title: Marital distress and mental health care service utilization.
abstract: OBJECTIVE
  This study was designed to evaluate the association between marital distress and mental health service utilization in a population-based sample of men and women (N = 1,601).
  
  
  METHODS
  The association between marital distress and mental health care service utilization was evaluated for overall mental health service utilization and for specific sectors of treatment providers, including psychiatrist, other mental health provider, other medical provider, and religious services provider. Interviews were used to assess past-year service utilization and presence of anxiety, mood, and substance use disorders.
  
  
  RESULTS
  Approximately 12% of married individuals sought help for problems with their emotions, nerves, or substance use during the 12 months preceding the interview. Marital distress was significantly associated with (a) overall mental health service utilization and service utilization provided by each of the sectors of providers when controlling for demographic variables and (b) overall mental health service utilization and receiving treatment from a psychiatrist when additionally controlling for past-year anxiety, mood, or substance use disorders. There was little evidence that the associations between marital distress and service utilization were moderated by gender or presence of psychiatric disorders.
  
  
  CONCLUSIONS
  The finding that marital distress is associated with greater mental health care service utilization suggests that clinicians should assess both individual and relationship factors among individuals presenting for treatment.
authors.affiliation: Brown University Medical School.
authors.forename: Yael Chatav
authors.initials: YC
authors.lastname: Schonbrun
authors.forename: Mark A
authors.initials: MA
authors.lastname: Whisman
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D015897:Comorbidity; D003866:Depressive Disorder / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D054541:Family Conflict / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D010348:Patient Care Team / Q000706:statistics & numerical data; D011336:Probability; D012737:Sex Factors; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D014481:United States; D014600:Utilization Review / Q000706:statistics & numerical data