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Published in: Social Psychiatry and Psychiatric Epidemiology 11/2006

01-11-2006 | ORIGINAL PAPER

Is parenthood associated with mental health?

Findings from an epidemiological community survey

Authors: Sylvia Helbig, Dipl.-Psych., Thomas Lampert, Michael Klose, Frank Jacobi

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 11/2006

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Abstract

Background

Despite some reports on a potential link between parenthood and mental health, associations have not been systematically investigated yet. The present article provides prevalence rates of the most common mental disorders for parents and non-parents. Interactions between demographic and socio-economic variables, parental status and mental health are explored.

Methods

Data from the 1998/99 German Health Survey (GHS) and its Mental Health Supplement (GHS-MHS) were analysed using logistic regression models. Analyses were restricted to participants in the age group 18 to 49 (N = 2,801). Mental disorders and syndromes were assessed with a standardized diagnostic interview (M-CIDI).

Results

Parenthood was associated with lower rates of psychiatric morbidity in general, and depressive and substance use disorders, in particular. The association between parental status and mental health was more distinct in men than in women, whereas partnership status moderated this relationship: An absence of partnership was associated with increased rates of all common mental disorders. Among non-parents, such a difference could not be found. Full-time employment, compared to part-time employment or unemployment, was linked to lower rates of the common mental disorders among fathers but not among mothers and non-parents. Age, education and income had no effects on the association between parental status and mental health.

Conclusion

Parenthood is positively associated with mental health, particularly for men. Most differences can be found for depressive and substance use disorders. Partnership seems especially important for parents since it does not affect prevalence rates of mental disorders among non-parents.
Literature
1.
go back to reference Al-Windi A, Elmfeldt D, Tibblin G, Svärdsudd K (1999) The influence of sociodemographic characteristics on well-being and symptoms in a Swedish community. Results from a postal questionnaire survey. Scand J Prim Health Care 17:201–209PubMedCrossRef Al-Windi A, Elmfeldt D, Tibblin G, Svärdsudd K (1999) The influence of sociodemographic characteristics on well-being and symptoms in a Swedish community. Results from a postal questionnaire survey. Scand J Prim Health Care 17:201–209PubMedCrossRef
2.
go back to reference Wilson SE (2001) Socioeconomic status and the prevalence of health problems among married couples in late midlife. Am J Public Health 91:131–135PubMed Wilson SE (2001) Socioeconomic status and the prevalence of health problems among married couples in late midlife. Am J Public Health 91:131–135PubMed
3.
go back to reference Klose M, Jacobi F (2004) Can gender differences in the prevalence of mental disorders be explained by sociodemographic factors? Arch Womens Ment Health 7:133–149PubMedCrossRef Klose M, Jacobi F (2004) Can gender differences in the prevalence of mental disorders be explained by sociodemographic factors? Arch Womens Ment Health 7:133–149PubMedCrossRef
4.
go back to reference Evenson RJ, Simon RW (2005) Clarifying the relationship between parenthood and depression. J Health Soc Behav 46:314–358CrossRef Evenson RJ, Simon RW (2005) Clarifying the relationship between parenthood and depression. J Health Soc Behav 46:314–358CrossRef
5.
go back to reference Bebbington P, Dunn G, Jenkings R, Lewis G, Brugha T, Farrell M, Meltzer H (1998) The influence of age and gender on the prevalence of depressive conditions: report from the National Survey of Psychiatric Morbidity. Psychol Med 28:9–19PubMedCrossRef Bebbington P, Dunn G, Jenkings R, Lewis G, Brugha T, Farrell M, Meltzer H (1998) The influence of age and gender on the prevalence of depressive conditions: report from the National Survey of Psychiatric Morbidity. Psychol Med 28:9–19PubMedCrossRef
6.
go back to reference Hoffmann B, Swart E (2002) Selbstwahrnehmung der Gesundheit und ärztliche Inanspruchnahme bei Alleinerziehenden – Ergebnisse des Bundesgesundheitssurveys. Gesundheitswesen 64:214–233PubMedCrossRef Hoffmann B, Swart E (2002) Selbstwahrnehmung der Gesundheit und ärztliche Inanspruchnahme bei Alleinerziehenden – Ergebnisse des Bundesgesundheitssurveys. Gesundheitswesen 64:214–233PubMedCrossRef
7.
go back to reference Targosz S, Bebbington P, Lewis G, Brugha T, Jenkins R, Farrell M, et al. (2003) Lone mothers, social exclusion and depression. Psychol Med 33:715–722PubMedCrossRef Targosz S, Bebbington P, Lewis G, Brugha T, Jenkins R, Farrell M, et al. (2003) Lone mothers, social exclusion and depression. Psychol Med 33:715–722PubMedCrossRef
8.
go back to reference Lipman EL, MacMillan HL, Boyle MH (2001) Childhood abuse and psychiatric disorders among single and married mothers. Am J Psychiat 158:73–77PubMedCrossRef Lipman EL, MacMillan HL, Boyle MH (2001) Childhood abuse and psychiatric disorders among single and married mothers. Am J Psychiat 158:73–77PubMedCrossRef
10.
go back to reference Cairney J, Boyle M, Offord DR, Racine Y (2003) Stress, social support and depression in single and married mothers. Soc Psych Psych Epidemiol 38:442–449CrossRef Cairney J, Boyle M, Offord DR, Racine Y (2003) Stress, social support and depression in single and married mothers. Soc Psych Psych Epidemiol 38:442–449CrossRef
11.
go back to reference Wang JL (2004) The difference between single and married mothers in the 12-month prevalence of major depressive syndrome, associated factors and mental health service utilization. Soc Psych Psych Epidemiol 39:26–32CrossRef Wang JL (2004) The difference between single and married mothers in the 12-month prevalence of major depressive syndrome, associated factors and mental health service utilization. Soc Psych Psych Epidemiol 39:26–32CrossRef
12.
go back to reference Jenkins R, Lewis G, Bebbington P, Brugha T, Farrell M, Gill B, Meltzer H (2003) The national psychiatric morbidity surveys of Great Britain – initial findings from the Household Survey. Int Rev Psychiat 15:29–42CrossRef Jenkins R, Lewis G, Bebbington P, Brugha T, Farrell M, Gill B, Meltzer H (2003) The national psychiatric morbidity surveys of Great Britain – initial findings from the Household Survey. Int Rev Psychiat 15:29–42CrossRef
13.
go back to reference Abele AE (2001) Rollenvielfalt von Frauen-Einfluss auf psychische Gesundheit und Wohlbefinden. In: Franke A, Kämmerer A (eds) Klinische Psychologie der Frau. Hogrefe, Göttingen, pp 559–576 Abele AE (2001) Rollenvielfalt von Frauen-Einfluss auf psychische Gesundheit und Wohlbefinden. In: Franke A, Kämmerer A (eds) Klinische Psychologie der Frau. Hogrefe, Göttingen, pp 559–576
14.
go back to reference Brown GW, Bifulco A (1990) Motherhood, employment and the development of depression: a replication of a finding? Brit J Psychiat 156:169–179PubMedCrossRef Brown GW, Bifulco A (1990) Motherhood, employment and the development of depression: a replication of a finding? Brit J Psychiat 156:169–179PubMedCrossRef
15.
go back to reference Bebbington PE (1996) The origins of gender differences in depressive disorder: Bridging the gap. Int Rev Psychiatr 8:295–332 Bebbington PE (1996) The origins of gender differences in depressive disorder: Bridging the gap. Int Rev Psychiatr 8:295–332
16.
go back to reference Loewenthal KM, Goldblatt V, Gorton T, Lubitsch G, Bicknell H, Fellowes D, Sowden A (1995) Gender and Depression in Anglo-Jewry. Psychol Med 25:1051–1063PubMedCrossRef Loewenthal KM, Goldblatt V, Gorton T, Lubitsch G, Bicknell H, Fellowes D, Sowden A (1995) Gender and Depression in Anglo-Jewry. Psychol Med 25:1051–1063PubMedCrossRef
17.
go back to reference Rost H, Rupp M, Schulz F, Vascovics LA (2003) Bamberger Ehepaar-Panel. Staatsinstitut für Familienforschung an der Universität Bamberg, Bamberg Rost H, Rupp M, Schulz F, Vascovics LA (2003) Bamberger Ehepaar-Panel. Staatsinstitut für Familienforschung an der Universität Bamberg, Bamberg
18.
go back to reference Stroebe W, Stroebe M (1991) Partnerschaft, Familie und Wohl- befinden. In: Abele A, Becker P (eds) Wohlbefinden. Juventa, München, pp 155–174 Stroebe W, Stroebe M (1991) Partnerschaft, Familie und Wohl- befinden. In: Abele A, Becker P (eds) Wohlbefinden. Juventa, München, pp 155–174
19.
go back to reference Bellach BM, Knopf H, Thefeld W (1998) Der Bundes-Gesundheitssurvey 1997/98. Gesundheitswesen 60:59–68 Bellach BM, Knopf H, Thefeld W (1998) Der Bundes-Gesundheitssurvey 1997/98. Gesundheitswesen 60:59–68
20.
go back to reference Thefeld W, Stolzenberg H, Bellach BM (1999) German national health interview and examination survey: response, composition of participants, and analysis of non-respondents. Gesundheitswesen 61:57–61 Thefeld W, Stolzenberg H, Bellach BM (1999) German national health interview and examination survey: response, composition of participants, and analysis of non-respondents. Gesundheitswesen 61:57–61
21.
go back to reference Jacobi F, Wittchen HU, Hölting C, Sommer S, Lieb R, Höfler M, et al. (2002) Estimating the prevalence of mental and somatic disorders in the community: aims and methods of the German National Interview and Examination Survey. Int J Method Psych Res 11:1–18CrossRef Jacobi F, Wittchen HU, Hölting C, Sommer S, Lieb R, Höfler M, et al. (2002) Estimating the prevalence of mental and somatic disorders in the community: aims and methods of the German National Interview and Examination Survey. Int J Method Psych Res 11:1–18CrossRef
22.
go back to reference Jacobi F, Wittchen H-U, Hölting C, Höfler M, Müller N, Pfister H, Lieb R (2004) Prevalence, comorbidity and correlates of mental disorders in the general population: Results from the German Health Interview and Examination Survey (GHS). Psychol Med 34:597–611PubMedCrossRef Jacobi F, Wittchen H-U, Hölting C, Höfler M, Müller N, Pfister H, Lieb R (2004) Prevalence, comorbidity and correlates of mental disorders in the general population: Results from the German Health Interview and Examination Survey (GHS). Psychol Med 34:597–611PubMedCrossRef
23.
go back to reference Wittchen H-U (1994) Reliability and validity studies of the WHO-Composite International Diagnostic Interview (CIDI): A critical review. Int J Psychiat Res 28:57–84CrossRef Wittchen H-U (1994) Reliability and validity studies of the WHO-Composite International Diagnostic Interview (CIDI): A critical review. Int J Psychiat Res 28:57–84CrossRef
24.
go back to reference Wittchen HU, Pfister H (1997) DIA-X Interviews: Manual für Screening Verfahren und Interview; Interviewheft Längsschnittuntersuchung (DIA-X – Lifetime); Ergänzungsheft (DIA-X – Lifetime); Interviewheft Querschnittsuntersuchung (DIA-X – 12 Monate); Ergänzungsheft (DIA-X – 12 Monate); PC-Programm zur Durchführung des Interviews (Längs- und Querschnittuntersuchung); Auswertungsprogramm. Swets & Zeitlinger, Frankfurt Wittchen HU, Pfister H (1997) DIA-X Interviews: Manual für Screening Verfahren und Interview; Interviewheft Längsschnittuntersuchung (DIA-X – Lifetime); Ergänzungsheft (DIA-X – Lifetime); Interviewheft Querschnittsuntersuchung (DIA-X – 12 Monate); Ergänzungsheft (DIA-X – 12 Monate); PC-Programm zur Durchführung des Interviews (Längs- und Querschnittuntersuchung); Auswertungsprogramm. Swets & Zeitlinger, Frankfurt
25.
go back to reference Wittchen HU, Lachner G, Wunderlich U, Pfister H (1998) Test–restest reliability of the computerized DSM-IV version of the Munich-Composite International Diagnostic Interview (M-CIDI). Soc Psych Psych Epidemiol 33:568–578CrossRef Wittchen HU, Lachner G, Wunderlich U, Pfister H (1998) Test–restest reliability of the computerized DSM-IV version of the Munich-Composite International Diagnostic Interview (M-CIDI). Soc Psych Psych Epidemiol 33:568–578CrossRef
26.
go back to reference WHO (1997) Composite international diagnostic interview (CIDI, Version 2.1). World Health Organization, Geneve WHO (1997) Composite international diagnostic interview (CIDI, Version 2.1). World Health Organization, Geneve
27.
go back to reference American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th ed. American Psychiatric Press, Washington, DC American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th ed. American Psychiatric Press, Washington, DC
28.
go back to reference WHO (1991) ICD-10, Chapter V. Mental and behavioural disorders (including disorder of psychopathological development): (a) Diagnostic guidelines, (b) Diagnostic criteria for research. World Health Organization, Geneve WHO (1991) ICD-10, Chapter V. Mental and behavioural disorders (including disorder of psychopathological development): (a) Diagnostic guidelines, (b) Diagnostic criteria for research. World Health Organization, Geneve
29.
go back to reference Escobar JI, Rubio Stipec M, Canino G, Karno M (1989) Somatic Symptom Index (SSI): A new and abridged somatization construct: Prevalence and epidemiological correlates in two large community samples. J Nerv Ment Dis 177:140–146PubMedCrossRef Escobar JI, Rubio Stipec M, Canino G, Karno M (1989) Somatic Symptom Index (SSI): A new and abridged somatization construct: Prevalence and epidemiological correlates in two large community samples. J Nerv Ment Dis 177:140–146PubMedCrossRef
30.
go back to reference Binder DA (1983) On the Variances of Asymptotically Normal Estimators from Complex Surveys. Int Stat Rev 51:279–292 Binder DA (1983) On the Variances of Asymptotically Normal Estimators from Complex Surveys. Int Stat Rev 51:279–292
31.
go back to reference Royall RM (1986) Model robust confidence intervals using maximum likelihood estimators. Int Stat Rev 54:221–226CrossRef Royall RM (1986) Model robust confidence intervals using maximum likelihood estimators. Int Stat Rev 54:221–226CrossRef
32.
go back to reference Woodruff RS (1971) A simple method of approximating the variance of a complicated estimate. Journal of the American Statistical Association 66(334):411–414CrossRef Woodruff RS (1971) A simple method of approximating the variance of a complicated estimate. Journal of the American Statistical Association 66(334):411–414CrossRef
33.
go back to reference Stata Corporation (2001) Stata Statistical Software: Release 8.0 (Version College-Station). Stata Corportion, TX Stata Corporation (2001) Stata Statistical Software: Release 8.0 (Version College-Station). Stata Corportion, TX
34.
go back to reference Fryers T, Melzer D, Jenkins R (2003) Social inequalities and the common mental disorders. A systematic review of the evidence. Soc Psych Psych Epidemiol 38:229–237CrossRef Fryers T, Melzer D, Jenkins R (2003) Social inequalities and the common mental disorders. A systematic review of the evidence. Soc Psych Psych Epidemiol 38:229–237CrossRef
35.
go back to reference Weich S, Churchill R, Lewis G, Mann A (1997) Do socio-economic risk factors predict the incidence and maintenance of psychiatric disorder in primary care? Psychol Med 27:73–80PubMedCrossRef Weich S, Churchill R, Lewis G, Mann A (1997) Do socio-economic risk factors predict the incidence and maintenance of psychiatric disorder in primary care? Psychol Med 27:73–80PubMedCrossRef
36.
go back to reference Rodgers B (1991) Socio-economic status, employment and neurosis. Soc Psych Psych Epidemiol 26:104–114CrossRef Rodgers B (1991) Socio-economic status, employment and neurosis. Soc Psych Psych Epidemiol 26:104–114CrossRef
37.
go back to reference Artazcoz L, Benach J, Borrell C, Cortès I (2004) Unemployment and mental health: Understanding the interactions among gender, family roles, and social class. Am J Public Health 94:82–88PubMedCrossRef Artazcoz L, Benach J, Borrell C, Cortès I (2004) Unemployment and mental health: Understanding the interactions among gender, family roles, and social class. Am J Public Health 94:82–88PubMedCrossRef
38.
go back to reference Weich S, Lewis G (1998) Poverty, unemployment, and common mental disorders: population based cohort study. BMJ 317:115–119PubMed Weich S, Lewis G (1998) Poverty, unemployment, and common mental disorders: population based cohort study. BMJ 317:115–119PubMed
39.
go back to reference Strauss B, Berger M, Bettge S, et al. (2000) Psychosomatik in der Reproduktionsmedizin – Teil 1. Z Med Psychol 9:101–110 Strauss B, Berger M, Bettge S, et al. (2000) Psychosomatik in der Reproduktionsmedizin – Teil 1. Z Med Psychol 9:101–110
40.
go back to reference Geller PA (2004) Pregnancy as a stressful life event. CNS Spectrums 9:188–197PubMed Geller PA (2004) Pregnancy as a stressful life event. CNS Spectrums 9:188–197PubMed
41.
go back to reference Videon TM (2002) The effects of parent-adolescent relationships and parental separation on adolescent well-being. J Marriage Fam 64:489–503CrossRef Videon TM (2002) The effects of parent-adolescent relationships and parental separation on adolescent well-being. J Marriage Fam 64:489–503CrossRef
42.
go back to reference Ang RP, Ooi YP (2004) Impact of gender and parents’ marital status on adolescents’ suicidal ideation 50:351–360 Ang RP, Ooi YP (2004) Impact of gender and parents’ marital status on adolescents’ suicidal ideation 50:351–360
Metadata
Title
Is parenthood associated with mental health?
Findings from an epidemiological community survey
Authors
Sylvia Helbig, Dipl.-Psych.
Thomas Lampert
Michael Klose
Frank Jacobi
Publication date
01-11-2006
Publisher
Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 11/2006
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-006-0113-8

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