Spillover effect of psychological distress from distressed to non-distressed spouse: A cohort study for midlife married couples in Japan
Spillover effect of psychological distress from distressed to non-distressed spouse: A cohort study for midlife married couples in Japan
复制标题
困扰配偶的心理困扰对非困扰配偶的溢出效应：一项针对日本中年已婚夫妇的队列研究
DOI：
10.1016/j.jad.2022.06.037
复制
发表时间：
2022
影响因子：
6.6
通讯作者：
Iso Hiroyasu
中科院分区：
文献类型：
--
作者：
Miyata Jun;Okubo Ryo;Tabuchi Takahiro;Iso Hiroyasu
背景基于对精神状态的详细测量，很少有研究基于对精神状态的详细测量来评估配偶心理痛苦对个人随着时间的推移而产生的痛苦的影响。本研究从2005年至2016年日本具有代表性的纵向研究中选取了11,819人(男性占51.4%)，年龄50~59岁(平均54.7岁)，对配偶心理痛苦的溢出效应进行研究。参与者根据配偶在Kessler心理困难量表(K6)上的得分分为：0、1-4、5-8、9-12和13-24。在随访期间确定至少中度窘迫(K6、≥、5)或重度窘迫(K6、≥、13)的发生率。结果共识别出5912例和857例中度以上和重度以上的窘迫病例，随访期分别为72,669和105,515人年。与0组配偶K6比较，1~4岁配偶K6至少中度窘迫和重度窘迫的多变量危险比(95%可信区间)分别为1.13(1.07~1.20)和1.00(0.85~1.18)，5~8岁配偶K6分别为1.29(1.19~1.39)和1.14(0.93~1.40)，9~12岁配偶K6分别为1.42(1.26~1.60)和1.28(0.95~1.72)。13~24岁分别为1.46(1.22~1.73)和2.14(1.49~3.07)。性别差异不显著。限制心理困扰是基于自我报告的数据，没有精神病学家的诊断。结论配偶K6分高导致自己至少中度和严重痛苦的随后更高的发生率。
BackgroundFew studies have evaluated the impact of spousal psychological distress on an individual's distress over time based on detailed measurements of mental status. Hence, we investigate the spillover effect of spousal psychological distress.MethodsThis cohort study included 11,819 individuals (men, 51.4 %), aged 50–59 (mean 54.7) years, selected from the Japanese nationally representative longitudinal study from 2005 to 2016. Participants were categorized according to their spousal score on the Kessler Psychological Distress Scale (K6) as follows: 0, 1–4, 5–8, 9–12, and 13–24. The incidence of at least moderate distress (K6 ≥ 5) or serious distress (K6 ≥ 13) was determined during follow-up. A complementary log-log discrete time hazard model was constructed.ResultsA total of 5912 and 857 cases of at least moderate and serious distress were identified, with follow-up durations of 72,669 and 105,515 person-years, respectively. Compared with the spousal K6 of 0 group, the multivariable hazard ratios (95 % confidence intervals) of at least moderate distress and serious distress were 1.13 (1.07–1.20) and 1.00 (0.85–1.18) for spousal K6 of 1–4, 1.29 (1.19–1.39) and 1.14 (0.93–1.40) for 5–8, 1.42 (1.26–1.60) and 1.28 (0.95–1.72) for 9–12, and 1.46 (1.22–1.73) and 2.14 (1.49–3.07) for 13–24, respectively. No significant sex differences were observed.LimitationsPsychological distress was based on self-reported data without diagnosis by psychiatrists.ConclusionsHigh spousal K6 score contributed to a subsequent higher incidence of one's own at least moderate and serious distress.