Marital dissatisfaction and psychiatric disorders: results from the National Comorbidity Survey
Abstract
The association between marital dissatisfaction and 12-month prevalence rates of Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev., 1987) Axis I psychiatric disorders was examined in married respondents from the National Comorbidity Survey (N = 2,538). Results indicate that marital dissatisfaction was associated with the presence of any disorder, any mood disorder, any anxiety disorder, and any substance-use disorder; dissatisfaction was also associated with 7 of 12 specific disorders for women and 3 of 13 specific disorders for men. To evaluate the unique association between marital dissatisfaction and psychiatric disorders, analyses were conducted controlling for comorbid disorders. Covariance analyses generally attenuated the bivariate associations between marital dissatisfaction and specific disorders and groupings of disorders. Results indicate that marital dissatisfaction was uniquely related to major depression and posttraumatic stress disorder for women and dysthymia for men.
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Marital dissatisfaction and discord are strongly related to depressive symptoms, with an average correlation of about r = .4 across studies and very similar patterns for men and women; the association is bidirectional, but marital discord predicts later depressive symptoms more strongly than the reverse; clinical depression has significant adverse effects on marital functioning.
“It has long been known that marital dissatisfaction and discord are strongly related to depressive symptoms (e.g.,35, 36), with an average correlation between marital dissatisfaction and depressive symptoms of approximately r = .4 across studies and very similar patterns for men and women.37 Longitudinal studies show that the association is bidirectional,38, 39 but with a stronger time-lagged”
From The Costs of Depression (2012) · cites this paper as [35]
Suicide attempt is far more common in people with depression.
“Suicide attempt is also far more common in people with depression. 207”
From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [207]
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Couple-based interventions for depression.
Whisman, M. A., Johnson, D. P., Be, D., & Li, A. (2012) · Couple and Family Psychology Research and Practice · doi:10.1037/a0029960 · Cited by 55 · see citing works
Self-citationMarital and sexual functioning and dysfunctioning, depression and anxiety
Trudel, G. A., & Goldfarb, M. R. (2010) · Sexologies · doi:10.1016/j.sexol.2009.12.009 · Cited by 55 · see citing works
Grames, H. A., Miller, R. B., Robinson, W. D., Higgins, D. J., & Hinton, W. J. (2008) · Contemporary Family Therapy · doi:10.1007/s10591-008-9073-3 · Cited by 53 · see citing works
Snyder, D. K., & Whisman, M. A. (2004) · Journal of Marital and Family Therapy · doi:10.1111/j.1752-0606.2004.tb01218.x · Cited by 54 · see citing works
Self-citationATTACHMENT THEORY : A GUIDE FOR COUPLES THERAPY.
Johnson, S. M. (2003) · Cited by 53 · see citing works
Atkins, D. C., Dimidjian, S., Bedics, J. D., & Christensen, A. (2009) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0017119 · Cited by 53 · see citing works
Functional impairment as a predictor of short‐term symptom course in bipolar I disorder
Weinstock, L. M., & Miller, I. W. (2008) · Bipolar Disorders · doi:10.1111/j.1399-5618.2007.00551.x · Cited by 52 · see citing works
Marriage as a perceived panacea to mental illness in India: Reality check
Srivastava, A. (2013) · Indian Journal of Psychiatry · doi:10.4103/0019-5545.105542 · Cited by 51 · see citing works
Methodologically sound, cost-effective research on the outcome of couple therapy.
Christensen, A., Baucom, D., Vu, C. T.-A., & Stanton, S. E. (2005) · Journal of family psychology · doi:10.1037/0893-3200.19.1.6 · Cited by 55 · see citing works
Cranford, J. A. (2014) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2014.75.520 · Cited by 49 · see citing works
Beach, S. R. H., Wamboldt, M. Z., Kaslow, N. J., Heyman, R. E., & Reiss, D. (2006) · Journal of Family Psychology · doi:10.1037/0893-3200.20.3.359 · Cited by 48 · see citing works
Marital functioning and binge eating disorder in married women
Whisman, M. A., Dementyeva, A., Baucom, D. H., & Bulik, C. M. (2011) · International Journal of Eating Disorders · doi:10.1002/eat.20935 · Cited by 47 · see citing works
Self-citationListening to the Music: Emotion as a Natural Part of Systems Theory
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Relationship Discord, Intimate Partner Physical Aggression, and Externalizing Problems of Children
O’Leary, K. D., & Solano, I. (2017) · Wiley eBooks · doi:10.1002/9781119092254.ch18 · Cited by 47 · see citing works
Supporting Parents: How Six Decades of Parenting Research Can Inform Policy and Best Practice
Teti, D. M., Cole, P. M., Cabrera, N., Goodman, S. H., & McLoyd, V. C. (2017) · Child Policy Nexus · doi:10.1002/j.2379-3988.2017.tb00090.x · Cited by 46 · see citing works
Marital relationship and psychological distress: Its correlates and treatments
Goldfarb, M. R., Trudel, G. A., Boyer, R., & Préville, M. (2006) · Sexual & Relationship Therapy · doi:10.1080/14681990600861040 · Cited by 45 · see citing works
Promoting Emotional Expression and Emotion Regulation in Couples.
Goldman, R. N., & Greenberg, L. S. (2006) · American Psychological Association eBooks · doi:10.1037/11468-011 · Cited by 44 · see citing works
Depression, marital discord, and couple therapy
Denton, W. H., Golden, R. N., & Walsh, S. R. (2003) · Current Opinion in Psychiatry · doi:10.1097/00001504-200301000-00007 · Cited by 43 · see citing works
Intimate partner relationship distress in the DSM-5.
Foran, H., Whisman, M., & Beach, S. (2015) · Family Process · doi:10.1111/famp.12122 · Cited by 40 · see citing works
Self-citationMarriage as a risk factor for internalizing disorders: Clarifying scope and specificity.
Brock, R. L., & Lawrence, E. E. (2011) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0024941 · Cited by 40 · see citing works
Trauma, adversity, and biological aging: behavioral mechanisms relevant to treatment and theory
Bourassa, K. J., & Sbarra, D. A. (2024) · Translational Psychiatry · doi:10.1038/s41398-024-03004-9 · Cited by 40 · see citing works
Jacob, L., Gerhard, C., Kostev, K., & Kalder, M. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.03.060 · Cited by 39 · see citing works
Taft, C. T., Monson, C. M., Schumm, J. A., Watkins, L. E., Panuzio, J., & Resick, P. A. (2009) · Journal of Family Violence · doi:10.1007/s10896-009-9241-8 · Cited by 38 · see citing works
Marriage and Relationship Issues
Whisman, M. A., & Kaiser, R. H. (2008) · Elsevier eBooks · doi:10.1016/b978-0-08-045078-0.00016-2 · Cited by 37 · see citing works
Self-citationBipolar affective disorder and its impact on various aspects of marital relationship
Grover, S., Nehra, R., & Thakur, A. (2017) · Industrial Psychiatry Journal · doi:10.4103/ipj.ipj_15_16 · Cited by 37 · see citing works
2003–2009 Marital Functioning Trends Among U.S. Enlisted Soldiers Following Combat Deployments
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Halford, W. K., Keefer, E., & Osgarby, S. M. (2002) · Cognitive Therapy and Research · doi:10.1023/a:1021289400436 · Cited by 36 · see citing works
Whisman, M. A. (2015) · Family Process · doi:10.1111/famp.12185 · Cited by 37 · see citing works
Self-citationAnxiety disorders in intimate partners and the quality of their relationship
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Fink, B. C., & Shapiro, A. F. (2013) · Couple and Family Psychology Research and Practice · doi:10.1037/a0031763 · Cited by 35 · see citing works
Satıcı, B., Kayiş, A. R., & Griffiths, M. D. (2021) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-021-00658-0 · Cited by 46 · see citing works
Shamblen, S. R., Arnold, B. B., McKiernan, P. M., Collins, D. A., & Strader, T. N. (2012) · Family Process · doi:10.1111/famp.12003 · Cited by 33 · see citing works
Marital distress and mental health care service utilization.
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Quality of life and relationship satisfaction of patients with Obsessive Compulsive Disorder
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Baker, L. R., & McNulty, J. K. (2015) · Personality and Social Psychology Bulletin · doi:10.1177/0146167215580777 · Cited by 32 · see citing works
Zerach, G., Greene, T., & Solomon, Z. (2013) · Journal of Health Psychology · doi:10.1177/1359105313502563 · Cited by 32 · see citing works
Emotionally Focused Couple Therapy
Johnson, S. M., & Brubacher, L. L. (2015) · Routledge eBooks · doi:10.4324/9780203123584-17 · Cited by 32 · see citing works
- Authors
- Whisman, M. A.
- Affiliations
- University of Colorado Boulder (US)
- Corresponding author
- Whisman, Mark A.
- ORCID
- Whisman, Mark A.
- Venue
- Journal of Abnormal Psychology
- Published
- 1999-11
- Volume
- 108
- Issue
- 4
- Pages
- 701-706
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- OpenAlex
- W1973352751
- Cited by
- 263
- References
- 47
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 6 · 2023: 7 · 2022: 3 · 2021: 13 · 2020: 12 · 2019: 15 · 2018: 10 · 2017: 11 · 2016: 5 · 2015: 16 · 2014: 12 · 2013: 12 · 2012: 15
- FWCI
- 5.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Abnormal Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R01 MH/DA46376, R05MH54732, R01-MH49098, R01MH049098)
- Topics
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Demography › Family Dynamics and Relationships
- Keywords
- marital dissatisfaction, marital conflict, mental illness, Axis I disorders, mood disorders, anxiety disorders, substance use disorders, major depressive disorder, post-traumatic stress disorder, dysthymia, sex differences, comorbidities, National Comorbidity Survey
- MeSH terms
- Adolescent, Adult, Mental Disorders, Female, Humans, Male, Marriage, Middle Aged, Personal Satisfaction, Psychiatric Status Rating Scales, Surveys and Questionnaires, Retrospective Studies, United States, Comorbidity, Prevalence
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