Mental health profiles among married, never-married, and separated/divorced mothers in a nationally representative sample
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Several studies have found that married mothers compared to single mothers had better mental health (Cairney et al. in Soc Psychiatry Psychiatr Epidemiol 38:442–449, 2003; Cairney et al. in Can J Public Health 90:320–324, 1999; Davies et al. in J Marriage Fam 59:294–308, 1997; Lipman et al. in Am J Psychiatry 158:73–77, 2001; Wang in Soc Psychiatry Psychiatr Epidemiol 39:26–32, 2004). Although a relationship between family structure (single vs married mothers) and psychiatric disorders is well established, several questions remain. The present study addressed the question “Are there differences in the prevalence of psychiatric disorders between married, never-married, and separated/divorced mothers?”
The present report examined the lifetime prevalence of anxious misery, fear, and externalizing disorders among mothers in relation to family structure (married, never-married, and separated/divorced) in the US National Comorbidity Survey (N=1,534).
Results indicated that never-married mothers appeared to be generally similar to married mothers in their mental health profiles. Separated/divorced mothers compared to married mothers had increased odds of having any anxious-misery disorder, depression, dysthymia, generalized anxiety disorder (GAD), posttraumatic stress disorder, any externalizing disorder, and antisocial personality disorder. Differences were found between never-married and separated/divorced mothers, with separated/divorced mothers having increased odds ratios of having any anxious-misery disorder, depression, and GAD.
Results are discussed in light of the unique life contexts of married, never-married, and separated/divorced mothers and as further evidence for the case against combining the separated/divorced and never-married marital status into one “single motherhood” classification in mental health research.
Key wordssingle mothers divorce mental health psychiatric disorders
This research was supported by a graduate studentship from the Manitoba Health Research Council awarded to the first author and grants from the Canadian Institutes of Health Research, the Canada Foundation for Innovation, and the Canada Research Chairs program awarded to the second author. The National Comorbidity Survey (Dr. R.C. Kessler, Principal Investigator) was sponsored by the US National Institute of Mental Health, the National Institute of Drug and Alcohol Abuse, and the W.T. Grant Foundation.
- 1.Aseltine RH Jr, Kessler RC (1993) Marital disruption and depression in a community sample. J Health Soc Behav 43:237–251Google Scholar
- 5.Cotten SR (1999) Marital status and mental health revisited: examining the importance of risk factors and resources. Fam Relat 48:225–233Google Scholar
- 7.Davies L, Avison WR, McApline DD (1997) Significant life experiences and depression among single and married mothers. J Marriage Fam 59:294–308Google Scholar
- 8.Dohrenwend BS, Dohrenwend BP (1981) Stressful life events and their contexts. Neale Watson, Inc., New YorkGoogle Scholar
- 11.Horwitz AV, White HR, Howell-White S (1996) Becoming married and mental health: a longitudinal study of a cohort of young adults. J Marriage Fam 58:895–907Google Scholar
- 16.Lipman EL, Offord DR, Boyle MH (1997) Single mothers in Ontario: socio-demographic, physical and mental health characteristics. Can Med Assoc J 156:639–646Google Scholar
- 18.Mastekaasa A (1992) Marriage and psychological well-being: some evidence on selection into marriage. J Marriage Fam 54:901–911Google Scholar
- 19.Mastekaasa A (1994) Psychological well-being and marital dissolution. J Fam Issues 15:208–228Google Scholar
- 20.McLanahan S (1983) Family structure and stress: a longitudinal comparison of two-parent and female-headed families. J Marriage Fam 45:347–357Google Scholar
- 21.McLanahan S (1985) Single mothers and psychological well-being: a test of the stress and vulnerability hypothesis, vol 5. In: Greenley JR (ed) Res Community Ment Health. JAI Press, Greenwich, pp 253–266Google Scholar
- 24.Stueve A, Dohrenwend BP, Skodol AE (1998) Relationships between stressful life events and episodes of major depression and nonaffective psychotic disorders: selected results from a New York risk factor study. In: Dohrenwend BP (ed) Adversity, stress, and psychopathology. Oxford University Press, London, pp 341–357Google Scholar
- 25.U.S. Bureau of the Census (2000) Retrieved February 11, 2003, from http://www.census.gov/populations/sociodemo/hh-fam/p20-537/2000/tabfg6.pdf.html
- 32.World Health Organization (1990) Composite International Diagnostic Interview. World Health Organization, GenevaGoogle Scholar