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Marital dissatisfaction and psychiatric disorders: results from the National Comorbidity Survey

Whisman, Mark A.·1999·Journal of Abnormal Psychology

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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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Authors: Whisman, M. A.
Affiliations: University of Colorado Boulder (US)
Corresponding author: Whisman, Mark A.
ORCID: Whisman, Mark A.
Venue: Journal of Abnormal Psychology
Publisher: American Psychological Association (APA)
Published: 1999-11
Volume: 108
Issue: 4
Pages: 701-706
ISSN: 0021-843X (ISSN-L)
1939-1846
DOI: 10.1037/0021-843x.108.4.701
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
Health Sciences › Medicine › Psychiatry and Mental health › 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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Marital dissatisfaction and psychiatric disorders: results from the National Comorbidity Survey

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