Toshishige Yuko, Kondo Masaki, Watanabe Takafumi, Yamada Atsurou, Hashimoto Hiroya, Okazaki Junya, Tokuyama Nishikiran, Kuwabara Junya, Mizushima Hiroko, Akechi Tatsuo
Department of Psychiatry and Cognitive-Behavioral Medicine Nagoya City University Graduate School of Medical Sciences Nagoya Japan.
Present address: Masaki Kondo National Center of Neurology and Psychiatry Tokyo Japan.
PCN Rep. 2023 May 16;2(2):e95. doi: 10.1002/pcn5.95. eCollection 2023 Jun.
Patients' and spouses' neurodevelopmental traits may influence marital relationships, which are significantly associated with depressive symptoms. However, no studies have examined marital relationships in persistent depressive disorder (PDD) in terms of neurodevelopmental traits. This study aimed to explore the association between the autism spectrum disorder (ASD) or attention-deficit/hyperactivity disorder (ADHD) traits of female PDD patients and both partners' (patient and husband) marital satisfaction.
A cross-sectional online survey was administered during two predetermined consecutive months at seven institutions. Participants were female outpatients who fulfilled the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria for PDD and their husbands. The instruments of the study were the following validated surveys: the Quality Marriage Index (QMI), the Autism-Spectrum Quotient Japanese version-21 (AQ-J-21), and the Adult ADHD Self-Report Scale Part A (ASRS Part A).
The patients' AQ-J-21 showed a positive significant association with their QMI in all patients who responded to this study's questionnaire, whereas among couples wherein both patient and husband responded, the ASRS Part A exhibited a positive significant association with the patients' QMI. Conversely, the husbands' ASRS Part A exhibited a negative significant association with the patients' QMI.
The patients' ASD and ADHD traits may play a positive role in the marital satisfaction of female PDD patients, while their husbands' ADHD traits may play a negative role. For female PDD patients with low marital satisfaction, it may be important to consider whether their husbands have ADHD traits; if so, it may be necessary to develop intervention strategies focused on the traits for improving the low marital satisfaction. However, our conclusions are not sufficiently convincing.
患者及其配偶的神经发育特征可能会影响婚姻关系，而婚姻关系与抑郁症状显著相关。然而，尚无研究从神经发育特征方面考察持续性抑郁障碍（PDD）中的婚姻关系。本研究旨在探讨女性PDD患者的自闭症谱系障碍（ASD）或注意力缺陷多动障碍（ADHD）特征与双方（患者及其丈夫）婚姻满意度之间的关联。
在七个机构连续两个预定月份进行了一项横断面在线调查。参与者为符合《精神疾病诊断与统计手册》第五版PDD标准的女性门诊患者及其丈夫。本研究使用的工具为以下经过验证的调查问卷：优质婚姻指数（QMI）、自闭症谱系商数日语版-21（AQ-J-21）和成人ADHD自我报告量表A部分（ASRS A部分）。
在所有回复本研究问卷的患者中，患者的AQ-J-21与她们的QMI呈显著正相关，而在患者及其丈夫均回复的夫妻中，ASRS A部分与患者的QMI呈显著正相关。相反，丈夫的ASRS A部分与患者的QMI呈显著负相关。
患者的ASD和ADHD特征可能对女性PDD患者的婚姻满意度起积极作用，而其丈夫的ADHD特征可能起消极作用。对于婚姻满意度较低的女性PDD患者，考虑其丈夫是否具有ADHD特征可能很重要；如果是这样，可能有必要制定针对这些特征的干预策略，以改善较低的婚姻满意度。然而，我们的结论并不充分令人信服。
