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婚姻不和与爱尔兰老龄化纵向研究中抑郁和广泛性焦虑障碍症状变化之间关联的特异性。

Specificity of the Association between Marital Discord and Longitudinal Changes in Symptoms of Depression and Generalized Anxiety Disorder in the Irish Longitudinal Study on Ageing.

机构信息

Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO.

出版信息

Fam Process. 2018 Sep;57(3):649-661. doi: 10.1111/famp.12351. Epub 2018 Mar 25.

DOI:10.1111/famp.12351
PMID:29577265
Abstract

This longitudinal study was conducted to evaluate actor and partner effects of marital discord on changes in symptoms of depression and generalized anxiety disorder (GAD) in a large population sample of Irish adults (N = 1,445 couples), adjusting for the potential confounds of quality of other social relationships and other psychopathology symptoms. The Actor-Partner Interdependence Model was used to examine actor and partner effects of marital discord on changes in symptoms of depression and GAD at a 2-year follow-up. Additional models examined these associations adjusting for family and friend discord and symptoms of the other type of psychopathology (depressive or GAD symptoms). Actor effects of marital discord on depressive and anxiety symptoms were greater for men than for women. There were significant, positive actor effects of marital discord on depressive symptoms for husbands and wives, which remained significant when adjusting for family and friend discord and GAD symptoms. There were significant, positive actor effects of marital discord on GAD symptoms for husbands, which remained significant when adjusting for family and friend discord and depressive symptoms. Results demonstrate that longitudinal associations between marital discord and depressive symptoms (for wives and husbands) and GAD symptoms (for husbands) are incremental to other rival explanations (family and friend discord and the other set of symptoms). Findings provide evidence for a potential causal association leading from marital discord to symptoms of depression and GAD.

摘要

这项纵向研究评估了婚姻不和谐对爱尔兰成年人(N=1445 对夫妇)中抑郁和广泛性焦虑症(GAD)症状变化的个体和伴侣效应,调整了其他社会关系质量和其他精神病理学症状的潜在混杂因素。使用 Actor-Partner Interdependence Model 来检验婚姻不和谐对抑郁和 GAD 症状在 2 年随访时变化的个体和伴侣效应。其他模型还调整了家庭和朋友不和以及其他类型的精神病理学(抑郁或 GAD 症状)的症状来检验这些关联。婚姻不和谐对男性抑郁和焦虑症状的个体效应大于女性。婚姻不和谐对丈夫和妻子的抑郁症状有显著的正个体效应,当调整家庭和朋友不和以及 GAD 症状时,这些效应仍然显著。婚姻不和谐对丈夫的 GAD 症状有显著的正个体效应,当调整家庭和朋友不和以及抑郁症状时,这些效应仍然显著。研究结果表明,婚姻不和谐与抑郁症状(妻子和丈夫)和 GAD 症状(丈夫)之间的纵向关联,除了其他竞争解释(家庭和朋友不和以及另一组症状)之外,还具有增量效应。研究结果为婚姻不和谐导致抑郁和 GAD 症状的潜在因果关系提供了证据。

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