Does depression experienced by mothers leads to a decline in marital quality: a 21-year longitudinal study

Najman, Jake M., Khatun, Mohsina, Mamun, Abdullah, Clavarino, Alexandra, Williams, Gail M., Scott, James, O'Callaghan, Michael, Hayatbakhsh, Reza and Alati, Rosa (2014) Does depression experienced by mothers leads to a decline in marital quality: a 21-year longitudinal study. Social Psychiatry and Psychiatric Epidemiology, 49 1: 121-132. doi:10.1007/s00127-013-0749-0


Author Najman, Jake M.
Khatun, Mohsina
Mamun, Abdullah
Clavarino, Alexandra
Williams, Gail M.
Scott, James
O'Callaghan, Michael
Hayatbakhsh, Reza
Alati, Rosa
Title Does depression experienced by mothers leads to a decline in marital quality: a 21-year longitudinal study
Journal name Social Psychiatry and Psychiatric Epidemiology   Check publisher's open access policy
ISSN 0933-7954
1433-9285
Publication date 2014-01-01
Year available 2013
Sub-type Article (original research)
DOI 10.1007/s00127-013-0749-0
Open Access Status Not Open Access
Volume 49
Issue 1
Start page 121
End page 132
Total pages 12
Place of publication Heidelberg, Germany
Publisher Springer Medizin
Language eng
Subject 2713 Epidemiology
3306 Health (social science)
3207 Social Psychology
2738 Psychiatry and Mental health
Abstract Marital conflict and/or marital breakdown are known pathways to the onset of depression. Few studies however have examined the possibility that depression can lead to a decrease in marital quality and an increase in marital breakdown. Depression may be an important pathway to a decline in martial quality.
Formatted abstract
Purpose: Marital conflict and/or marital breakdown are known pathways to the onset of depression. Few studies however have examined the possibility that depression can lead to a decrease in marital quality and an increase in marital breakdown. Depression may be an important pathway to a decline in martial quality.

Methods: A birth cohort study with women (mothers) recruited early in pregnancy and followed for 21 years. Using repeated measures analysis for four waves of data collection we use GEE to examine the extent to which symptoms of depression predict subsequent poor martial quality in women and poor marital quality predicts subsequent depression.

Results: A bidirectional association between poor marital quality and depression is observed. After removing those who had pre-existing poor marital quality we note that depression predicts subsequent poor martial quality. Similarly, we note that poor marital quality predicts subsequent depression. These associations are all statistically significant and of a similar magnitude.

Conclusion: Over the maternal reproductive life course there is a long-term trajectory of reduced marital quality and increased depression. Maternal depression is as likely to lead to a decline in marital quality as poor martial quality is likely to lead to increased levels of depression. There may be a need to develop intervention programmes to reduce this long-term pattern of change.
Keyword Cause-effect
Cohort study
Depression
Marital quality
Women
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes PMID: 23918196

 
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Created: Thu, 22 Aug 2013, 23:59:18 EST by James Scott on behalf of Psychiatry - Royal Brisbane and Women's Hospital