A multinational study of mental disorders, marriage, and divorce
A multinational study of mental disorders, marriage, and divorce
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DOI：
10.1111/j.1600-0447.2011.01712.x
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发表时间：
2011-12-01
影响因子：
6.7
通讯作者：
Kessler, R. C.
中科院分区：
文献类型：
--
作者：
Breslau, J.;Miller, E.;Kessler, R. C.
目的：在一个跨国样本中评估精神障碍与结婚和离婚的预测关联。
方法：对精神障碍的人群调查包括对19个国家（n = 46128）初婚年龄以及12个国家的一个子集（n = 30729）中初婚年龄和离婚年龄的评估。在离散时间生存模型中评估精神障碍与随后的结婚和离婚之间的关联。
结果：18种婚前精神障碍中有14种与结婚的可能性降低有关（比值比范围从0.6到0.9），但这些关联在不同结婚年龄有所不同。婚前精神障碍与结婚之间的关联在早婚（17岁或更年轻）时通常为零，但在较晚年龄时负向关联占主导。所有18种精神障碍都与离婚呈正相关（比值比范围从1.2到1.8）。特定恐惧症、重度抑郁症和酗酒这三种障碍与结婚和离婚的人群归因风险比例最大相关。
结论：这一证据补充了在各种社会经济和文化背景下表明精神障碍对改变生命历程事件的不利影响的研究。在考虑公共卫生对预防和治疗精神障碍的投入时应考虑这些影响。
Objective: Estimate predictive associations of mental disorders with marriage and divorce in a cross-national sample.Method: Population surveys of mental disorders included assessment of age at first marriage in 19 countries (n = 46 128) and age at first divorce in a subset of 12 countries (n = 30 729). Associations between mental disorders and subsequent marriage and divorce were estimated in discrete time survival models.Results: Fourteen of 18 premarital mental disorders are associated with lower likelihood of ever marrying (odds ratios ranging from 0.6 to 0.9), but these associations vary across ages of marriage. Associations between premarital mental disorders and marriage are generally null for early marriage (age 17 or younger), but negative associations come to predominate at later ages. All 18 mental disorders are positively associated with divorce (odds ratios ranging from 1.2 to 1.8). Three disorders, specific phobia, major depression, and alcohol abuse, are associated with the largest population attributable risk proportions for both marriage and divorce.Conclusion: This evidence adds to research demonstrating adverse effects of mental disorders on life course altering events across a diverse range of socioeconomic and cultural settings. These effects should be included in considerations of public health investments in preventing and treating mental disorders.