Relationship quality and levels of depression and anxiety in a large population-based survey
Relationship quality and levels of depression and anxiety in a large population-based survey
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DOI：
10.1007/s00127-012-0559-9
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发表时间：
2013-03-01
影响因子：
4.4
通讯作者：
Mackinnon, Andrew
中科院分区：
文献类型：
--
作者：
Leach, Liana S.;Butterworth, Peter;Mackinnon, Andrew
有大量的文献表明，婚姻对心理健康的好处（与单身相比）对于那些处于“高质量”关系中的人来说比那些处于“低质量”关系中的人更大。然而，这项研究很少使用大规模的人口调查。精神病流行病学的大型调查几乎完全集中在婚姻状况和精神健康之间的联系上。目前的研究探讨了文献中这种差距的一些原因，并采用了一个大的，有代表性的社区为基础的样本，以调查关系状态和抑郁和焦虑水平之间的关联是否受到关系质量的调节。参与者来自PATH调查的第3波，这是一项纵向社区调查，评估堪培拉地区居民的健康和幸福感，澳大利亚（n = 3 820）。关系质量采用7项双元适应量表（DAS-7）进行测量，抑郁和焦虑水平采用GoldbergScales.Both横断面和前瞻性分析表明，关系状态和心理健康之间的关联是缓和的关系质量为男性和女性，只有高质量的关系给予心理健康的好处，其余的单。对于女性来说，处于低质量的关系中比单身更容易焦虑。流行病学研究需要测量关系质量，以确定关系状态对心理健康的影响。
There is substantial literature suggesting that the mental health benefits of marriage (compared to being single) are greater for those in 'good-quality' relationships in comparison to those in 'poor-quality' relationships. However, little of this research utilises large population-based surveys. Large surveys in psychiatric epidemiology have focused almost exclusively on the association between marital status and mental health. The current study explores some of the reasons for this gap in the literature, and adopts a large, representative community-based sample to investigate whether associations between relationship status and levels of depression and anxiety are moderated by relationship quality.Participants were from Wave 3 of the PATH Survey, a longitudinal community survey assessing the health and well-being of residents of the Canberra region, Australia (n = 3,820). Relationship quality was measured using the 7 item Dyadic Adjustment Scale (DAS-7), and levels of depression and anxiety were measured using the Goldberg Scales.Both cross-sectional and prospective analyses showed that associations between relationship status and mental health were moderated by relationship quality for both men and women, such that only good-quality relationships bestowed mental health benefits over remaining single. For women, being in a poor-quality relationship was associated with greater levels of anxiety than being single.Epidemiological studies need to measure relationship quality to qualify the effect of relationship status on mental health.