心理困扰从困扰配偶到非困扰配偶的溢出效应：日本中年已婚夫妇的队列研究。

Spillover effect of psychological distress from distressed to non-distressed spouse: A cohort study for midlife married couples in Japan.

机构信息

Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan.

Department of Clinical Data Science, Clinical Research & Education Promotion Division, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, Tokyo 187-8551, Japan.

出版信息

J Affect Disord. 2022 Sep 1;312:252-258. doi: 10.1016/j.jad.2022.06.037. Epub 2022 Jun 23.

DOI:10.1016/j.jad.2022.06.037

PMID:35753500

Abstract

BACKGROUND

Few studies have evaluated the impact of spousal psychological distress on an individual's distress over time based on detailed measurements of mental status. Hence, we investigate the spillover effect of spousal psychological distress.

METHODS

This cohort study included 11,819 individuals (men, 51.4 %), aged 50-59 (mean 54.7) years, selected from the Japanese nationally representative longitudinal study from 2005 to 2016. Participants were categorized according to their spousal score on the Kessler Psychological Distress Scale (K6) as follows: 0, 1-4, 5-8, 9-12, and 13-24. The incidence of at least moderate distress (K6 ≥ 5) or serious distress (K6 ≥ 13) was determined during follow-up. A complementary log-log discrete time hazard model was constructed.

RESULTS

A total of 5912 and 857 cases of at least moderate and serious distress were identified, with follow-up durations of 72,669 and 105,515 person-years, respectively. Compared with the spousal K6 of 0 group, the multivariable hazard ratios (95 % confidence intervals) of at least moderate distress and serious distress were 1.13 (1.07-1.20) and 1.00 (0.85-1.18) for spousal K6 of 1-4, 1.29 (1.19-1.39) and 1.14 (0.93-1.40) for 5-8, 1.42 (1.26-1.60) and 1.28 (0.95-1.72) for 9-12, and 1.46 (1.22-1.73) and 2.14 (1.49-3.07) for 13-24, respectively. No significant sex differences were observed.

LIMITATIONS

Psychological distress was based on self-reported data without diagnosis by psychiatrists.

CONCLUSIONS

High spousal K6 score contributed to a subsequent higher incidence of one's own at least moderate and serious distress.

摘要

背景

基于精神状态的详细测量，很少有研究评估配偶心理困扰对个体随时间推移的困扰的影响。因此，我们调查配偶心理困扰的溢出效应。

方法

本队列研究纳入了 11819 名年龄 50-59 岁（平均 54.7 岁）的个体（男性占 51.4%），他们均来自 2005 年至 2016 年的日本全国代表性纵向研究。根据配偶在 Kessler 心理困扰量表（K6）上的得分，将参与者分为以下几类：0、1-4、5-8、9-12 和 13-24。在随访期间确定至少中度困扰（K6≥5）或严重困扰（K6≥13）的发生率。构建了互补对数-对数离散时间风险模型。

结果

共发现 5912 例和 857 例至少中度和严重困扰，随访时间分别为 72669 和 105515 人年。与配偶 K6 为 0 的组相比，配偶 K6 为 1-4、5-8、9-12 和 13-24 的个体至少中度和严重困扰的多变量风险比（95%置信区间）分别为 1.13（1.07-1.20）和 1.00（0.85-1.18）、1.29（1.19-1.39）和 1.14（0.93-1.40）、1.42（1.26-1.60）和 1.28（0.95-1.72）、1.46（1.22-1.73）和 2.14（1.49-3.07）。未观察到明显的性别差异。