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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Gender and the relationship between marital status and first onset of mood, anxiety and substance use disorders
Psychological Medicine, Volume 40, No. 9, Year 2010
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Description
Background Prior research on whether marriage is equally beneficial to the mental health of men and women is inconsistent due to methodological variation. This study addresses some prior methodological limitations and investigates gender differences in the association of first marriage and being previously married, with subsequent first onset of a range of mental disorders.Method Cross-sectional household surveys in 15 countries from the WHO World Mental Health survey initiative (n=34493), with structured diagnostic assessment of mental disorders using the Composite International Diagnostic Interview 3.0. Discrete-time survival analyses assessed the interaction of gender and marital status in the association with first onset of mood, anxiety and substance use disorders.Results Marriage (versus never married) was associated with reduced risk of first onset of most mental disorders in both genders; but for substance use disorders this reduced risk was stronger among women, and for depression and panic disorder it was confined to men. Being previously married (versus stably married) was associated with increased risk of all disorders in both genders; but for substance use disorders, this increased risk was stronger among women and for depression it was stronger among men.Conclusions Marriage was associated with reduced risk of the first onset of most mental disorders in both men and women but there were gender differences in the associations between marital status and onset of depressive and substance use disorders. These differences may be related to gender differences in the experience of multiple role demands within marriage, especially those concerning parenting. Copyright © 2009 Cambridge University Press.
Authors & Co-Authors
Scott, Kate Margaret
New Zealand, Dunedin
University of Otago
Wells, Jessie Elisabeth
New Zealand, Christchurch
University of Otago, Christchurch
Angermeyer, Matthias Claus
Austria, Gosim
Center for Public Mental Health
Brugha, Traolach Sean
United Kingdom, Leicester
University of Leicester
Bromet, Evelyn J.
United States, Stony Brook
Stony Brook University
Demyttenaere, Koen
Belgium, Leuven
Ku Leuven– University Hospital Leuven
de Girolamo, Giovanni
Italy, Brescia
Irccs Centro San Giovanni Di Dio Fatebenefratelli
Gureje, Oye
Nigeria, Ibadan
University College Hospital, Ibadan
Haro, Josep Maria
Spain, Madrid
Centro de Investigación Biomédica en Red de Salud Mental
Jin, Robert
United States, Boston
Harvard Medical School
Karam, Aimée Nasser
Lebanon, Beirut
Saint George Hospital University Medical Center
Lebanon, Al Koura
University of Balamand
Kovess - Masfety, Viviane
France, Paris
Fondation D'entreprise Mgen Pour la Santé Publique
Lara, C.
Mexico, Puebla
Benemérita Universidad Autónoma de Puebla
Levinson, Daphna
Israel, Jerusalem
Ministry of Health
Ormel, Johan Hans
Netherlands, Groningen
Universitair Medisch Centrum Groningen
Posada-Villa, J. A.
Colombia, Bogota
Universidad Colegio Mayor de Cundinamarca
Sampson, Nancy A.
United States, Boston
Harvard Medical School
Takeshima, Tadashi
Japan, Kodaira
National Center of Neurology and Psychiatry
Zhang, Mingyuan
China, Shanghai
Shanghai Jiao Tong University
Kessler, Ronald C.
United States, Boston
Harvard Medical School
Statistics
Citations: 171
Authors: 20
Affiliations: 19
Identifiers
Doi:
10.1017/S0033291709991942
ISSN:
00332917
e-ISSN:
14698978
Research Areas
Mental Health
Substance Abuse
Study Design
Cross Sectional Study
Study Approach
Quantitative
Participants Gender
Male
Female