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Psychoneuroendocrinology (2009) 34, 939—946

a v a i l a b l e a t w w w. s c i e n c e d i r e c t . c o m

j o u r n a l h o m e p a g e : w w w. e l s e v i e r. c o m / l o c a t e / p s y n e u e n

Passionate love and relationship thinkers:


Experimental evidence for acute cortisol
elevations in women
Timothy J. Loving *, Erin E. Crockett, Aubri A. Paxson

Department of Human Development and Family Sciences, The University of Texas at Austin, 1 University Station, Box A2700, Austin,
TX 78712, United States

Received 22 September 2008; received in revised form 2 January 2009; accepted 22 January 2009

KEYWORDS Summary We assessed the impact of an individual difference variable, relationship-focused


Passionate love; thinking, on women’s acute salivary cortisol responses during and after a guided imagery task.
Cortisol; Specifically, 29 healthy women, all of whom were experiencing high levels of passionate love, but
Relationship thinking; varied on levels of relationship-focused thinking, were assigned to one of two experimental
Guided imagery; conditions: a partner reflection condition or a cross-sex friend reflection condition. Results
Falling in love; indicated that women experiencing passionate love evidenced increased cortisol levels when
Women asked to reflect on their romantic partner and relationship relative to women asked to reflect on a
cross-sex friendship, but this difference was particularly pronounced and relatively long-lasting
for those women characterized by a high amount of relationship-focused thinking. Our study
significantly expands extant work on the passionate love—cortisol link by isolating the impact of a
specific psychological variable, relationship-focused thinking, on the physiological experience of
falling in love. We believe our work highlights the advances that can be made when established
work in the close relationships and neuroendocrine fields are integrated.
# 2009 Elsevier Ltd. All rights reserved.

The early stages of romantic attraction and romantic rela- fMRI studies indicate that the experience of passionate love
tionship development are defined by an array of physiologi- activates portions of the brain responsible for motivational
cal, psychological, and behavioral consequences (Carter, drive-states (Aron et al., 2005; Bartels and Zeki, 2000).
1998; Fisher, 2000). This experience, commonly referred Further, passionate love is associated with changes in circu-
to as early-stage intense romantic love (Aron et al., 2005; lating levels of neurotrophins and stress hormones. Indivi-
Brand et al., 2007), falling in love, or passionate love, is duals who indicate that they think about their partner at
hypothesized to have biological substrates that evolved as a least four hours a day and score high on a self-report measure
core feature of the human mating system. Several lines of of passionate love show increased levels of the neurotrophin
research support this hypothesis. For example, results from nerve growth factor (NGF) relative to individuals neither
romantically involved nor in long-term established romantic
* Corresponding author. Tel.: +1 512.471.0973; relationships (Emanuele et al., 2005). Importantly, upregula-
fax: +1 512 475 8662. tion of NGF can induce activation of the hypothalamic—
E-mail address: tjloving@mail.utexas.edu (T.J. Loving). pituitary—adrenocortical (HPA) axis of the endocrine system

0306-4530/$ — see front matter # 2009 Elsevier Ltd. All rights reserved.
doi:10.1016/j.psyneuen.2009.01.010
940 T.J. Loving et al.

(Angelucci, 1994), which ultimately stimulates the adrenal generally good health. The mean age of participants was
cortex to secrete cortisol, the human body’s primary gluco- 19.79 years (SD = 1.72; range = 18—25). The majority (52%) of
corticoid (Rabin, 1999). A more recent study suggests that participants self-identified as ‘White’ (24% Asian; 14% Latino
this biological cascade may indeed occur. Individuals experi- or Hispanic; 10% other). Median relationship length was 17
encing passionate love display significantly greater circulat- weeks (M = 20.48, SD = 13.77).
ing levels of cortisol relative to control groups (Marazziti and
Canale, 2004). 1.2. Measures
Although these studies, and others, have expanded knowl-
edge considerably of passionate love’s physiological conse- 1.2.1. Screening
quences, extant work has ignored potentially key moderating Interested participants completed an online screening inter-
variables that could impact passionate love’s physical view. Participants were excluded if they reported that (a)
effects. The experience of passionate love is a significant they were involved in a nonmarital relationship of more than
interpersonal transition that requires individuals to adapt 1-year duration, (b) they were not able to visit the laboratory
affectively (Nieder and Seiffge-Krenke, 2001), behaviorally during the week between the hours of 2 p.m. and 6 p.m., or
(Kelley and Thibaut, 1978), and cognitively (Aron et al., (c) they would not be able to provide a picture of their
1995). Thus, any variable that affects individuals’ psycholo- partner and a friend. We also excluded participants reporting
gical experience of falling in love may alter the physiological behaviors or conditions with known HPA-axis implications,
outcomes associated with this life transition. including smoking, taking certain medications, having a his-
Past work on this topic is built on the assumption that the tory of hormone problems, having depression or anxiety,
number of hours individuals spend thinking about their part- being currently pregnant, or working night shifts. Although
ners is an important component of the passionate love the use of hormonal contraceptives are known to influence
experience (Emanuele et al., 2005; Marazziti and Canale, cortisol responses (Kirschbaum et al., 1999), we chose to not
2004). We chose to utilize a validated measure of relation- exclude women if they indicated taking a daily-dose or multi-
ship-focused cognition to determine if, indeed, individual phasic form of birth control; rather, we included birth control
differences in how much people think about their partners use as a covariate in analyses (n = 11). This approach was
and romances alter HPA-axis activity. Broadly speaking, a motivated by our desire to assess cortisol reactivity in a
host of individual dispositions moderate physiological reac- sample of healthy, ‘normal’ individuals involved in a romantic
tivity and health outcomes (Contrada and Guyll, 2001; Ouell- relationship. Given the prevalence of birth control use
ette and DiPlacido, 2001); however, the extent to which amongst nonmarried women (Mosher et al., 2004), we
individual psychological differences may actually moderate believe excluding these women would have significantly
the biological impact of passionate love has not received reduced the generalizability of our findings.
empirical attention. Given passionate love’s effects on Interested participants were also asked to complete a
neural processes and attentiveness to environmental stimuli 15-item version of Hatfield and Sprecher’s (1986) 30-item
(Aron et al., 2005; Bianchi-Demicheli et al., 2006), we Passionate Love Scale (PLS). All women were presented
reasoned that individuals who demonstrate a tendency to with the last 15 items of the published measure (e.g.,
think more about their relationships would be particularly ‘‘Sometimes my body trembles with excitement at the sight
susceptible to increased cortisol levels when in the throes of of my partner’’; 1 (untrue) to 6 (true); a = 0.76; possible
a passionate relationship. In other words, people who are range = 15—90). Consistent with past work (Emanuele
cognitively more relationship-focused should show signs of et al., 2005), only women scoring in the upper one third
being more affected by the experience of passionate love of the scale range were invited to participate in the study
than individuals who are less relationship-focused. (M = 78.76, SD = 6.56; range = 67—90).
To test this hypothesis, we employed an experimental
design, which enabled us to rule out the effect of any 1.2.2. Passionate love–—Second assessment
unmeasured, potentially confounding variables. Specifically, We believed it prudent to control for a more proximal
we assessed acute shifts in salivary cortisol levels after measure of passionate love in our analysis to ensure that
participants, all of whom were experiencing passionate love, any observed effects for relationship-focused thinking
were asked to either reflect on their romantic partner or an (described below) were independent of individuals’ passio-
opposite-sex friend. The use of an opposite-sex friend served nate love experiences. Thus, the evening prior to their
as a control condition and follows the method employed in participation in the laboratory component of the study, we
recent fMRI research on passionate love (Aron et al., 2005). asked participants to complete the remaining 15 items of the
Further, we focused our investigation on women because of PLS (a = 0.82; M = 76.52, SD = 7.39).
the relatively profound role one-on-one relationships play in
women’s lives relative to men’s (Gabriel and Gardner, 1999; 1.2.3. Relationship-focused thinking
Kiecolt-Glaser and Newton, 2001). To assess individuals’ tendencies to think about romantic
relationships, participants completed Cate and colleagues’
1. Methods (1995) 20-item relationship thinking scale (e.g., ‘‘I find
myself at times drifting off and thinking about my relation-
1.1. Participants ship with my partner’’; 1 (extremely unlike me) to 5 (extre-
mely like me); a = 0.81; M = 78.76, SD = 9.75). Relationship-
Twenty-nine women participated in a 2-h laboratory study. focused thinking was not significantly associated with the
Participants had to be involved in a nonmarital romantic night before measure of passionate love, r(29) = 0.30,
relationship of no more than 1-year duration and be in p > 0.10.
Passionate love and cortisol reactivity 941

1.2.4. Salivary cortisol line). Participants were given the option of looking through
To assess circulating levels of free cortisol, all participants an emotionally neutral picture book while they waited for the
were asked to provide a series of saliva samples via the 15 min to pass.
Salivette (Sarstedt, Germany). Altogether, participants pro- Next, participants were guided through a brief relaxation
vided five saliva samples at standard intervals (approxi- and guided imagery exercise. The experimenter first induced
mately every 15 min; see below). To reduce participant a state of relaxation in participants, following standard
reactivity to the sampling procedure, the first sample served relaxation exercise protocols (e.g., deep breathing, eyes
as a practice sample and was discarded. Cortisol concentra- closed). Depending upon condition assignment, the experi-
tions, reported in mg/dL, were determined via SalimetricsLLC menter then instructed participants to picture the face of
expanded range high sensitivity salivary cortisol enzyme either their partner or friend ‘‘and try to visualize all the
immunoassay kit. As per kit instructions, all samples were details about him/her.’’ (Prior to this point in the procedure,
frozen at 20 8C until assayed. Each participant’s samples participants were not given any indication of why they were
were assayed in the same batch and high and low control asked to provide a picture of their partner and a friend.) This
samples provided by SalimetricsLLC were included in each began the guided imagery portion of the protocol, which
batch to ensure reliability. As is standard practice, obtained continued for approximately 5 min (contact the first author
cortisol values were subjected to a log10 transformation prior for a detailed script of the procedure). Participants were
to analyses to normalize their distribution (e.g., Bower et al., asked to recall how they met their partner (or friend), when
2005; Diamond et al., 2008; Smyth et al., 1997). they first realized they were in love with their partner (or first
realized they wanted to be friends with their friend), things
1.3. Procedure they enjoy doing together, things they like about their part-
ner (or friend), and their feelings for their partner (or friend).
1.3.1. Recruitment At no point did the verbal prompts in either condition refer-
Participants responded to either an online ad (i.e., face- ence a physical relationship (or lack thereof). We henceforth
book.com) or flyers posted around the campus of a large refer to the randomly assigned experimental conditions as
university in the southwestern United States soliciting parti- the partner condition (n = 14) and friend condition (n = 15).
cipants who were ‘‘madly, deeply in love.’’ Prospective Importantly, as expected based on the random assignment to
participants were directed to a secure website where they conditions, there were no differences between conditions on
were presented with detailed information about the study average participant levels of passionate love, relationship
including the study consent form. Interested participants length, or relationship-focused thinking (all ps > 0.20).
completed an online screening form (described above); eli- Upon conclusion of the guided imagery protocol, partici-
gible participants were then scheduled to visit the first pants were asked to talk into a tape recorder for 3 min ‘‘about
author’s laboratory. All participants were asked to bring all the things going through your head.’’ Participants were then
(or e-mail us ahead of time) a photograph of their romantic left alone with a digital recorder and the picture of their
partner and a ‘‘friend who is the same sex and about the same partner/friend (used to keep the image of the partner or
age as your dating partner, but someone with whom you are friend clear in their minds). After 3 min, the experimenter
not romantically involved.’’ Study sessions were conducted in returned, collected the recorder, and then instructed parti-
the afternoon between the hours of 2 p.m. and 6 p.m. to cipants to write about their partner/friend for 10 min. Alto-
control for diurnal patterns in cortisol secretion (Kirschbaum gether, participants underwent approximately 5 min of guided
and Hellhammer, 1994); participants were instructed to not imagery and an additional 13 min of partner/friend reflection.
eat or drink anything at least 1 h prior to participation. Participants then provided a third saliva sample (timed to tap
Participants were paid US$ 20 for completion of the 2-h individual reactions to the guided imagery manipulation).
study. All procedures were approved by the university’s Next, participants completed an additional questionnaire
Institutional Review Board. and sat quietly for 15 min. The fourth saliva sample was then
collected (i.e., recovery), followed by an additional ques-
1.3.2. Night before survey tionnaire and ‘quiet time’ for 15 min. The fifth saliva sample
The evening prior to their scheduled laboratory session, was collected after an additional 15 min. If participants
participants were asked to complete a brief online survey completed any of the questionnaires early during the
that assessed the second portion of the PLS, relationship- 15 min periods, they were provided with a book of landscapes
focused thinking, and additional measures unrelated to the without any text. Further, participants were asked to refrain
current analysis. We did not assess these relationship-focused from any other activities during the recovery period.
measures during the laboratory session so as to prevent Although the content of the remaining questionnaires is
contaminating the thoughts of participants assigned to the unrelated to the current analyses, it is important to note
‘friend’ condition (see below). that none of the laboratory questionnaires contained ques-
tions about participants’ friendships or romances (i.e., friend
1.3.3. Laboratory session and experimental and partner information was collected the night prior to the
manipulation laboratory session). Following collection of the final saliva
Upon arrival to the laboratory, consent was collected and sample, participants were debriefed and paid.
participants were provided with basic instructions regarding
the collection of salivary samples. At this point, the ‘prac- 2. Results
tice’ saliva sample was administered. Participants were then
asked to complete a brief survey and sit quietly for 15 min We tested our hypothesis with multilevel statistical models
until the collection of the second saliva sample (i.e., base- created in HLM (version 6.06) for Windows, allowing us to
942 T.J. Loving et al.

account for cortisol measurements nested within individuals. where Cij is the cortisol level for individual i at time j; Tij is
We also assessed the significance of a number of potential the time of the cortisol measure; Ti2j is the quadratic com-
covariates, including health behaviors known to affect cor- ponent (time squared) and eij is a residual component specific
tisol (i.e., age, birth control use, waking up time that day, to individual i at time j. The coefficient b0i is the regression
and alcohol consumption), as well as relationship length and intercept for individual i and represents cortisol level at
night before PLS. Only age, relationship length, and night baseline.
before PLS were significant control variables in analyses; The between-individual level of the analysis estimated
these variables were retained in the final model. No other the random effects for the within-individual variables
potential covariates were significant and were subsequently and allowed us to test whether individuals’ cortisol
dropped from analyses. levels differed as a function of relationship-focused
Mean cortisol values prior to transformation, and irrespec- thinking and condition while controlling for covariates.
tive of study condition, were as follows (SD in parentheses): The between-individual equation for the intercept was
Baseline = 0.145 (0.080); Guided Imagery = 0.156 (0.079); as follows:
Recovery = 0.143 (0.072); Recovery + 15 = 0.130 (0.081). Des-
criptive plots of average cortisol levels at each measurement b0i ¼ g 00 þ g 01 RLi þ g 02 RTi þ g 03 Ai þ g 04 PLSi þ u0i
indicated that cortisol levels changed nonlinearly over time. This model specifies that the intercept for individual i
Thus, in addition to a time component, we included a quadratic was a function of a grand mean intercept that is common
time variable (time2) in the model. Although time was not a across individuals (g00), adjusted to reflect the individual’s
significant predictor of within person change (b = 0.040, relationship length (g01RLi), levels of relationship-focused
p = 0.12), time2 was a significant predictor (b = 0.020, p = thinking (g02RTi), age (g03Ai), night before levels of pas-
0.02). As such, both terms were maintained in the final model. sionate love (g04PLSi) and a residual component specific
To test our hypothesis, we also included an interaction to individual i. The between-individual equations for
term between relationship-focused thinking and condition the effects of time and time2 were similar, but included
(i.e., partner vs. friend), as well as their main effects. two additional parameters: condition (g05Ci) and the inter-
The within-individual level of the analysis allowed each action between relationship-focused thinking and condi-
participant’s cortisol level to be modeled as a function of tion (g06Ii). Condition and the interaction between
time and the quadratic of time. The equation was as follows: condition and relationship-focused thinking were excluded
from the intercept because baseline measures of cortisol
Ci j ¼ b0i þ b1i T i j þ b2i Ti2j þ ei j were taken prior to experimental manipulation. The

Table 1 HLM results: effect of control variables, relationship-focused thinking, and experimental condition on salivary cortisol
levels.

b SE t df p-Value
Intercept
Intercept 1.745 0.468 3.73 23 0.001
Relationship length 0.009 0.004 2.22 23 0.037
age 0.051 0.032 1.58 23 0.128
Night before PLS 0.006 0.007 0.87 23 0.394
RT 0.006 0.005 1.38 23 0.182
Time
Intercept 0.157 0.376 0.42 21 0.680
Relationship length 0.003 0.001 1.87 21 0.076
Age 0.018 0.012 1.44 21 0.165
Night before PLS 0.008 0.004 2.12 21 0.046
RT 0.013 0.003 4.52 21 0.000
Condition a 0.912 0.301 3.03 21 0.007
RT  condition a 0.011 0.004 3.03 21 0.007
Time squared
Intercept 0.032 0.102 0.32 21 0.755
Relationship length 0.001 0.000 1.31 21 0.206
Age 0.008 0.004 1.80 21 0.086
Night before PLS 0.003 0.001 2.98 21 0.008
RT 0.005 0.001 4.74 21 0.000
Condition a 0.377 0.100 3.79 21 0.001
RT  condition a 0.005 0.001 3.88 21 0.001
PLS, Passionate Love Scale; RT, Relationship thinking.
a
1 = Partner, 0 = Friend
Passionate love and cortisol reactivity 943

between-individual equations for time and time2 were as long-lasting for those women who tend to engage in a high
follows: amount of relationship-focused thinking.

b0i ¼ g 00 þ g 01 RLi þ g 02 RTi þ g 03 Ai þ g 04 PLSi þ g 05 Ci 3. Discussion


þ g 06 Ii þ u0i
The present study extends recent work on the hormonal
Results are presented in Table 1. Consistent with extant consequences of falling in love (i.e., passionate love) by
work (Marazziti and Canale, 2004), relationship length was a demonstrating that women who engage in more relation-
significant predictor of baseline cortisol (i.e., the intercept), ship-focused thinking experience acute increases in cortisol
such that women in relationships of a shorter duration had after simply being asked to reflect on their romantic relation-
higher baseline cortisol levels relative to women in longer ship and partner. Interestingly, women with a lower tendency
relationships. to engage in relationship-focused thinking also showed an
In addition to the significant controls noted above, there initial rise in cortisol after reflecting on their partners, but
was a main effect of condition and relationship-focused the effect diminished shortly after our experimental manip-
thinking on changes in cortisol over time. As hypothesized, ulation concluded. These findings suggest that the HPA-axis
these main effects were qualified by a significant condi- activation seen in those experiencing passionate love is
tion  relationship-focused thinking interaction. Predicted pronounced for some types of individuals relative to others.
levels of cortisol at each time point as a function of relation- Our work extends Marazziti and Canale’s (2004) recent
ship-focused thinking (1 SD) and condition are displayed in study in which they found increased circulating levels of
Fig. 1. As can be seen, cortisol levels of high relationship- cortisol when individuals were experiencing early-stage pas-
focused thinking women in the partner condition increased sionate love relative to controls. Marazziti and Canale relied
following the guided imagery exercise and continued to on a single blood sample for assessment of plasma cortisol;
increase through the last saliva sample collected 45 min after however, their study essentially involved a ‘partner condi-
the start of the manipulation. In contrast, cortisol levels of tion’ for all participants. Thus, it is difficult to ascertain
high relationship-focused thinking women in the friend con- whether individuals experiencing passionate love demon-
dition and low relationship-focused thinking women in the strate generalized hyperactivation of the HPA axis or simply
friend condition generally declined throughout the proce- showed cortisol elevations in response to the study protocol.
dure. Finally, low relationship-focused thinking women in the In our study, although visual inspection of the predicted
partner condition displayed an initial rise in cortisol during means (Fig. 1) could suggest that high relationship-focused
the guided imagery, but then steadily declined following the thinking women may experience chronic increases in cortisol
conclusion of the guided imagery exercise. Thus, women during early-stage passionate love, analyses indicate that
currently experiencing high levels of passionate love evi- relationship-focused thinking was not a significant predictor
dence increased cortisol levels when asked to reflect on their of baseline levels of salivary cortisol. Thus, we are inclined to
romantic partner and relationship relative to women cur- believe that the observed elevated cortisol levels in both
rently experiencing high levels of passionate love but asked studies are apparent when individuals are focused on their
to reflect on a cross-sex friendship, but this difference in romances, and that some individuals focus more on these
cortisol responses is particularly pronounced and relatively relationships than others. Indeed, when we asked more

Figure 1 Women’s cortisol over time as a function of experimental condition (partner vs. friend) and relationship-focused thinking
(high vs. low; 1 SD).
944 T.J. Loving et al.

relationship-focused women to reflect on their relationship is particularly responsive when individuals experience or
with a friend, their cortisol levels dropped throughout suspect social rejection, such as is the case during the TSST,
the study procedure, suggesting it is possible to ‘deactivate’ a task characterized by a high degree of ego involvement
the physiological consequences associated with the passio- (Dickerson and Kemeny, 2004; Kajantie and Phillips, 2006). It
nate love experience. is possible that priming women, who appear to be especially
It is important to consider the implications of these reactive to stressors containing a social rejection compo-
findings for women, who on average tend to be highly nent, to focus on their passionate love experience renders
relationship-focused, independent of their passionate love more salient concerns of relationship dissolution. Put another
state (Gabriel and Gardner, 1999). Do the increased cortisol way, perceptions of uncontrollability are key predictors of
responses we observed for high relationship-focused women HPA-axis responses, especially when individual goals are
imply that these individuals are more stressed when falling threatened and attainment of these goals is not exclusively
in love? under the volitional control of the individual (Dickerson and
There are several reasons to think that this is not the case. Kemeny, 2004). The subjective passionate love experience
All available evidence suggests that transitions into romantic may occur at the individual level, but the progression of any
relationships are associated with positive outcomes (Lee and newly initiated romance to a more stable, committed form is
Gramotnev, 2007), and that falling in love may procure dependent on the thoughts, behaviors, and actions of both
particularly protective benefits for individuals (Esch and individuals involved in the romance (Loving et al., in press).
Stefano, 2005). Events such as ‘‘starting a love relationship’’ In other words, by having participants think about falling in
and ‘‘begin to date’’ are considered positive life events in the love, we may have inadvertently caused them to think about
stress and health literature (Reich and Zautra, 1981). the future of their budding romances, a future that is char-
Although the transition into a new romance does require acterized by a high degree of uncontrollability given the
adaptation on the part of the individual, any potential interdependence that defines romantic relationships (Kelley
negative effects of this process are likely offset by the and Thibaut, 1978). Altogether, it is clear that multiple
positive aspects of enjoyment that accompany positive life mechanisms may underlie the hormonal consequences of
events (Davidson et al., 2006). Indeed, individuals in passio- falling in love; gaining a more complete understanding of
nate love show increased positive emotions and favorable how and why passionate love results in physiological out-
sleep patterns (Brand et al., 2007) and more quickly recog- comes requires that researchers consider the individual- and
nize positive feeling words when primed with their partners’ couple-level characteristics that define the experience.
names (Bianchi-Demicheli et al., 2006). Additionally, life The implications of our results need to be balanced
events individuals perceive as being ‘good’ (versus ‘bad’) against some study limitations. Our study sample was rela-
have a beneficial effect on individual outcomes, including tively small, although in line with past work on this topic, and
physical health (e.g., lymphocyte proliferation; Snyder the observed difference between salivary cortisol responses
et al., 1993). In other words, although both positive and for women in the partner versus friend conditions suggests
negative life events may produce physiological arousal typi- strong effect sizes. Additionally, because our analyses were
cally construed as ‘‘stress’’ (Rietveld and van Beest, 2007), limited to women, we cannot speak to whether relationship-
whether that physiological arousal results in positive or focused thinking functions in a similar manner across sexes,
negative health outcomes depends on the subjective inter- but it is important to note that no sex differences have been
pretation of the event. found in past work (e.g., Aron et al., 2005; Marazziti and
From a physiological perspective, mild to moderate phy- Canale, 2004). Further, although our experimental design
siological arousal is associated with, if not required for, helps to rule out potential confounding variables that may
social bonding (Diamond, 2001), and other outcomes that affect results between conditions, the design does not rule
are concomitant with bonding actually reduce stress out potentially confounding variables within conditions, or, in
responses (e.g., production of oxytocin; Diamond, 2001). our case, constructs that may covary with our relationship-
Passionate love also increases the prevalence of positive focused thinking moderator. For example, we excluded par-
emotions (Kim and Hatfield, 2004); positive emotions pro- ticipants reporting a current or past history of anxiety or
tect individuals from negative physical and mental health depression, but we did not assess obsessive-compulsive ten-
outcomes by facilitating adaptation to stressful situations dencies (e.g., the Yale—Brown Obsessive Compulsive Scale;
(Cohen and Hoberman, 1983; Folkman et al., 2007). Finally, Goodman et al., 1989), as has been done in prior work
as noted in the introduction, NGF levels also rise during the (Marazziti and Canale, 2004). It is possible that our measure
early developmental phase of romantic relationships. NGF of relationship-focused thinking may share some conceptual
upregulates the HPA axis (Angelucci, 1994), suggesting the overlap with obsessionality. Although we believe the fact
increased cortisol levels may reflect a byproduct of that women scoring higher on relationship-focused thinking
increased NGF (Emanuele et al., 2005). Future work should demonstrated declines in cortisol when asked to focus on a
explore this meditational path. nonromantic, opposite-sex friend minimizes this concern,
Although we suspect our pattern of responses do not future work would benefit from being able to definitively
wholly reflect a traditional stress response, per se, we cannot rule out this possibility. Perhaps more plausibly, the relation-
fully rule out such an interpretation. Recently, researchers ship-focused thinking measure may reflect underlying
have elucidated several mechanisms responsible for the HPA- genetic factors linked to the experience of passionate love
axis reactivity observed during the Trier Social Stress Test and formation of social attachments (Emanuele et al., 2007;
(TSST), a widely used, standardized acute stress task (Kirsch- Gillath et al., 2008). Given the relevance of the attachment
baum et al., 1993); the identified mechanisms may provide system to the initiation and early development of romantic
additional insight into our findings. Specifically, the HPA axis relationships (e.g., Eastwick and Finkel, 2008), it is possible
Passionate love and cortisol reactivity 945

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ment, implicit relationship theories; Diamond et al., 2008; Brand, S., Luethi, M., von Planta, A., Hatzinger, M., Holsboer-
Knee et al., 2003), or specific characteristics of the romances Trachsler, E., 2007. Romantic love, hypomania, and sleep pattern
in adolescents. Journal of Adolescent Health 41 (1), 69—76.
(e.g., self-expansion; Aron and Aron, 1997; Lewandowski
Carter, S.C., 1998. Neuroendocrine perspectives on social attach-
et al., 2006) could all be studied with this design.
ment and love. Psychoneuroendocrinology 23 (8), 779—818.
In conclusion, our study significantly expands extant work Cate, R.M., Koval, J., Lloyd, S.A., Wilson, G., 1995. Assessment of
on the passionate love—cortisol link by isolating the impact of relationship thinking in dating relationships. Personal Relation-
a specific psychological variable, relationship-focused think- ships 2 (2), 77—95.
ing, on the physiological experience of falling in love. We Cohen, S., Hoberman, H.M., 1983. Positive events and social supports
believe our work highlights the advances that can be made as buffers of life change stress. Journal of Applied Social Psychol-
when established work in the close relationships and neu- ogy 13 (2), 99—125.
roendocrine fields are integrated (Loving et al., 2006). As the Contrada, R.J., Guyll, M., 2001. On who gets sick and why: the role of
two fields continue to merge, our understanding of how personality and stress. In: Baum, A., Revenson, T.A., Singer, J.E.
(Eds.), Handbook of Health Psychology. Lawrence Erlbaum Associ-
relationship initiation affects romantic partners physiologi-
ates, Inc., Mahwah, NJ, pp. 59—84.
cal and health outcomes will benefit tremendously.
Davidson, L., Shahar, G., Lawless, M.S., Sells, D., Tondora, J., 2006.
Play, pleasure, and other positive life events: ‘‘non-specific’’
Role of funding source factors in recovery from mental illness? Psychiatry: Interpersonal
and Biological Processes 69 (2), 151—163.
Funding for this study was provided by a research grant from Diamond, L.M., 2001. Contributions of psychophysiology to research
on adult attachment: review and recommendations. Personality
the University of Texas at Austin to the first author. The
and Social Psychology Review 5 (4), 276—295.
University had no further role in study design; in the collection, Diamond, L.M., Hicks, A.M., Otter-Henderson, K.D., 2008. Every time
analysis and interpretation of data; in the writing of the you go away: changes in affect, behavior, and physiology asso-
report; and in the decision to submit the paper for publication. ciated with travel-related separations from romantic partners.
Journal of Personality and Social Psychology 95 (2), 385—403.
Conflict of interest statement Dickerson, S.S., Kemeny, M.E., 2004. Acute stressors and cortisol
responses: a theoretical integration and synthesis of laboratory
research. Psychological Bulletin 130 (3), 355—391.
There are no conflicts of interest. Eastwick, P.W., Finkel, E.J., 2008. The attachment system in fledg-
ling relationships: an activating role for attachment anxiety.
Journal of Personality and Social Psychology 95 (3), 628—647.
Acknowledgements Emanuele, E., Brondino, N., Pesenti, S., Re, S., Geroldi, D., 2007.
Genetic loading on human loving styles. Neuroendocrinology
We are thankful to Alex Hsieh, Shena Sandle, Ashley Senegal, Letters 28 (6), 815—821.
and Sung Sim for their assistance in data collection. We also Emanuele, E., Politi, P., Bianchi, M., Minoretti, P., Bertona, M.,
thank Eshkol Rafaeli for his early input on the guided imagery Geroldi, D., 2005. Raised plasma nerve growth factor levels
procedure. associated with early-stage romantic love. Psychoneuroendocri-
nology 20, 1—7.
Esch, T., Stefano, G.B., 2005. Love promotes health. Neuroendocri-
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