Background: Multimorbidity can be operationalized as the presence of multiple psychosomatic symptoms and has been shown to be detrimental to the quality of life across the life span. Middle-aged adults are generally engaged in multiple life domains simultaneously. This is one of the developmental challenges of middle adulthood as it can lead to conflict between the demands of different domains and, in turn, contribute to multiple psychosomatic symptoms, thereby diminishing the quality of life. This may be particularly true for women. Facilitation between life domains may serve to reduce the number of psychosomatic symptoms. However, this subject has been largely neglected in the literature. Objective: We aimed to close this gap by investigating the influence of conflict and facilitation between life domains (work, family, leisure) on self-reported psychosomatic symptoms in middle-aged women and men. Methods: Life domain conflict/facilitation and psychosomatic symptoms were assessed via self-report in a cross-sectional study with 277 adults aged 30-55 years (mean = 41.70, SD = 7.2; 56.7% women) who all worked at least 30 h/week and lived with their partner or family. Results: In line with our hypothesis, women reported more psychosomatic symptoms when they experienced conflict between life domains. However, contrary to expectation, they did not profit more from facilitation than men and, at low levels of facilitation, women even reported more psychosomatic symptoms than men. In men, there was no association between life domain conflict/facilitation and psychosomatic symptoms. The results were robust when statistically controlling for neuroticism. Conclusions: Engagement in multiple life domains influences the frequency of psychosomatic symptoms in women, but not in men: women suffer more and profit less than men from combining work, family and leisure.

Fortin M, Lapointe L, Hudon C, Vanasse A, Ntetu AL, Maltais D: Multimorbidity and quality of life in primary care: a systematic review. Health Qual Life Outcomes 2004;2:51.
Felce D, Perry J: Quality of life: its definition and measurement. Res Dev Disabil 1995;16:51-74.
Aarts S, van den Akker M, Bosma H, Tan F, Verhey F, Metsemakers J, van Boxtel M: The effect of multimorbidity on health related functioning: temporary or persistent? Results from a longitudinal cohort study. J Psychosom Res 2012;73:211-217.
Freund AM, Nikitin J, Ritter JO: Psychological consequences of longevity: the increasing importance of self-regulation in old age. Hum Dev 2009;52:1-37.
Bittman M, Wajcman J: The rush hour: the character of leisure time and gender equity. Soc Forces 2000;79:165-189.
Arnett JJ: Emerging adulthood: a theory of development from the late teens through the twenties. Am Psychol 2000;55:469-480.
Meyer JW: Globalization: sources and effects on national states and societies. Int Sociol 2000;15:233-248.
Riediger M, Freund AM: Interference and facilitation among personal goals: differential associations with subjective well-being and persistent goal pursuit. Pers Soc Psychol Bull 2004;30:1511-1523.
Riediger M, Freund AM: Focusing and restricting: two aspects of motivational selectivity in adulthood. Psychol Aging 2006;21:173-185.
Greenhaus JH, Beutell NJ: Sources of conflict between work and family roles. Acad Manage Rev 1985;10:76-88.
Höge T: When work strain transcends psychological boundaries: an inquiry into the relationship between time pressure, irritation, work-family conflict and psychosomatic complaints. Stress Health 2009;25:41-51.
Lazarus RS: Psychological Stress and the Coping Process. New York, McGraw-Hill, 1966.
Frese M: Stress at work and psychosomatic complaints: a causal interpretation. J Appl Psychol 1985;70:314-328.
Carlson DS, Kacmar KM, Wayne JH, Grzywacz JG: Measuring the positive side of the work-family interface: development and validation of a work-family enrichment scale. J Vocat Behav 2006;68:131−164.
Hanson GC, Hammer LB, Colton CL: Development and validation of a multidimensional scale of perceived work-family positive spillover. J Occup Health Psychol 2006;11:249−265.
Wiese BS, Seiger, CP, Schmid CM, Freund AM: Beyond conflict: functional facets of the work-family interplay. J Vocat Behav 2010;77:104-117.
Fritz C, Sonnentag S: Recovery, health, and job performance: effects of weekend experiences. J Occup Health Psychol 2005;10:187-199.
Costa PT Jr, McCrae RR: Neuroticism, somatic complaints, and disease: is the bark worse than the bite? J Pers 1987;55:299-316.
Schmitt DP, Realo A, Voracek M, Allik J: Why can't a man be more like a woman? Sex differences in Big Five personality traits across 55 cultures. J Pers Soc Psychol 2008;94:168-182.
Kroenke K, Spitzer RL: Gender differences in the reporting of physical and somatoform symptoms. Psychosom Med 1998;60:150-155.
Fillingim RB, King CD, Ribeiro-Dasilva MS, Rahim-Williams B, Riley JL 3rd: Sex, gender, and pain: a review of recent clinical and experimental findings. J Pain 2009;10:447-485.
Keogh E, Birkby J: The effect of anxiety sensitivity and gender on the experience of pain. Cogn Emot 1999;13:813-829.
Jose PE, Ratcliffe V: Stressor frequency and perceived intensity as predictors of internalizing symptoms: gender and age differences in adolescence. NZ J Psychol 2004;33:145-154.
Väänänen A, Kevin MV, Ala-Mursula L, Pentti J, Kivimäki M, Vahtera J: The double burden of and negative spillover between paid and domestic work: associations with health among men and women. Women Health 2004;40:1-18.
González-Morales MG, Peiró JM, Rodríguez I, Greenglass ER: Coping and distress in organizations: the role of gender in work stress. Int J Stress Manag 2006;13:228-248.
Carlson DS, Frone MR: Relation of behavioral and psychological involvement to a new four-factor conceptualization of work-family interference. J Bus Psychol 2003;17:515−535.
Franke GH: Die Symptom-Checkliste von LR Derogatis (1977), Deutsche Version. Göttingen, Beltz, 2002.
Huntley AL, Johnson R, Purdy S, Valderas JM, Salisbury C: Measures of multimorbidity and morbidity burden for use in primary care and community settings: a systematic review and guide. Ann Fam Med 2012;10:134-141.
Lang FR, Lüdtke O, Asendorpf JB: Testgüte und psychometrische Äquivalenz der deutschen Version des Big Five Inventory (BFI) bei jungen, mittelalten und alten Erwachsenen. Diagnostica 2001;47:111-121.
Windebank J: Dual-earner couples in Britain and France: gender divisions of domestic labour and parenting work in different welfare states. Work Employ Soc 2001;15:269-290.
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