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Cited by 76Maternal Mental Health During Pregnancy and PostpartumAttachment and Relationship DynamicsHealth and Well-being Studies

Maternal depression and the quality of marital relationship: a 14-year prospective study

Mamun, Abdullah A., Clavarino, Alexandra M., Najman, Jake M., Williams, Gail M., O'Callaghan, Michael J., Bor, William·2009·Journal of Women's Health
DOI 10.1089/jwh.2008.1050
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Abstract

AIMS: This study aims to investigate the bidirectional association between symptoms of depression and quality of marital relationship in a population-based cohort of women. METHODS: The bidirectional association was examined longitudinally in over 3694 women participating in the Mater-University study of Pregnancy, Brisbane, Australia, over a 14-year period. Women were interviewed 3-5 days postdelivery and again when the child was 6 months, 5 years, and 14 years of age. A transition model was developed to examine changes in exposures and risk factors over the 14 years of follow-up. RESULTS: Nearly 40% of the women with depressive symptoms continued to report symptoms, and a similar proportion of women who reported being in a poor quality marital relationship remained in a poor quality relationship over long periods of time. Approximately 1 in 10 women who had not reported symptoms of depression or a poor relationship in the previous phase did so at the subsequent phase. The bidirectional relationships between depressive symptoms and quality of marital relationship are both consistent and strong. Negative changes in either symptoms of depression or quality of marital relationship predicted a poor outcome. The estimated population attributable risk was similar for both depressive symptoms and quality of the marital relationship. CONCLUSIONS: The findings from this study suggest that symptoms of depression and quality of relationship are strongly associated with each other and that this association is bidirectional. Clinical intervention in poor quality marital relationships represents a logical approach to addressing symptoms of depression in women. Similarly, there needs to be a focus on family outcomes for those women with impaired mental health.

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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 [37]

  • Meta-analytic evidence indicates that the risk of suicidal behaviour in persons with depression is significantly associated with previous suicide attempt, severe depression, anxiety, hopelessness, family history of psychiatric disorder, comorbid substance abuse disorder, personality disorder, and sleep disorders, particularly nightmares and insomnia.

    “Meta-analytic evidence 209 indicates that the risk of suicidal behaviour in persons with depression is significantly associated with previous suicide attempt, severe depression, anxiety, hopelessness, family history of psychiatric disorder, comorbid substance abuse disorder, personality disorder, 210 and sleep disorders, particularly nightmares and insomnia. 211”

    From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [209]

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Authors
Mamun, A. A., Clavarino, A. M., Najman, J. M., Williams, G. M., O'Callaghan, M. J., & Bor, W.
Affiliations
  • The University of Queensland (AU)
  • Mater Children's Hospital (AU)
  • Mater Health Services (AU)
Corresponding author
Mamun, Abdullah A.
ORCID
Venue
Journal of Women's Health
Publisher
SAGE Publications
Published
2009-12
Volume
18
Issue
12
Pages
2023-2031
ISSN
  • 1059-7115 (ISSN-L)
  • 1540-9996
  • 1931-843X
DOI
10.1089/jwh.2008.1050
OpenAlex
W1978866857
Cited by
76
References
39
Citations by year
2025: 5 · 2024: 2 · 2023: 7 · 2022: 6 · 2021: 6 · 2020: 5 · 2019: 5 · 2018: 4 · 2017: 8 · 2016: 4 · 2015: 4 · 2014: 5 · 2013: 5 · 2012: 5
FWCI
3.36
Type
journal article
Language
en
Open access
closed
Licence
www.liebertpub.com/nv/resources-tools/text-and-data-mining-policy/121/ (tdm)
Locations
  • Journal of Women s Health (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
  • Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
Keywords
maternal depression, depressive symptoms, marital quality, bidirectional relationship, postpartum depression, transition model, population attributable risk, family outcomes, women's mental health, long-term follow-up
MeSH terms
Adult, Australia, Depression, Female, Follow-Up Studies, Humans, Interpersonal Relations, Longitudinal Studies, Marriage, Middle Aged, Personal Satisfaction, Prospective Studies, Quality of Life, Surveys and Questionnaires, Time Factors, Women's Health, Spouses, Depression, Postpartum, Young Adult

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