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Premarital mental disorders and physical violence in marriage: cross-national study of married couples

  • E. Miller (a1), J. Breslau (a2), M. Petukhova (a3), J. Fayyad (a4), J. Greif Green (a5), L. Kola (a6), S. Seedat (a7), D. J. Stein (a8), A. Tsang (a9), M. C. Viana (a10), L. H. Andrade (a11), K. Demyttenaere (a12), G. de Girolamo (a13), J. M. Haro (a14), C. Hu (a15), E. G. Karam (a16), V. Kovess-Masfety (a17), T. Tomov (a18) and R. C. Kessler (a3)...

Abstract

Background

Mental disorders may increase the risk of physical violence among married couples.

Aims

To estimate associations between premarital mental disorders and marital violence in a cross-national sample of married couples.

Method

A total of 1821 married couples (3642 individuals) from 11 countries were interviewed as part of the World Health Organization's World Mental Health Survey Initiative. Sixteen mental disorders with onset prior to marriage were examined as predictors of marital violence reported by either spouse.

Results

Any physical violence was reported by one or both spouses in 20% of couples, and was associated with husbands' externalising disorders (OR = 1.7, 95% CI 1.2–2.3). Overall, the population attributable risk for marital violence related to premarital mental disorders was estimated to be 17.2%.

Conclusions

Husbands' externalising disorders had a modest but consistent association with marital violence across diverse countries. This finding has implications for the development of targeted interventions to reduce risk of marital violence.

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Copyright

Corresponding author

Dr Elizabeth Miller, Davis School of Medicine, Room 382, Ticon II Building, 2516 Stockton Boulevard, Sacramento, California 95817, USA. Email: elizabeth.miller@ucdmc.ucdavis.edu

Footnotes

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The World Health Organization (WHO) World Mental Health (WMH) Survey Initiative is supported by the National Institute of Mental Health (R01 MH070884), the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the US Public Health Service (R13-MH066849, R01-MH069864 and R01 DA016558), the Mental Health Burden Study (contract number HHSN271200700030C), the Fogarty International Center (FIRCA R03-TW006481), the Pan American Health Organization, Eli Lilly, Ortho-McNeil Pharmaceutical, GlaxoSmithKline, Bristol-Myers Squibb and Shire Pharmaceuticals. The work of L.D., H.C. and J.C.A. in preparing this report was additionally supported by the National Institute on Drug Abuse (K05DA015799; R01DA016558) and the work of L.D. was funded by an Australian National Health and Medical Research Council senior research fellowship. The São Paulo Megacity Mental Health Survey is supported by the State of São Paulo Research Foundation (FAPESP Thematic Project Grant 03/00204-3). The Bulgarian Epidemiological Study of Common Mental Disorders is supported by the Ministry of Health and the National Centre for Public Health Protection. The Shenzhen Mental Health Survey is supported by the Shenzhen Bureau of Health and the Shenzhen Bureau of Science, Technology and Information. The European Study of the Epidemiology of Mental Disorders (ESEMeD) is funded by the European Commission (contracts QLG5-1999-01042; SANCO 2004123), the Piedmont Region, Italy, Fondo de Investigación Sanitaria, Instituto de Salud Carlos III, Spain (FIS 00/0028), Ministerio de Ciencia y Tecnología, Spain (SAF 2000-158-CE), Departament de Salut, Generalitat de Catalunya, Spain, Instituto de Salud Carlos III (CIBER CB06/02/0046, RETICS RD06/0011 REM-TAP), and other local agencies and by an unrestricted educational grant from GlaxoSmithKline. The Epidemiological Study on Mental Disorders in India was funded jointly by the Government of India and WHO. The Lebanese National Mental Health Survey (LEBANON) is supported by the Lebanese Ministry of Public Health, the WHO (Lebanon), Fogarty International, anonymous private donations to the Institute for Development, Research, Advocacy and Applied Care, Lebanon, and unrestricted grants from Janssen Cilag, Eli Lilly, GlaxoSmithKline, Roche and Novartis. The Nigerian Survey of Mental Health and Wellbeing is supported by the WHO (Geneva and Nigeria) and by the Federal Ministry of Health, Abuja, Nigeria. The US National Comorbidity Survey Replication is supported by the National Institute of Mental Health (U01-MH60220) with supplemental support from the National Institute of Drug Abuse, the Substance Abuse and Mental Health Services Administration, the Robert Wood Johnson Foundation (grant 044708) and the John W. Alden Trust.

Declaration of interest

R.C.K. has been a consultant for AstraZeneca, Analysis Group, Bristol-Myers Squibb, Cerner-Galt Associates, Eli Lilly, GlaxoSmithKline, HealthCore, Health Dialog, Integrated Benefits Institute, John Snow, Kaiser Permanente, Matria, Mensante, Merck, Ortho-McNeil Janssen Scientific Affairs, Pfizer, Primary Care Network, Research Triangle Institute, Sanofi-Aventis Groupe, Shire US, SRA International, Takeda Global Research and Development, Transcept Pharmaceuticals and Wyeth-Ayerst; has served on advisory boards for Appliance Computing II, Eli Lilly, Mindsite, Ortho-McNeil Janssen Scientific Affairs, Plus One Health Management and Wyeth-Ayerst; and has had research support for his epidemiological studies from Analysis Group, Bristol-Myers Squibb, Eli Lilly, EPI-Q, GlaxoSmithKline, Johnson & Johnson Pharmaceuticals, Ortho-McNeil Janssen Scientific Affairs, Pfizer, Sanofi-Aventis Group and Shire US.

Footnotes

References

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1 Stith, SM, Smith, DB, Penn, CE, Ward, DB, Tritt, D. Intimate partner physical abuse perpetration and victimization risk factors: a meta-analytic review. Aggress Violent Behav 2004; 10: 6598.
2 Afifi, TO, MacMillan, H, Cox, BJ, Asmundson, GJG, Stein, MB, Sareen, J. Mental health correlates of intimate partner violence in marital relationships in a nationally representative sample of males and females. J Interpers Violence 2009; 24: 1398–417.
3 Kim, HK, Laurent, HK, Capaldi, DM, Feingold, A. Men's aggression toward women: a 10-year panel study. J Marriage Fam 2008; 70: 1169–87.
4 Renner, LM. Intimate partner violence victimization and parenting stress: assessing the mediating role of depressive symptoms. Violence against Women 2009; 15: 1380–401.
5 Kessler, RC, Molnar, BE, Feurer, ID, Appelbaum, M. Patterns and mental health predictors of domestic violence in the United States: results from the National Comorbidity Survey. Int J Law Psychiatry 2001; 24: 487508.
6 Lorber, MF, O'Leary, KD. Predictors of the persistence of male aggression in early marriage. J Fam Violence 2004; 19: 329–38.
7 Riggs, DS, Caulfield, MB, Street, AE. Risk for domestic violence: factors associated with perpetration and victimization. J Clin Psychol 2000; 56: 1289–316.
8 Fergusson, DM, John Horwood, L, Ridder, EM. Show me the child at seven: the consequences of conduct problems in childhood for psychosocial functioning in adulthood. J Child Psychol Psych 2005; 46: 837–49.
9 Fang, XM, Massetti, GM, Ouyang, LJ, Grosse, SD, Mercy, JA. Attention-deficit/hyperactivity disorder, conduct disorder, and young adult intimate partner violence. Arch Gen Psychiatry 2010; 67: 1179–86.
10 Lehrer, JA, Buka, S, Gortmaker, S, Shrier, LA. Depressive symptomatology as a predictor of exposure to intimate partner violence among US female adolescents and young adults. Arch Pediatr Adolesc Med 2006; 160: 270–6.
11 The World Bank. Data. The World Bank, 2011 (http://data.worldbank.org/country).
12 Pennell, BE, Mneimneh, Z, Bowers, A, Chardoul, S, Wells, JE, Viana, MC, et al. Implementation of the World Mental Health Surveys. In The WHO World Mental Health Surveys: Global Perspectives on the Epidemiology of Mental Disorders (eds Kessler, R, Üstün, T): 3357. Cambridge University Press, 2008.
13 Kessler, R, Ustün, T. The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res 2004; 13: 93121.
14 Harkness, J, Pennell, B, Villar, A, Gebler, N, Aguilar-Gaxiola, S, Bilgen, I. Translation procedures and translation assessment in the World Mental Health Survey Initiative. In The WHO World Mental Health Surveys: Global Perspectives on the Epidemiology of Mental Disorders (eds Kessler, R, Üstün, T): 91113. Cambridge University Press, 2008.
15 Kessler, RC, Abelson, J, Demler, O, Escobar, JI, Gibbon, M, Guyer, ME, et al. Clinical calibration of DSM-IV diagnoses in the World Mental Health (WMH) version of the World Health Organization (WHO) Composite International Diagnostic Interview (WMH-CIDI). Int J Methods Psychiatr Res 2004; 13: 122–39.
16 First, MB, Spitzer, RL, Gibbon, M, Williams, JBW. Structured Clinical Interview for DSM-IV Axis I Disorders, Research Version, Non-patient Edition (SCID-I/NP). Biometrics Research, New York State Psychiatric Institute, 2002.
17 Haro, JM, Arbabzadeh-Bouchez, S, Brugha, TS, De Girolamo, G, Guyer, ME, Jin, R, et al. Concordance of the composite international diagnostic interview version 3.0 (CIDI 3.0) with standardized clinical assessments in the WHO World Mental Health Surveys. Int J Methods Psychiatr Res 2006; 15: 167–80.
18 Straus, MA, Hamby, SL, Boney-McCoy, S, Sugarman, DB. The Revised Conflict Tactics Scales (CTS2). J Fam Issues 1996; 17: 283316.
19 Kazemian, L, Farrington, DP. Comparing the validity of prospective, retrospective, and official onset for different offending categories. J Quant Criminol 2005; 21: 127–47.
20 Lahey, B, Miller, T, Gordon, R, Riley, A. Developmental epidemiology of the disruptive behavior disorders. In Handbook of the Disruptive Behavior Disorders (eds Quay, H, Hogan, A): 2348. Plenum, 1999.
21 Maughan, B, Rowe, R, Messer, J, Goodman, R, Meltzer, H. Conduct disorder and oppositional defiant disorder in a national sample: developmental epidemiology. J Child Psychol Psychiatry 2004; 45: 609–21.
22 Brewin, CR, Andrews, B, Gotlib, IH. Psychopathology and early experience: a reappraisal of retrospective reports. Psychol Bull 1993; 113: 8298.
23 Hardt, J, Rutter, M. Validity of adult retrospective reports of adverse childhood experiences: review of the evidence. J Child Psychol Psychiatry 2004; 45: 260–73.
24 Hamby, SL. Measuring gender differences in partner violence: implications from research on other forms of violent and socially undesirable behavior. Sex Roles 2005; 52: 725–42.
25 Ellsberg, M, Heise, L, Pena, R, Agurto, S, Winkvist, A. Researching domestic violence against women: methodological and ethical considerations. Stud Fam Plann 2001; 32: 116.
26 Krueger, RF, Moffitt, TE, Caspi, A, Bleske, A, Silva, PA. Assortative mating for antisocial behavior: developmental and methodological implications. Behav Genet 1998; 28: 173–86.
27 Maes, H, Neale, M, Kendler, K, Hewitt, J, Silberg, J, Foley, D, et al. Assortative mating for major psychiatric diagnoses in two population-based samples. Psychol Med 1998; 28: 1389–401.
28 Ehrensaft, MK. Intimate partner violence: persistence of myths and implications for intervention. Child Youth Serv Rev 2008; 30: 276–86.
29 Kim, HK, Capaldi, DM. The association of antisocial behavior and depressive symptoms between partners and risk for aggression in romantic relationships. J Fam Psychol 2004; 18: 8296.
30 Ehrensaft, MK, Cohen, P, Brown, J, Smailes, E, Chen, HN, Johnson, JG. Intergenerational transmission of partner violence: a 20-year prospective study. J Consult Clin Psychol 2003; 71: 741–53.
31 Gil-Gonzalez, D, Vives-Cases, C, Ruiz, MT, Carrasco-Portino, M, Alvarez-Dardet, C. Childhood experiences of violence in perpetrators as a risk factor of intimate partner violence: a systematic review. J Public Health 2008; 30: 1422.
32 Herrenkohl, T, Mason, W, Kosterman, R, Lengua, L, Hawkins, J, Abbott, R. Pathways from physical childhood abuse to partner violence in young adulthood. Violence Vict 2004; 19: 123–36.
33 Afifi, TO, Enns, MW, Cox, BJ, Asmundson, GJG, Stein, MB, Sareen, J. Population attributable fractions of psychiatric disorders and suicide ideation and attempts associated with adverse childhood experiences. Am J Public Health 2008; 98: 946–52.
34 Dube, SR, Anda, RF, Felitti, VJ, Chapman, DP, Williamson, DF, Giles, WH. Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span – findings from the adverse childhood experiences study. JAMA 2001; 286: 3089–96.
35 Green, JG, McLaughlin, KA, Berglund, PA, Gruber, MJ, Sampson, NA, Zaslavsky, AM, et al. Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication I: associations with first onset of DSM-IV disorders. Arch Gen Psychiatry 2010; 67: 113–23.
36 Kessler, RC, Davis, CG, Kendler, KS. Childhood adversity and adult psychiatric disorder in the US National Comorbidity Survey. Psychol Med 1997; 27: 1101–19.
37 Levendosky, AA, Huth-Bocks, A, Semel, MA. Adolescent peer relationships and mental health functioning in families with domestic violence. J Clin Child Adolesc Psychol 2002; 31: 206–18.
38 McLaughlin, KA, Green, JG, Gruber, MJ, Sampson, NA, Zaslavsky, AM, Kessler, RC. Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication II: associations with persistence of DSM-IV disorders. Arch Gen Psychiatry 2010; 67: 124–32.
39 Elbogen, EB, Johnson, SC. The intricate link between violence and mental disorder. Arch Gen Psychiatry 2009; 66: 152–61.
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Premarital mental disorders and physical violence in marriage: cross-national study of married couples

  • E. Miller (a1), J. Breslau (a2), M. Petukhova (a3), J. Fayyad (a4), J. Greif Green (a5), L. Kola (a6), S. Seedat (a7), D. J. Stein (a8), A. Tsang (a9), M. C. Viana (a10), L. H. Andrade (a11), K. Demyttenaere (a12), G. de Girolamo (a13), J. M. Haro (a14), C. Hu (a15), E. G. Karam (a16), V. Kovess-Masfety (a17), T. Tomov (a18) and R. C. Kessler (a3)...

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Premarital mental disorders and physical violence in marriage: cross-national study of married couples

  • E. Miller (a1), J. Breslau (a2), M. Petukhova (a3), J. Fayyad (a4), J. Greif Green (a5), L. Kola (a6), S. Seedat (a7), D. J. Stein (a8), A. Tsang (a9), M. C. Viana (a10), L. H. Andrade (a11), K. Demyttenaere (a12), G. de Girolamo (a13), J. M. Haro (a14), C. Hu (a15), E. G. Karam (a16), V. Kovess-Masfety (a17), T. Tomov (a18) and R. C. Kessler (a3)...
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