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精神疾病与对社会关系的不满:关系类型重要吗?

Psychiatric disorders and dissatisfaction with social relationships: does type of relationship matter?

作者信息

Whisman M A, Sheldon C T, Goering P

机构信息

Department of Psychology, University of Colorado, Campus Box 345 UCB, Boulder, Colorado 80309-0345, USA.

出版信息

J Abnorm Psychol. 2000 Nov;109(4):803-8. doi: 10.1037//0021-843x.109.4.803.

DOI:10.1037//0021-843x.109.4.803
PMID:11196008
Abstract

The specificity of the association between 9 Axis I psychiatric disorders and quality of the relationship with spouse, relatives, and friends was evaluated for married participants who completed the Ontario Health Survey Mental Health Supplement (N = 4,933). When the authors controlled for the quality of other social relationships, not getting along with one's spouse was related to 6 disorders, with the strongest associations found for generalized anxiety disorder, major depression, panic, and alcohol problems; 4 associations remained significant when they controlled for comorbid disorders. Not getting along with relatives and friends was generally unrelated to psychiatric disorders when they controlled for the other social relationships. Results indicate that the association between marital quality and psychiatric disorders is not an artifact of general social dissatisfaction and that this association is significant for several disorders.

摘要

针对完成安大略省健康调查心理健康补充问卷的已婚参与者(N = 4,933),评估了9种轴I精神障碍与配偶、亲属及朋友关系质量之间关联的特异性。当作者控制了其他社会关系的质量后,与配偶相处不融洽与6种障碍相关,其中广泛性焦虑障碍、重度抑郁症、恐慌症和酒精问题的关联最为强烈;当他们控制了共病障碍后,4种关联仍具有显著性。当控制了其他社会关系后,与亲属及朋友相处不融洽通常与精神障碍无关。结果表明,婚姻质量与精神障碍之间的关联并非普遍社会不满的假象,且这种关联在几种障碍中具有显著性。

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