Premarital mental disorders and physical violence in marriage: cross-national study of married couples
Open accessAbstract
Background: Mental disorders may increase the risk of physical violence among married couples. Aims: To estimate associations between premarital mental disorders and marital violence in a cross-national sample of married couples. Method: A total of 1821 married couples (3642 individuals) from 11 countries were interviewed as part of the World Health Organization's World Mental Health Survey Initiative. Sixteen mental disorders with onset prior to marriage were examined as predictors of marital violence reported by either spouse. Results: Any physical violence was reported by one or both spouses in 20% of couples, and was associated with husbands' externalising disorders (OR = 1.7, 95% CI 1.2–2.3). Overall, the population attributable risk for marital violence related to premarital mental disorders was estimated to be 17.2%. Conclusions: Husbands' externalising disorders had a modest but consistent association with marital violence across diverse countries. This finding has implications for the development of targeted interventions to reduce risk of marital violence.
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While there are a number of criticisms about the accuracy of disability weights it is doubtlessly true that depression is a highly burdensome condition and other studies have confirmed that the disability is experienced as one of the most severe of all health conditions.
“While there are a number of criticisms about the accuracy of disability weights 215-217 it is doubtlessly true that depression is a highly burdensome condition and other studies have confirmed that the disability is experienced as one of the most severe of all health conditions.”
From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [215]
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- Authors
- Miller, E., Breslau, J., Petukhova, M., Fayyad, J., Green, J. G., Kola, L., Seedat, S., Stein, D. J., Tsang, A., Viana, M. C., Andrade, L. H., Demyttenaere, K., de Girolamo, G., Haro, J. M., Hu, C., Karam, E. G., Kovess-Masfety, V., Tomov, T., & Kessler, R. C.
- Affiliations
- University of California Davis Medical Center (US)
- RAND Corporation (US)
- Harvard University (US)
- University of Balamand (LB)
- Boston University (US)
- University of Ibadan (NG)
- South African Medical Research Council (ZA)
- University of Cape Town (ZA)
- Chinese University of Hong Kong (HK)
- Universidade de São Paulo (BR)
- Universitair Ziekenhuis Leuven (BE)
- Instituto de Salud Carlos III (ES)
- Shenzhen KangNing Hospital (CN)
- New Bulgarian University (BG)
- Corresponding author
- Miller, E.
- ORCID
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2011-10
- Volume
- 199
- Issue
- 4
- Pages
- 330-337
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- PMC
- PMC3184228
- OpenAlex
- W2136201560
- Cited by
- 34
- References
- 38
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 3 · 2021: 1 · 2019: 3 · 2018: 3 · 2017: 5 · 2016: 5 · 2015: 2 · 2014: 3 · 2013: 4 · 2012: 2
- FWCI
- 3.31
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Lirias (submittedVersion)
- Funders
- John D. and Catherine T. MacArthur Foundation (R01 DA016558, R13-MH066849)
- Bristol-Myers Squibb
- Eli Lilly and Company
- Pfizer
- GlaxoSmithKline
- World Health Organization
- European Commission (1999-01042, QLG5–1999-01042, SANCO2004123, 2004123)
- Fundação de Amparo à Pesquisa do Estado de São Paulo (03/00204-3, 03/00204?)
- Shire
- National Institutes of Health (5r13mh066849-04, 5r01mh069864-04, 5r01mh070884-05)
- Pfizer Foundation (R01‐MH069864, R01-DA016558, R13-MH066849, R03-TW006481)
- Pan American Health Organization (FIRCA R03-TW006481)
- Medical Research Council
- National Health and Medical Research Council
- National Institute of Mental Health (R13-MH-066849, R01‐MH070884, MH070884, HHSN271200700030C, MH069864, MH066849, U01MH060220, R01‐MH069864)
- National Institute on Drug Abuse (K05DA015799, R01DA016558)
- Fogarty International Center (FIRCA R03TW006481, R03TW006481)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD051958)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- marital violence, externalizing disorders, married couples, population attributable risk, cross-national comparison, World Mental Health Survey Initiative
- MeSH terms
- Adolescent, Adult, Mental Disorders, Cross-Cultural Comparison, Female, Health Surveys, Humans, Income, Internal-External Control, Male, Marriage, Spouse Abuse, Violence, World Health Organization, Logistic Models, Odds Ratio, Spouses, Young Adult
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