Mental health profiles among married, never-married, and separated/divorced mothers in a nationally representative sample
Mental health profiles among married, never-married, and separated/divorced mothers in a nationally representative sample
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DOI：
10.1007/s00127-005-0005-3
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发表时间：
2006-02-01
影响因子：
4.4
通讯作者：
Enns, MW
中科院分区：
文献类型：
--
作者：
Afifi, TO;Cox, BJ;Enns, MW
几项研究已经发现，与单身母亲相比，已婚母亲具有更好的心理健康（Cairney等人，Soc Psychiatry Psychiatr Epidemiol 38：442-449，2003; Cairney等人，Can J Public Health 90：320-324，1999; Davies等人，J Marriage Fam 59：294-308，1997; Lipman等人，Am J Psychiatry 158：73-77，2001; Wang等人，Soc Psychiatry Psychiatr Epidemiol 39：26-32，2004）。虽然家庭结构（单身母亲与已婚母亲）与精神疾病之间的关系已经确立，但仍存在一些问题。本研究探讨的问题是：已婚、未婚和分居/离婚母亲之间精神疾病的患病率是否存在差异？“本报告审查了美国全国科摩罗调查（N= 1 534）中与家庭结构（已婚、未婚和分居/离婚）有关的母亲一生中焦虑痛苦、恐惧和外化障碍的流行情况。结果表明，从未结婚的母亲似乎是一般相似的已婚母亲在他们的心理健康状况。与已婚母亲相比，分居/离婚的母亲患焦虑痛苦障碍、抑郁症、心境恶劣、广泛性焦虑障碍（GAD）、创伤后应激障碍、任何外化障碍和反社会人格障碍的几率增加。在从未结婚和分居/离婚的母亲之间发现了差异，分居/离婚的母亲患有任何焦虑-痛苦障碍，抑郁症和GAD的比值比增加。根据已婚、从未结婚和分居/离婚母亲的独特生活背景讨论了结果，并作为反对将分居/离婚和从未结婚的婚姻状况合并为一个“单身母亲”的进一步证据心理健康研究。
Several studies have found that married mothers compared to single mothers had better mental health (Cairney et al. in Soc Psychiatry Psychiatr Epidemiol 38:442-449, 2003; Cairney et al. in Can J Public Health 90:320-324, 1999; Davies et al. in J Marriage Fam 59:294-308, 1997; Lipman et al. in Am J Psychiatry 158:73-77, 2001; Wang in Soc Psychiatry Psychiatr Epidemiol 39:26-32, 2004). Although a relationship between family structure (single vs married mothers) and psychiatric disorders is well established, several questions remain. The present study addressed the question "Are there differences in the prevalence of psychiatric disorders between married, never-married, and separated/divorced mothers?" The present report examined the lifetime prevalence of anxious misery, fear, and externalizing disorders among mothers in relation to family structure (married, never-married, and separated/divorced) in the US National Comorbidity Survey (N=1,534). Results indicated that never-married mothers appeared to be generally similar to married mothers in their mental health profiles. Separated/divorced mothers compared to married mothers had increased odds of having any anxious-misery disorder, depression, dysthymia, generalized anxiety disorder (GAD), posttraumatic stress disorder, any externalizing disorder, and antisocial personality disorder. Differences were found between never-married and separated/divorced mothers, with separated/divorced mothers having increased odds ratios of having any anxious-misery disorder, depression, and GAD. Results are discussed in light of the unique life contexts of married, never-married, and separated/divorced mothers and as further evidence for the case against combining the separated/divorced and never-married marital status into one "single motherhood" classification in mental health research.