St John Philip Donald, Montgomery Patrick Roy
Section of Geriatric Medicine, Department of Medicine, Centre on Aging, University of Manitoba, Winnipeg, Manitoba.
Can J Psychiatry. 2009 Jul;54(7):487-92. doi: 10.1177/070674370905400710.
To determine if marital status is associated with depressive symptoms in men and women, and to determine if partner satisfaction is associated with depressive symptoms.
Community-dwelling adults (n = 1751) aged 65 years and older were sampled from a representative population-based registry. Age, sex, education, and marital status were self-reported. Satisfaction with living partner was assessed with an item from the terrible-delightful scale. The Center for Epidemiologic Studies-Depression was used to assess depressive symptoms, with a score of 15 or more indicating depressive symptoms.
Only 3% of the sample were dissatisfied with their living partner, and those who were dissatisfied with their living partner had higher levels of depressive symptoms. Proportions of men with depressive symptoms were: 20.6% for never married; 19.2% for separated or divorced; 17.3% for widowed; 7.3% for married (satisfied); and 38.1% for married (dissatisfied) (chi square = 32.98, df = 4, P < 0.001). In women, the results were different: 11.8% for never married; 23.1% for separated or divorced; 15.4% for widowed; 14.4% for married (satisfied); and 41.9% for married (dissatisfied) (chi square = 18.33, df = 4, P < 0.001). In logistic regression models, a significant interaction term was seen for Marital status Sex. In stratified models, adjusting for age and education, an effect of marital status was seen in men, but not in women.
The effects of marriage on depressive symptoms in men and women may be different, with lower levels of depressive symptoms in married men, compared with unmarried men, but similar rates in married women, compared with unmarried women. Dissatisfaction with their partner was uncommon, but highly associated with depressive symptoms.
确定婚姻状况是否与男性和女性的抑郁症状相关，以及伴侣满意度是否与抑郁症状相关。
从具有代表性的基于人群的登记处抽取1751名65岁及以上的社区居住成年人作为样本。年龄、性别、教育程度和婚姻状况通过自我报告获得。使用“糟糕 - 愉快”量表中的一个项目来评估对生活伴侣的满意度。采用流行病学研究中心抑郁量表来评估抑郁症状，得分15分及以上表明存在抑郁症状。
样本中只有3%的人对其生活伴侣不满意，而那些对生活伴侣不满意的人抑郁症状水平更高。有抑郁症状的男性比例分别为：从未结婚者为20.6%；分居或离婚者为19.2%；丧偶者为17.3%；已婚（满意）者为7.3%；已婚（不满意）者为38.1%（卡方 = 32.98，自由度 = 4，P < 0.001）。在女性中，结果有所不同：从未结婚者为11.8%；分居或离婚者为23.1%；丧偶者为15.4%；已婚（满意）者为14.4%；已婚（不满意）者为41.9%（卡方 = 18.33，自由度 = 4，P < 0.001）。在逻辑回归模型中，婚姻状况×性别的交互项具有显著性。在分层模型中，调整年龄和教育程度后，婚姻状况对男性有影响，但对女性没有影响。
婚姻对男性和女性抑郁症状的影响可能不同，与未婚男性相比，已婚男性的抑郁症状水平较低，但与未婚女性相比，已婚女性的抑郁症状发生率相似。对伴侣不满意的情况并不常见，但与抑郁症状高度相关。
