Spousal Concordance and Cross-Disorder Concordance of Mental Disorders: A Nationwide Cohort Study

• 영문명: Spousal Concordance and Cross-Disorder Concordance of Mental Disorders: A Nationwide Cohort Study
• 발행기관: 대한신경정신의학회
• 저자명: Ming-Hong Hsieh Po-Chung Ju Jeng-Yuan Chiou Yu-Hsun Wang Jong-Yi Wang Cheng-Chen Chang
• 간행물 정보: 『Psychiatry Investigation』제19권 제10호, 788~798쪽, 전체 11쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2022.10.31

영문 초록

Objective Although both partners of a married couple can have mental disorders, the concordant and cross-concordant categories of disorders in couples remain unclear. Using national psychiatric population-based data only from patients with mental disorders, we examined married couples with mental disorders to examine spousal concordance and cross-disorder concordance across the full spectrum of mental disorders. Methods Data from the 1997 to 2012 Taiwan Psychiatric Inpatient Medical Claims data set were used and a total of 662 married couples were obtained. Concordance of mental disorders was determined if both spouses were diagnosed with mental disorder of an identical category in the International Classification of Diseases, Ninth Revision, Clinical Modification; otherwise, cross-concordance was reported. Results According to Cohen’s kappa coefficient, the most concordant mental disorder in couples was substance use disorder, followed by bipolar disorder. Depressive and anxiety disorders were the most common cross-concordant mental disorders, followed by bipolar disorder. The prevalence of the spousal concordance of mental disorders differed by monthly income and the couple’s age disparity. Conclusion Evidence of spousal concordance and cross-concordance for mental disorders may highlight the necessity of understanding the social context of marriage in the etiology of mental illness. Identifying the risk factors from a common environment attributable to mental disorders may enhance public health strategies to prevent and improve chronic mental illness of married couples.

목차

INTRODUCTION

METHODS

RESULTS

DISCUSSION

키워드

Mental disorders Spousal concordance Cross-concordance Psychiatric epidemiology