Specificity of the Association between Marital Discord and Longitudinal Changes in Symptoms of Depression and Generalized Anxiety Disorder in the Irish Longitudinal Study on Ageing

Fam Process. 2018 Sep;57(3):649-661. doi: 10.1111/famp.12351. Epub 2018 Mar 25.

Abstract

This longitudinal study was conducted to evaluate actor and partner effects of marital discord on changes in symptoms of depression and generalized anxiety disorder (GAD) in a large population sample of Irish adults (N = 1,445 couples), adjusting for the potential confounds of quality of other social relationships and other psychopathology symptoms. The Actor-Partner Interdependence Model was used to examine actor and partner effects of marital discord on changes in symptoms of depression and GAD at a 2-year follow-up. Additional models examined these associations adjusting for family and friend discord and symptoms of the other type of psychopathology (depressive or GAD symptoms). Actor effects of marital discord on depressive and anxiety symptoms were greater for men than for women. There were significant, positive actor effects of marital discord on depressive symptoms for husbands and wives, which remained significant when adjusting for family and friend discord and GAD symptoms. There were significant, positive actor effects of marital discord on GAD symptoms for husbands, which remained significant when adjusting for family and friend discord and depressive symptoms. Results demonstrate that longitudinal associations between marital discord and depressive symptoms (for wives and husbands) and GAD symptoms (for husbands) are incremental to other rival explanations (family and friend discord and the other set of symptoms). Findings provide evidence for a potential causal association leading from marital discord to symptoms of depression and GAD.

Keywords: Depression; Generalized Anxiety Disorder; Longitudinal; Marriage; Prospective; depresión; futuro; longitudinal; matrimonio; trastorno de ansiedad generalizada; 一般性焦虑紊乱; 前景; 婚姻; 抑郁; 纵向.

MeSH terms

  • Adult
  • Aging / psychology
  • Anxiety Disorders / psychology*
  • Depression / psychology*
  • Family Conflict / psychology*
  • Female
  • Friends / psychology
  • Humans
  • Ireland
  • Longitudinal Studies
  • Male
  • Marriage / psychology*
  • Patient Health Questionnaire
  • Sensitivity and Specificity
  • Spouses / psychology*