Forthofer M S, Kessler R C, Story A L, Gotlib I H
University of Michigan, USA.
J Health Soc Behav. 1996 Jun;37(2):121-32.
While studies of psychopathology have begun to consider social consequences of psychiatric disorders during the past decade, marriage has received little attention, despite evidence that it influences life quality. The present paper examines the effects of clinically significant psychiatric disorders on the probability and timing of first marriage and whether the relationships between psychiatric disorders and marriage differ by type of disorder, gender, and birth cohort. Psychiatric disorders are found to have substantial effects on entry into first marriage. These effects are the same for men and women across all cohorts. Individual psychiatric disorders have similar effects on entry into first marriage. Psychiatric disorders are positively associated with early first marriage, which is strongly related to adverse consequences, and negatively associated with on-time and late first marriage, which are related to benefits such as financial security and social support. These results highlight the importance of early interventions for psychiatric disorders-if not for the purposes of primary prevention, then for the purposes of preventing the cumulation of adversities that occur secondarily through early marriage.
在过去十年里，虽然对精神病理学的研究已开始考虑精神疾病的社会后果，但婚姻却很少受到关注，尽管有证据表明婚姻会影响生活质量。本文考察了具有临床意义的精神疾病对初婚概率和时间的影响，以及精神疾病与婚姻之间的关系是否因疾病类型、性别和出生队列而有所不同。研究发现，精神疾病对初婚有重大影响。所有队列中的男性和女性的这些影响都是相同的。个体精神疾病对初婚有类似影响。精神疾病与早初婚呈正相关，早初婚与不良后果密切相关，与按时初婚和晚婚呈负相关，按时初婚和晚婚与诸如经济保障和社会支持等益处相关。这些结果凸显了对精神疾病进行早期干预的重要性——如果不是为了一级预防，那么就是为了防止因早婚而继发产生的各种不利情况的累积。
