The Relationship Between Multiple Sex Partners and Anxiety, Depression, and Substance Dependence Disorders: A Cohort Study
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Changes in sexual behavior have resulted in longer periods of multiple serial or concurrent relationships. This study investigated the effects of multiple heterosexual partners on mental health, specifically, whether higher numbers of partners were linked to later anxiety, depression, and substance dependency. Data from the Dunedin Multidisciplinary Health and Development Study, a prospective, longitudinal study of a birth cohort born in 1972–1973 in Dunedin, New Zealand were used. The relationship between numbers of sex partners over three age periods (18–20, 21–25, and 26–32 years) and diagnoses of anxiety, depression, and substance dependence disorder at 21, 26, and 32 years were examined, using logistic regression. Interaction by gender was examined. Adjustment was made for prior mental health status. There was no significant association between number of sex partners and later anxiety and depression. Increasing numbers of sex partners were associated with increasing risk of substance dependence disorder at all three ages. The association was stronger for women and remained after adjusting for prior disorder. For women reporting 2.5 or more partners per year, compared to 0–1 partners, the adjusted odd ratios (and 95 % CIs) were 9.6 (4.4–20.9), 7.3 (2.5–21.3), and 17.5 (3.5–88.1) at 21, 26, and 32 years, respectively. Analyses using new cases of these disorders showed similar patterns. This study established a strong association between number of sex partners and later substance disorder, especially for women, which persisted beyond prior substance use and mental health problems more generally. The reasons for this association deserve investigation.
KeywordsSex partners Sexual behavior Anxiety Depression Substance use
The Dunedin Multidisciplinary Health and Development Research Unit is supported by the Health Research Council of New Zealand. This research also received support from the United Kingdom Medical Research Council (Grant G0100527) and from the National Institute of Mental Health (Grants MH45070 and MH49414). Terrie E. Moffitt and Avshalom Caspi are Royal Society Wolfson Research Merit Award holders. The authors are grateful to Richie Poulton, Director of the Research Unit, for valuable comments on earlier drafts of this paper. We thank Antony Ambler for assistance with the analyses. The authors are indebted to Phil Silva, the founder of the Dunedin Study, and to the Study members and their families for their long-term involvement.
- American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (Third ed., rev.). Washington, DC: Author.Google Scholar
- American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
- Bachanas, P. J., Morris, M. K., Lewis-Gess, J. K., Sarett-Cuasay, E. J., Flores, A. L., Sirl, K. S., & Sawyer, M. K. (2002). Psychological adjustment, substance use, HIV knowledge, and risky sexual behavior in at-risk minority females: Developmental differences during adolescence. Journal of Pediatric Psychology, 27, 373–384.Google Scholar
- Boyer, C. B., Shafer, M., Wibbelsman, C. J., Seeberg, D., Teitle, E., & Lowell, N. (2000). Associations of sociodemographic, psychosocial, and behavioral factors with sexual risk and sexually transmitted diseases in teen clinic patients. Journal of Adolescent Health, 27, 102–111.PubMedCrossRefGoogle Scholar
- Brown, L. K., Tolou-Shams, M., Lescano, C., Houck, C., Zeidman, J., Pugatch, D., et al. (2006). Depressive symptoms as a predictor of sexual risk among African American adolescents and young adults. Journal of Adolescent Health, 39, 444e1–444e8.Google Scholar
- Caspi, A., Begg, D., Dickson, N., Harrington, H., Langley, J., Moffit, T. E., & Silva, P. A. (1997). Personality differences predict health-risk behaviors in young adulthood: Evidence from a longitudinal study. Journal of Personality and Social Psychology, 73, 1052–1063.Google Scholar
- Cavazos-Rehg, P. A., Spitznagel, E. L., Bucholz, K. K., Norberg, K., Reich, W., Numberger, J., et al. (2007). The relationship between alcohol problems and dependence, conduct problems and diagnosis, and number of sex partners in a sample of young adults. Alcoholism, Clinical and Experimental Research, 31, 2046–2052.PubMedCrossRefGoogle Scholar
- Centers for Disease Control and Prevention. (2005). Trends in reportable sexually transmitted disease in the United States, 2004. Atlanta, GA: U.S. Department of Health and Human Services.Google Scholar
- Johnson, A. M., Wadsworth, J., Wellings, K., & Field, J. (1994). Sexual attitudes and lifestyle. Oxford: Blackwell.Google Scholar
- Moffitt, T. E., Harrington, H., Caspi, A., Kim-Cohen, J., Goldberg, D., Gregory, A., & Poulton, R. (2007). Depression and generalized anxiety disorder. Archives of General Psychiatry, 64, 651–660.Google Scholar
- Tolman, D. (2002). Dilemmas of desire: Teenage girls talk about sexuality. Cambridge, MA: Harvard University Press.Google Scholar