Kitson G C, Graham A V, Schmidt D D
J Fam Pract. 1983 Aug;17(2):249-58.
A longitudinal survey of adjustment to divorce in Cleveland, Ohio, suburbs was conducted with a matched sample of married persons in order to identify some of the common complaints, feelings, concerns, and health hazards among separated and divorced persons. The study findings show that substantial numbers of divorced and married people turn to their physicians for help with personal problems, suggesting that physicians need to be prepared to help them appropriately. Based upon these findings, opportunities are described that are open to the family physician for detecting distress in the troubled marriage and in divorce, as well as for therapeutic intervention. Types of interventions include anticipatory guidance, counseling, and referral for more intensive therapy. In the troubled marriage there is often an extended period of unhappiness and indecision. A physician alerted to the frequency with which marital distress is exhibited in physical or psychological symptoms may be able to provide assistance in sorting out priorities and options. Following a crisis model of adjustment, the heightened physical and psychological distress experienced during the early stages of the divorce process decreases with time. Many divorced parents are not aware of the im pact of marital turmoil and divorce on their children. The family physician plays an important part in helping parents recognize their continuing role in the lives of their children even if the marital relationship ends.
在俄亥俄州克利夫兰郊区进行了一项关于离婚适应情况的纵向调查，研究对象是与已婚人士匹配的样本，目的是确定分居和离婚者中一些常见的抱怨、感受、担忧以及健康风险。研究结果表明，大量离婚者和已婚者会向医生寻求个人问题方面的帮助，这表明医生需要做好准备，以便适当地帮助他们。基于这些发现，阐述了家庭医生在发现陷入困境的婚姻和离婚中的痛苦以及进行治疗干预方面可利用的机会。干预类型包括预期指导、咨询以及转介接受更深入的治疗。在陷入困境的婚姻中，通常会有一段较长时间的不幸福和犹豫不决。如果医生意识到身体或心理症状中表现出婚姻困扰的频率，或许能够在梳理优先事项和选择方面提供帮助。遵循适应的危机模型，离婚过程早期经历的身体和心理痛苦加剧会随着时间减轻。许多离异父母并未意识到婚姻动荡和离婚对其子女的影响。即便婚姻关系结束，家庭医生在帮助父母认识到他们在子女生活中持续发挥的作用方面也起着重要作用。
