Long-term effects of mental disorders on marital outcomes in the National Comorbidity Survey ten-year follow-up.
Long-term effects of mental disorders on marital outcomes in the National Comorbidity Survey ten-year follow-up.
复制标题
DOI：
10.1007/s00127-017-1373-1
复制
发表时间：
2017-10
影响因子：
4.4
通讯作者：
Kessler RC
中科院分区：
文献类型：
--
作者：
Mojtabai R;Stuart EA;Hwang I;Eaton WW;Sampson N;Kessler RC
流行病学研究一致表明精神障碍与婚姻破裂之间存在关联。然而，这项研究主要考察了离婚与精神疾病危险因素之间的关系。这项研究前瞻性地研究了具有代表性的人口样本中情绪、焦虑和物质使用障碍与未来婚姻破裂和新婚姻的关系。该研究使用了国家合并症调查小组研究的数据，该研究是一项对 5,001 名参与者进行的两波社区流行病学调查，在 1990 年至 1992 年进行评估，并在 2001 年至 2003 年重新进行访谈。精神障碍是通过综合国际诊断访谈（一种完全结构化的访谈）来确定的。使用离散时间生存分析模型检查基线终生疾病和基线后发病的疾病与随后的离婚和结婚/再婚的关联。在基线时已婚或基线后结婚的受访者中，基线时或基线后发病的精神障碍与随后离婚的几率显着增加相关。基线后发病的精神障碍与结婚或再婚的可能性较小有关。假设精神疾病对婚姻结果有因果影响的预测表明，预防常见情绪、焦虑和药物滥用障碍的影响将在 11 年内使美国人口离婚人数减少 670 万，结婚人数增加 350 万。患有常见精神疾病的人婚姻破裂的风险更大，并且不太可能再结婚。这些因素导致患有这些疾病的个体的社会参与和社会支持减少。旨在改善婚姻和家庭关系的干预措施可能会改善精神障碍对这些重要社会关系的影响。
Epidemiological research has consistently shown an association between mental disorders and marital dissolution. However, this research mostly examined the association of divorce as a risk factor for mental illness. This study prospectively examined the associations of mood, anxiety, and substance use disorders with future marital dissolution and new marriages in a representative population sample. The study used data from the National Comorbidity Survey panel study—a two-wave community epidemiological survey of 5,001 participants assessed in1990–1992 and re-interviewed in 2001–2003. Mental disorders were ascertained with the Composite International Diagnostic Interview, a fully-structured interview. Association of baseline lifetime disorders and disorders with onset after the baseline with subsequent divorce and marriage/remarriage were examined using discrete-time survival analysis models. Mental disorders at baseline or with onset after baseline were associated with significantly greater odds of subsequent divorce among respondents who either were married at baseline or got married after baseline. Mental disorders with onset after baseline were associated with smaller odds of marriage or remarriage. Projections assuming causal effects of mental illness on marital outcomes suggest that preventing the effects of common mood, anxiety and substance use disorders would be associated with 6.7 million fewer divorces and 3.5 million more marriages in the US population over an 11 year period. Individuals with common mental illnesses are at greater risk of marital dissolution, and are less likely to enter new marriages. These factors contribute to the diminished social engagement and social support for individuals with these disorders. Interventions aimed at improving marital and family relationships could potentially ameliorate the effect of mental disorders on these vital social ties.
登录
查看更多内容
影响因子：
4.5
作者：
Idstad, Mariann;Torvik, Fartein Ask;Tambs, Kristian
通讯作者：
Tambs, Kristian
影响因子：
3.5
作者：
Kennedy, Sheela;Ruggles, Steven
通讯作者：
Ruggles, Steven
影响因子：
4
作者：
Adam, EK;Chase-Lansdale, PL
通讯作者：
Chase-Lansdale, PL
影响因子：
6
作者：
Blekesaune, Morten
通讯作者：
Blekesaune, Morten
影响因子：
4.4
作者：
Afifi, TO;Cox, BJ;Enns, MW
通讯作者：
Enns, MW