Evidence map›Paper›PMID 31533019›Full record

ReviewPerspectives on psychological science : a journal of the Association for Psychological Science2019

Social Ambivalence and Disease (SAD): A Theoretical Model Aimed at Understanding the Health Implications of Ambivalent Relationships.

Julianne Holt-Lunstad, Bert N Uchino

Abstract readReview
In one paragraph

Review in Perspectives on psychological science : a journal of the Association for Psychological Science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

  1. Trial
  2. Article
  3. Observational
  4. Article
  5. The social ambivalence and disease model: Childhood trauma as an antecedent factor linking spousal ambivalence to inflammation.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  6. Beyond Good or Bad: The Four Evaluative Quadrants of Relationships.Personality and social psychology review : an official journal of the Society for Personality and Social Psychology, Inc · 2026
    Article
  7. Adult Friendship and Suicidality: A Scoping Review.Journal of social and personal relationships · 2025
    Article
  8. The advantages of seeing the silver lining: how valuing emotions moderates the link between ambivalent ties and daily health.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  9. Article
  10. Positive social relations, loneliness, and immune system gene regulation.Annals of the New York Academy of Sciences · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Development and Preliminary Validation of the Lovebird Scale.Behavioral sciences (Basel, Switzerland) · 2024
    Article
  15. While You Are Sleeping: Marital Ambivalence and Blunted Nocturnal Blood Pressure.International journal of environmental research and public health · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Equine Social Behaviour: Love, War and Tolerance.Animals : an open access journal from MDPI · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Julianne Holt-LunstadPsychology Department, Brigham Young University.ORCID 0000-0003-0043-0791
Bert N UchinoPsychology Department, University of Utah.

Funding

Understanding Relationship Ambivalence and its Links to Cardiovascular HealthR01HL137606 · NHLBI · UNIVERSITY OF UTAH · PI UCHINO, BERT N. · 2018 to 2020
$1.1M
Social Relationships and Cardiovascular Health: An Examination of MechanismsR01HL085106 · NHLBI · UNIVERSITY OF UTAH · PI UCHINO, BERT N. · 2007 to 2009
$1.0M
CELLULAR &COMPUTATIONAL ANALYSIS OF ODOR LEARNINGR01MH056090 · NIMH · MONELL CHEMICAL SENSES CENTER · PI GELPERIN, ALAN · 1996 to 2005
$913k
Social Relationships and Cellular AgingR21AG029239 · NIA · UNIVERSITY OF UTAH · PI UCHINO, BERT N. · 2007 to 2008
$335k
SOCIAL RELATIONS, AGING, AND CARDIOVASCULAR CHANGESR55AG013968 · NIA · UNIVERSITY OF UTAH · PI UCHINO, BERT N. · 1996 to 1996
–
NHLBI NIH HHS R01 HL085106NHLBI NIH HHS R01 HL137606NIA NIH HHS R21 AG029239NIA NIH HHS R55 AG013968NIMH NIH HHS R01 MH056090
6 · The paper itself

Abstract

The protective influence of social relationships on health is widely documented; however, not all relationships are positive, and negative aspects of relationships may be detrimental. Much less is known about the relationships characterized by both positivity and negativity (i.e., ambivalence). This article provides a theoretical framework for considering the influence of ambivalent relationships on physical health, including reasons why ambivalence should be considered separately from relationships characterized as primarily positive (supportive) or primarily negative (aversive). We introduce the social ambivalence and disease (SAD) model as a guide to understanding the social psychological antecedents, processes, and consequences of ambivalent relationships. We conclude by highlighting gaps in the literature and features of the SAD model that may serve as a guide to future research on potential health-relevant pathways of ambivalent relationships.

Indexed as

EmotionsHealth StatusInterpersonal RelationsModels, TheoreticalSocial SupportHumansambivalencehealthpsychophysiologyrelationshipssocial support

Identifiers

PMID31533019
PMCPMC7089572

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.