Factors Related to Marital Satisfaction in Women with Major Depressive Disorder

Department of Psychiatry, Tabriz University of Medical Science- Tabriz- Iran.
Iranian Journal of Psychiatry 01/2012; 7(4):164-9.
Source: PubMed


Major depressive disorder (MDD) is one of the most common psychiatric disorders which affects married couples frequently.The present study aims to explain the role of family processes, social support and demographic factors in marital satisfaction of women with Major Depressive Disorder (MDD).
In this cross-sectional study, 188 women with MDD were randomly selected among the patients who visited Bozorgmehr Clinic of Tabriz University of Medical Sciences. The sample selection was carried out through structured psychiatric interviews based on DSM-TV-TR criteria. Data were collected using Index of Marital Satisfaction (IMS), Family Process Scale (FPS) and Norbeck Social Support Questionnaire (NSSQ).The Mann Whitney U, Multivariate and ANOVA tests were used to analyze the data.
No relationship was observed between age, educational level, age difference of couples and number of children with family processes and marital satisfaction (p ≥ 0.05). The patients with low educational level reported less social support (p ≥ 0.05).Marital satisfaction and family coherence were lower when the husband had a psychiatric disorder (P ≤ 0.01). The family processes (family coherence, problem-solving skills, communication skills and religious beliefs) and social support positively predicted marital satisfaction, while the husband's psychiatric disorders negatively predicted marital satisfaction.
The findings highlight the significance of family processes, social support and husband's psychiatric disorders in marital satisfaction of women with MDD.

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Available from: Alireza Farnam, Feb 06, 2014
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    ABSTRACT: Background Depression represents one of the most common psychiatric disorders among older adults. Married couples are affected frequently, and psychiatric problems usually affect marital satisfaction. Despite the frequency of such relationships, it appears that very few studies have examined the issues that arise in couples of this type of marriage. Therefore, we investigate whether age differences between couples affect extent of depressive symptoms among older adults.Methods Our analysis included 2,881 couples (i.e., 2,881 households) at least 45 years of age at baseline (2006), in addition to 3,033 couples in 2008, 2,772 couples in 2010, and 2,711 couples in 2012. A generalized linear mixed model was used for the data analysis.ResultsWhen the age difference between husbands and wives was 3 years or less, the estimated severity of depressive symptoms was 0.309 higher (SE¿=¿0.084, p¿=¿0.000) than that of same-aged couples. When the age gap was 3 years or more, the estimated severity of depressive symptoms was 0.645 higher (SE¿=¿0.109, p¿<¿.0001) than that of same-aged couples. For every 1¿2 years extra in age difference between wives and husbands, the estimated severity of depressive symptoms increased by 0.194 (SE¿=¿0.082, p¿=¿0.018), compared with same-aged couples.Conclusions Age differences between husbands and wives impact their relationship, including any particular marital issues encountered.
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