Overbeek Geertjan, Vollebergh Wilma, de Graaf Ron, Scholte Ron, de Kemp Raymond, Engels Rutger
Behavioral Science Institute, Radboud University Nijmegen, 6500 HE Nijmegen, The Netherlands.
J Fam Psychol. 2006 Jun;20(2):284-91. doi: 10.1037/0893-3200.20.2.284.
This study examined whether getting divorced was related to the subsequent incidence of DSM-III-R disorders across a 2-year period, controlling for the perceived quality of the marriage prior to the divorce. Data were used from 4,796 adults aged 18 to 64, who had participated in 3 waves (i.e., 1996, 1997, and 1999) of a large-scale epidemiological study conducted in The Netherlands. Results showed that getting divorced was prospectively linked to both the total and new case incidence of alcohol abuse and dysthymia, as well as to the new case incidence of social phobia. Adults who had divorced, however, were not more likely to develop a mental disorder if they had reported low levels of marital quality prior to the divorce. Thus, the marital discord underlying a divorce rather than divorce itself appeared to determine the onset of clinically relevant mental health problems.
本研究调查了在两年时间内离婚是否与随后发生的《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）所定义的疾病有关，并控制了离婚前对婚姻质量的感知。数据来自4796名年龄在18至64岁之间的成年人，他们参与了在荷兰进行的一项大规模流行病学研究的三个阶段（即1996年、1997年和1999年）。结果表明，离婚与酒精滥用和恶劣心境的总发病率及新病例发病率以及社交恐惧症的新病例发病率均存在前瞻性关联。然而，如果离婚前报告的婚姻质量较低，离婚的成年人患精神障碍的可能性并不更高。因此，导致离婚的婚姻不和而非离婚本身似乎决定了临床相关心理健康问题的发生。
