Psychiatric morbidity and subsequent divorce: a couple-level register-based study in Finland

Metsä‐Simola, Niina; Martikainen, Pekka; Monden, Christiaan

doi:10.1007/s00127-018-1521-2

Cited by 15 publications

(8 citation statements)

References 49 publications

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“…Adejumo et al,27 found 18.4% divorce among BD patients. Also, Metsa-Simola et al,28 reported that psychiatric morbidity is a persistent risk factor of divorce. The lower levels of education among BD patients compared to the control group suggested that BD adversely affects the education of patients.…”

Section: Discussionmentioning

confidence: 99%

Chitinase-3-like protein 1 levels in bipolar disorder

Şahin

İnanlı

Çalışkan

et al. 2019

SMJ

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Objectives: To evaluate the relationship between the expression level and biologic role of YKL-40 in bipolar disorder (BD). Methods: This case-control study was conducted in the Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey in 2015. One hundred and four patients diagnosed as having bipolar disorder (DSM5 criteria), and 96 participants were included as healthy controls in this study. A human YKL-40 enzyme-linked immunosorbent assay (ELISA) kit was used to measure the serum YKL-40 levels. As independent variables, we collected data on C-reactive protein (CRP), demographic variables, and medications. Results: The mean YLK-40 levels for the BD was 2723.5±543.8 pg/ml and control groups was 2132.5±576.3 pg/ml (t=7.42, p <0.001). The mean CRP levels for the BD was 0.4±0.6 mg/dl and control groups was 0.4±0.7 mg/dl (t=0.02, p =0.985). The receiver operating characteristics (ROC) analysis revealed an area under the curve (AUC) of YKL-40 in the diagnosis of BD as 0.79 (95% confidence interval [CI]: 0.72-0.85) with a sensitivity of 82.7% and specificity of 68.1% at a cutoff level of 2307.1 pg/ml. The use of antidepressants, antipsychotics, mood modifiers, and the presence of any comorbidity was not related to the YKL-40 levels ( p >0.05). Conclusion: With acceptable sensitivity and specificity levels, the YKL-40 can be utilized as a marker in the diagnosis and follow-up of BD.

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Section: Discussionmentioning

confidence: 99%

Chitinase-3-like protein 1 levels in bipolar disorder

Şahin

İnanlı

Çalışkan

et al. 2019

SMJ

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“…Physical health conditions -cardiovascular diseases in particular -may also co-occur with psychiatric morbidity, [31] which is known to predict separation. [8][9][10] We thus carried out sensitivity analyses to examine the effect of preexisting psychiatric morbidity on our results by excluding all couples with baseline (1996-1997) psychotropic drug use and psychiatric hospitalizations (Supplementary Table 3).…”

Section: Design Participants and Statistical Analysesmentioning

confidence: 99%

“…Poor health after divorce is a well-established finding, [1][2][3][4][5][6] but studies that assess the role of poor health for the risk of subsequent divorce are scarce. Most focus on the role of mental health, [7][8][9][10] although physical illness may be a stressor that reduces relationship quality and thus increases the risk of divorce. [11][12] Of the studies that do assess how physical health conditions are associated with the probability of subsequent divorce, only a few have used couple-level data, [13][14][15] although separation is a couple-level event.…”

Section: Introductionmentioning

confidence: 99%

Physical health conditions and subsequent union separation: a couple-level register study on neurological conditions, heart and lung disease, and cancer

Metsä‐Simola

Einiö

Peltonen

et al. 2020

J Epidemiol Community Health

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BackgroundStudies that assess the role of physical health conditions on separation risk are scarce and mostly lack health information on both partners. It is unclear how the association between physical illness and separation risk varies by type of illness, gender of the ill spouse and age of the couple.MethodsWe used Finnish register data on 127 313 couples to examine how neurological conditions, heart and lung disease, and cancer are associated with separation risk. The data included information on medication, hospitalisations, separations and sociodemographic characteristics. Marital and non-marital cohabiting couples aged 40–70 years were followed from 1998 to 2003 for the onset of health conditions and subsequent separation, and Cox regression was used to examine the associations.ResultsCompared with healthy couples, the HR of separation was elevated by 43% for couples in which both spouses had a physical health condition, by 22% for couples in which only the male spouse had fallen ill, and by 11% for couples in which only the female had fallen ill. Among older couples, the associations between physical illness and separation risk were even clearer. The association with separation risk was strongest for neurological conditions, and after incidence of these conditions among males, separation risk increased over time. Adjustment for sociodemographic characteristics had little effect.ConclusionsOur findings suggest that poor health may largely strain relationships through disability and associated burden of spousal care, and this should be taken into consideration when planning support services for couples with physical health conditions.

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“…Individuals who have experienced the dissolution of a marriage have poorer health outcomes compared with continuously married individuals (Afifi et al, 2006 ; Breslau et al, 2011 ; Grundy & Tomassini, 2010 ; Joung et al, 1997 ; Meadows et al, 2008 ; Metsä‐Simola & Martikainen, 2013 ; Strohschein et al, 2005 ). These differences in health result from health changes at the time of divorce, declines in health after the divorce, as well as from a higher likelihood of divorce among those with poorer health (Amato, 2000 ; Butterworth & Rodgers, 2008 ; Idstad et al, 2015 ; Kalmijn, 2017 ; Metsä‐Simola et al, 2018 ; Metsä‐Simola & Martikainen, 2013 ; Wade & Pevalin, 2004 ). Women are indicated to experience larger material losses following divorce (Garvin et al, 1993 ; Lillard & Waite, 1995 ; Pienta et al, 2000 ), whereas the loss of social support is viewed as more important for the well‐being of divorced men (Gerstel et al, 1985 ; Lee et al, 2005 ; Umberson, 1992 ).…”

Section: Introductionmentioning

confidence: 99%

Partner violence surrounding divorce: A record‐linkage study of wives and their husbands

Einiö

Metsä‐Simola

Aaltonen

et al. 2022

J of Marriage and Family

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Objective This study analyzes the victimization trajectories of partner violence against women surrounding divorce, depending on whether the couple has children together. Background Prior studies have found that partner violence is associated with an increased risk of divorce. No study has assessed the victimization trajectories surrounding divorce for women with and without children, although women with children may remain at higher risk of violence following divorce. Method Using Finnish record‐linkage data of 22,468 divorced and 333,542 continuously married women and their husbands, we used repeated‐measures logistic regression analyses to assess changes in victimization for partner violence before and after divorce. The outcomes considered were police‐reported crimes committed by husbands against their wives and hospital‐treated assault injuries recorded for wives. Results The risk of crime victimization for partner assault was already elevated from 2 to 3 years before divorce, peaked in the year prior to divorce, and then mainly leveled off 1–2 years after divorce. Hospital data show that the time of the greatest risk was from 6 to 12 months before divorce, when divorce is usually filed for. Women with younger children experienced elevated risks of physical violence shortly before divorce and remained at higher risk of menace than women without children for a year after divorce. Conclusion Divorcing women committed assaults against their husbands, but these were mostly accompanied by victimization, suggesting that resistant violence was common for women as perpetrators. Women with a history of victimization need support, especially at the starts of their divorce processes.

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Psychiatric morbidity and subsequent divorce: a couple-level register-based study in Finland

Cited by 15 publications

References 49 publications

Chitinase-3-like protein 1 levels in bipolar disorder

Chitinase-3-like protein 1 levels in bipolar disorder

Physical health conditions and subsequent union separation: a couple-level register study on neurological conditions, heart and lung disease, and cancer

Partner violence surrounding divorce: A record‐linkage study of wives and their husbands

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