An Exploratory Investigation of Marital Functioning and Order of Spousal Onset in Couples Concordant for Psychopathology

作者：Van Orden Kimberly A^*; Braithwaite Scott; Anestis Mike; Timmons Katherine A; Fincham Frank; Joiner Thomas E Jr; Lewinsohn Peter M

来源：Journal of Marital and Family Therapy, 2012, 38: 308-319.

DOI：10.1111/j.1752-0606.2011.00277.x

Individuals with a psychiatric disorder are significantly more likely to have a spouse with a clinical diagnosismarital concordance. We used a community sample of 304 couples concordant for either major depressive disorder (MDD) or substance use disorders (SUDs) to examine the relationship between marital functioning and gendered patterns of mental health diagnosis onset. For SUD concordance, couples in which wives onset before husbandsdespite typical later onset for menreported lower levels of marital satisfaction compared with couples in which the husband onset first. For MDD concordance, couples in which husbands onset with depression before wivesdespite typical later onset for menreported lower levels of marital satisfaction. These results suggest that for couples concordant for mental diagnoses, it is most problematic for marital functioning for one partner to have an atypically early onset. Implications for treatment targets in marital therapy are discussed.

• 出版日期2012-6