EurekaMag.com logo
+ Site Statistics
References:
53,517,315
Abstracts:
29,339,501
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on Google+Follow on Google+
Follow on LinkedInFollow on LinkedIn

+ Translate

Using Marital Status and Continuous Marital Satisfaction Ratings to Predict Depressive Symptoms in Married and Unmarried Women With Systemic Sclerosis: A Canadian Scleroderma Research Group Study



Using Marital Status and Continuous Marital Satisfaction Ratings to Predict Depressive Symptoms in Married and Unmarried Women With Systemic Sclerosis: A Canadian Scleroderma Research Group Study



Arthritis Care & Research 68(8): 1143-1149



Married persons have, on average, better mental health than nonmarried persons. Among married persons, marital satisfaction is associated with better mental health. Studies on mental health in married and nonmarried persons that consider marital satisfaction have categorized patients as satisfied versus unsatisfied, which reduces statistical power and does not generate clinically useful information on mental health across the satisfaction spectrum. Our objective was to demonstrate a novel regression approach to evaluate mental health in women with systemic sclerosis (SSc), comparing married and unmarried women, accounting for continuously measured marital satisfaction. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale (CES-D) and marital satisfaction with the Dyadic Adjustment Scale-7. A single multiple linear regression model was used to predict CES-D scores from marital status and, among married women, continuously measured marital satisfaction, controlling for demographic and clinical characteristics. Of 725 women, 494 (68%) were married or living as married. On average, married women had mean CES-D scores that were 2.0 points (0.19 SDs) lower than unmarried women (P = 0.013). Among married women, a 1.0 SD increase in marital satisfaction was associated with a 2.2 point (0.21 SDs) decrease in CES-D scores (P < 0.001). Married women whose marital satisfaction scores were below the 19th percentile had greater predicted depressive symptoms than unmarried women. Married women's predicted CES-D scores ranged from 6.7 points lower to 6.9 points higher than those of unmarried women, depending on marital satisfaction. Comparisons of mental health in married and unmarried patients with rheumatic diseases should include continuously measured marital satisfaction.

(PDF same-day service: $19.90)

Accession: 059219175

Download citation: RISBibTeXText

PMID: 26605870

DOI: 10.1002/acr.22802



Related references

Marital status, partner satisfaction, and depressive symptoms in older men and women. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie 54(7): 487-492, 2009

Marital status, marital satisfaction, and support processes among women at high risk for breast cancer. Journal of Family Psychology 13(4): 629-641, 1999

Recently Married Couples' Length of Relationship Marital Communication, Relational Style, and Marital Satisfaction. Psychological Reports 80(2): 490-490, 1997

Differences in ratings of children's adjustment by married mothers experiencing low marital conflict, married mothers experiencing high marital conflict, and divorced single mothers: A nationwide study. Journal of Applied Developmental Psychology 12(3): 289-305, 1991

Low socioeconomic status (measured by education) and outcomes in systemic sclerosis: data from the Canadian Scleroderma Research Group. Journal of Rheumatology 40(4): 447-454, 2013

Effect of Marital Relationship Enrichment Program on Marital Satisfaction, Marital Intimacy, and Sexual Satisfaction of Infertile Couples. International Journal of Fertility & Sterility 11(3): 197-204, 2017

Marital status, social support, and depressive symptoms among lesbian and heterosexual women. Journal of Lesbian Studies 20(1): 157-173, 2016

Maternal depressive symptomatology over the transition to parenthood: Assessing the influence of marital satisfaction and marital sex role traditionalism. Journal of Family Psychology 9(1): 79-88, 1995

OP0033European Scleroderma Study Group Activity Index Captures Variations in Disease Activity over Time and Predicts Organ Damage in Early Systemic Sclerosis: Data from The Canadian Scleroderma Research Group: Table 1. Annals of the Rheumatic Diseases 75(Suppl 2): 65.2-66, 2016

Marital Discord and Dysphoria: For Whom does the Marital Relationship Predict Depressive Symptomatology?. Journal of Social and Personal Relationships 10(3): 405-420, 1993

The Impact of Cosmetic Surgery on Married Women's Marital Satisfaction and Self-Concept. World Journal of Plastic Surgery 7(2): 171-178, 2018

Work and marital status in relation to depressive symptoms and social support among women with coronary artery disease. Journal of Women's Health 16(9): 1305-1316, 2007

Marital satisfaction and depressive symptoms in China. Journal of Family Psychology 43) 27(4): 677-682, 2014

Relationships among marital investment, marital satisfaction, and marital commitment in domestically victimized and nonvictimized wives. Violence and Victims 7(4): 287-296, 1992

Sexual Satisfaction, Marital Intimacy, and Depression in Married Iranian Nurses With and Without Symptoms of Secondary Traumatic Stress. Psychological Reports: 33294118776927-33294118776927, 2018