• Irene Teo, Grand Hl Cheng, and Komal Tewani.
• Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore.
• Ann Acad Med Singap. 2019 Dec 1; 48 (12): 396-402.

IntroductionFew studies in Asia have examined the association among depressive symptoms, relationship satisfaction, sexual dysfunction and emotional expressiveness. Examining the role of emotional expressiveness in the context of depression and relationships is important as it can be a point for therapeutic intervention.Materials And MethodsGuided by the Marital Discord Model of Depression and based on data from partnered women in Singapore (n = 193), we conducted a path analysis to examine the mediating role of relationship satisfaction and sexual dysfunction in the link between difficulty in emotional expression and depressive symptoms.ResultsControlling for age and health, lower relationship satisfaction (β = -0.213; P <0.001), higher sexual dysfunction (β = 0.139; P = 0.010) and greater difficulty in emotional expression (β = 0.908; P <0.001) were associated with increased depressive symptoms. Relationship satisfaction partially mediated the association between emotional expressiveness and depressive symptoms (indirect effect, 0.169; 95% confidence interval, 0.043‒0.379).ConclusionThe findings suggest the importance of effective communication in mitigating relationship- and self-distress.

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