The social consequences of psychiatric disorders, III: probability of marital stability
Abstract
OBJECTIVE: The associations of prior DSM-III-R disorders with probability and timing of subsequent divorce were examined. METHOD: The data came from the part II subsample (N=5,877) of the National Comorbidity Survey. The respondents completed a structured diagnostic interview that retrospectively dated age at onset of each of 14 lifetime DSM-III-R disorders and recorded ages at first marriage and divorce. These data were used to estimate survival models describing the relationships between prior disorders and subsequent divorce. In addition, simulations were used to estimate the number of years spent out of marriage because of these causal relationships in the total U.S. population. RESULTS: Prior psychiatric disorders were associated with a substantially higher risk of divorce. The simulations suggested that the effects of these associations in the U.S. population in the survey's age range are approximately 23 million lost years of marriage among men and 48 million lost years of marriage among women. CONCLUSIONS: Psychiatric disorders have a number of adverse consequences for those who suffer from them and for their families and communities. The results reported here suggest that an increase in the number of people who divorce and a decrease in the number of years of marriage in the population may be among them. The debate over whether society can afford to provide universal treatment for psychiatric disorders needs to take these costs into consideration.
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Pre-marital history of mental disorders predicts divorce, with associations quite similar for husbands and wives across all countries, and major depressive disorder is among the most important disorders in this regard.
“A separate set of studies has shown that pre-marital history of mental disorders predicts divorce,30, 31 again with associations quite similar for husbands and wives across all countries and MDD among the most important disorders in this regard.27”
From The Costs of Depression (2012) · cites this paper as [31]
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- Authors
- Kessler, R. C., Walters, E. E., & Forthofer, M. S.
- Affiliations
- Harvard University (US)
- Venue
- American Journal of Psychiatry
- Published
- 1998-08-01
- Volume
- 155
- Issue
- 8
- Pages
- 1092-1096
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2053110941
- Cited by
- 518
- References
- 41
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 11 · 2023: 23 · 2022: 26 · 2021: 17 · 2020: 16 · 2019: 17 · 2018: 22 · 2017: 32 · 2016: 19 · 2015: 28 · 2014: 22 · 2013: 28 · 2012: 25
- FWCI
- 20.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh052861-04)
- National Institute of Mental Health (MH52861, R01MH046376, MH-49098, MH 46376, R01MH049098)
- National Institute on Drug Abuse
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Demography › Family Dynamics and Relationships
- Social Sciences › Sociology and Political Science › Marriage and Family Dynamics
- Keywords
- mental illness, divorce, marital stability, age at marriage, social consequences of mental illness, National Comorbidity Survey
- MeSH terms
- Adolescent, Adult, Age Factors, Mental Disorders, Divorce, Female, Humans, Male, Marriage, Middle Aged, Probability, Psychiatric Status Rating Scales, Retrospective Studies, Risk Factors, Single Person, Time Factors, United States, Comorbidity, Confidence Intervals, Odds Ratio, Survival Analysis, Health Care Costs, Age of Onset, Universal Health Insurance
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