A multinational study of mental disorders, marriage, and divorce

被引：124

作者：

Breslau, J.

Miller, E. ^{[2
]}

Jin, R. ^{[1
]}

Sampson, N. A. ^{[1
]}

Alonso, J. ^{[3
,4
]}

Andrade, L. H. ^{[5
,6
]}

Bromet, E. J. ^{[7
]}

de Girolamo, G. ^{[8
]}

Demyttenaere, K. ^{[9
]}

Fayyad, J. ^{[22
]}

Fukao, A. ^{[10
]}

Galaon, M.

Gureje, O. ^{[11
]}

He, Y. ^{[12
]}

Hinkov, H. R. ^{[13
]}

Hu, C. ^{[14
]}

Kovess-Masfety, V. ^{[15
]}

Matschinger, H. ^{[16
]}

Medina-Mora, M. E. ^{[17
]}

Ormel, J. ^{[18
]}

Posada-Villa, J. ^{[19
]}

Sagar, R. ^{[20
]}

Scott, K. M. ^{[21
]}

Kessler, R. C. ^{[1
]}

机构：

[1] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA

[2] Univ Calif Davis, Dept Pediat, Davis, CA 95616 USA

[3] Hosp Mar, IMIM, Hlth Serv Res Unit, Barcelona, Catalonia, Spain

[4] CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Catalonia, Spain

[5] Univ Sao Paulo, Sch Med, Dept Psychiat, Sao Paulo, Brazil

[6] Univ Sao Paulo, Sch Med, Inst Psychiat, Sao Paulo, Brazil

[7] SUNY Stony Brook, Dept Psychiat, Stony Brook, NY 11794 USA

[8] IRCCS Ctr S Giovanni Dio Fatebenefratelli, Bologna, Italy

[9] Univ Hosp Gasthuisberg, Dept Psychiat, B-3000 Louvain, Belgium

[10] Yamagata Univ, Dept Publ Hlth, Grad Sch Med, Yamagata 990, Japan

[11] Univ Coll Hosp, Dept Psychiat, Ibadan, Nigeria

[12] Shanghai Mental Hlth Ctr, Shanghai, Peoples R China

[13] Natl Ctr Publ Hlth Protect, Dept Global Mental Hlth, Sofia, Bulgaria

[14] Shenzhen Inst Mental Hlth, Shenzhen, Guangdong, Peoples R China

[15] EA4069 Univ Paris Descartes, Paris, France

[16] Univ Leipzig, Psychiat Clin, Leipzig, Germany

[17] Natl Inst Psychiat, Mexico City, DF, Mexico

[18] Univ Groningen, Univ Med Ctr Groningen, Interdisciplinary Ctr Psychiat Epidemiol, NL-9713 AV Groningen, Netherlands

[19] Inst Colombiano Sistema Nervioso, Bogota, DC, Colombia

[20] All India Inst Med Sci, New Delhi, India

[21] Wellington Sch Med & Hlth Sci, Dept Psychol Med, Dunedin, New Zealand

[22] Balamand Univ, Fac Med, Beirut, Lebanon

来源：

ACTA PSYCHIATRICA SCANDINAVICA | 2011年 / 124卷 / 06期

基金：

巴西圣保罗研究基金会;

关键词：

mental disorders; marriage; divorce; COMORBIDITY SURVEY REPLICATION; WORLD-HEALTH-ORGANIZATION; MARITAL-STATUS; PSYCHIATRIC-DISORDERS; LOGISTIC-REGRESSION; 12-MONTH PREVALENCE; SURVIVAL ANALYSIS; EPIDEMIOLOGY; SELECTION; CONSEQUENCES;

D O I：

10.1111/j.1600-0447.2011.01712.x

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

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.

引用

页码：474 / 486

页数：13

共 46 条

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