McShall Jared R, Johnson Matthew D
Department of Psychology, Binghamton University.
J Abnorm Psychol. 2015 Feb;124(1):226-31. doi: 10.1037/a0038267. Epub 2014 Nov 17.
The association between intimate relationship discord and DSM-IV Axis I psychiatric disorders has been described in studies that oversampled White participants; however, the racial and ethnic differences in marital distress and divorce as well as in prevalence rates of some forms of psychopathology led us to hypothesize that the association between relationship discord and psychopathology would vary across races and ethnicities. Relationship quality and psychopathology were assessed in three national surveys (the National Comorbidity Survey Replication, the National Latino and Asian American Study, and the National Survey of American Life), for a total sample size of 10,057. We found that the log odds of being diagnosed with both narrow-band (e.g., major depressive disorder) and broad-band disorders (e.g., mood disorder) were negatively associated with relationship quality consistently across 11 different racial and ethnic groups. We discuss the implications of the cross-cultural reliability of the association between relationship discord and psychopathology in the context of etiological models and culturally competent practices.
在那些对白人参与者进行过度抽样的研究中，已经描述了亲密关系不和与《精神疾病诊断与统计手册》第四版轴I精神障碍之间的关联；然而，婚姻困扰与离婚以及某些形式精神病理学患病率方面的种族和民族差异，促使我们假设关系不和与精神病理学之间的关联会因种族和民族而异。在三项全国性调查（全国共病调查复制版、全国拉丁裔和亚裔美国人研究以及美国生活全国调查）中对关系质量和精神病理学进行了评估，样本总量为10,057人。我们发现，在11个不同的种族和民族群体中，被诊断患有窄带疾病（如重度抑郁症）和宽带疾病（如心境障碍）的对数几率与关系质量始终呈负相关。我们在病因模型和具有文化胜任力的实践背景下，讨论关系不和与精神病理学之间关联的跨文化可靠性的意义。
