Article1999

Marital dissatisfaction and incidence of major depressive episode in a community sample.

Mark A. Whisman · MARTHA LIVINGSTON BRUCE

338 citations0/0 files storedJournal of Abnormal Psychology

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Attachment and Relationship Dynamics Family Dynamics and Relationships Mental Health Treatment and Access

Abstract

The association between marital dissatisfaction at baseline and 12-month incidence of major depressive episode (MDE) was examined in a community sample of married individuals from the New Haven Epidemiologic Catchment Area program (N = 904) who did not meet criteria for MDE at baseline. Results indicate that marital dissatisfaction was associated with increased incidence of MDE, with a significant risk ratio of 2.7 and an attributable risk of 29.5%. Thus, dissatisfied spouses were nearly 3 times more likely than nondissatisfied spouses to develop an MDE during the year, and nearly 30% of the new occurrences of MDE were associated with marital dissatisfaction. The association between marital dissatisfaction and risk of MDE (a) remained significant when controlling for demographics and depression history and (b) was not moderated by sex or by depression history. Findings suggest that marital dissatisfaction may be etiologically related to major depression.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1981Diagnostic and Statistical Manual of Mental Disorders, 3rd ed 1976Measuring Dyadic Adjustment: New Scales for Assessing the Quality of Marriage and Similar Dyads 1981National Institute of Mental Health Diagnostic Interview Schedule 1991Psychiatric disorders in America: the epidemiologic catchment area study 1993The de Facto US Mental and Addictive Disorders Service System 1976Toward an Interactional Description of Depression 1991Generation of stress in the course of unipolar depression.

Cited by

2008Understanding the relation between obesity and depression: Causal mechanisms and implications for treatment.2003Depressive Symptoms and Marital Satisfaction: Within-Subject Associations and the Moderating Effects of Gender and Neuroticism.2016Romantic relationships and mental health 2014Sex Differences in the Pathways to Major Depression: A Study of Opposite-Sex Twin Pairs 2000Infidelity and separations precipitate major depressive episodes and symptoms of nonspecific depression and anxiety.

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