mogle, J.A. (2013). The impact of daily arthritis pain on spouse sleep. Pain, 154, 1725-1731.
Wilson, S. J., Martire, L.M., Keefe, F.J., Mogle, J.A., Stephens, M.A.P., & Schulz, R. (2013). Daily verbal and nonverbal expression of osteoarthritis pain and spouse responses. Pain, 154, 2045-2053.
Polenick, C.A., & Martire, L.M. (2013). Caregiver attributions for late-life depression and their associations with caregiver burden. Family Process, 52, 709-722.
Martire, L.M., Stephens, M.A.P., Mogle, J.A., Schulz, R., Brach, J., & Keefe, F.J. (2013). Daily spousal influence on physical activity in knee osteoarthritis. Annals of Behavioral Medicine, 45, 213-223.
Martire, L.M., Schulz, R., Helgeson, V. H., Small, B. J., & Saghafi, E.M. (2010). Review and meta-analysis of couple-oriented interventions for chronic illness. Annals of Behavioral Medicine, 40, 325-342.
Martire, L. M., Schulz, R., Reynolds III, C. F., Karp, J. F., Gildengers, A. G., & Whyte, E. M. (2010). Treatment of late-life depression alleviates caregiver burden. Journal of the American Geriatrics Society, 58, 23-29.
Monin, J. K., Schulz, R., Martire, L. M., Jennings, J. R., Lingler, J. H., & Greenberg, M. S. (2010). Spouses' cardiovascular reactivity to their partners' suffering. Journals of Gerontology: Psychological Sciences, 65B, 195-201.
Martire, L.M., Schulz, R., Keefe, F.J., Rudy, T.E., & Starz, T.W. (2008). Couple-oriented education and support intervention for osteoarthritis: Effects on spouses’ support and responses to patient pain. Families, Systems & Health, 26, 185-195.
Martire, L.M., Schulz, R., Keefe, F.J., Rudy, T.E., & Starz, T.W. (2007). Couple-oriented education and support intervention: Effects on individuals with osteoarthritis and their spouses. Rehabilitation Psychology, 52, 121-132.
Martire, L.M., Lustig, A.P., Schulz, R., Miller, G.E., Helgeson, V.S. (2004). Is it beneficial to involve a family member? A meta-analytic review of psychosocial interventions for chronic illness. Health Psychology, 23, 599-611.
Lynn Martire vitae
- Domains of Health and Behavior