Brown University Medical School.
J Consult Clin Psychol. 2010 Oct;78(5):732-6. doi: 10.1037/a0019711.
This study was designed to evaluate the association between marital distress and mental health service utilization in a population-based sample of men and women (N = 1,601).
The association between marital distress and mental health care service utilization was evaluated for overall mental health service utilization and for specific sectors of treatment providers, including psychiatrist, other mental health provider, other medical provider, and religious services provider. Interviews were used to assess past-year service utilization and presence of anxiety, mood, and substance use disorders.
Approximately 12% of married individuals sought help for problems with their emotions, nerves, or substance use during the 12 months preceding the interview. Marital distress was significantly associated with (a) overall mental health service utilization and service utilization provided by each of the sectors of providers when controlling for demographic variables and (b) overall mental health service utilization and receiving treatment from a psychiatrist when additionally controlling for past-year anxiety, mood, or substance use disorders. There was little evidence that the associations between marital distress and service utilization were moderated by gender or presence of psychiatric disorders.
The finding that marital distress is associated with greater mental health care service utilization suggests that clinicians should assess both individual and relationship factors among individuals presenting for treatment.
本研究旨在评估婚姻困扰与心理健康服务利用之间的关系，该研究基于人群对男性和女性（N=1601）进行了调查。
评估了婚姻困扰与心理健康服务利用之间的关系，包括整体心理健康服务利用以及特定治疗提供者部门的利用，包括精神科医生、其他心理健康提供者、其他医疗提供者和宗教服务提供者。访谈用于评估过去一年的服务利用情况以及焦虑、情绪和物质使用障碍的存在情况。
大约 12%的已婚人士在接受访谈前的 12 个月内因情绪、神经或物质使用问题寻求帮助。婚姻困扰与（a）整体心理健康服务利用以及控制人口统计学变量后每个提供者部门提供的服务利用显著相关，以及（b）整体心理健康服务利用以及在另外控制过去一年焦虑、情绪或物质使用障碍后接受精神科医生治疗显著相关。婚姻困扰与服务利用之间的关联几乎没有证据表明受性别或精神障碍存在的调节。
婚姻困扰与更多心理健康服务利用相关的发现表明，临床医生在为接受治疗的个体提供治疗时，应该评估个体和关系因素。
