Marital Dissolution and Major Depression in Midlife: A Propensity Score Analysis
Clinical Psychological Science
Published online on August 13, 2013
Abstract
Marital dissolution is commonly assumed to cause increased depression among adults, but causality can be questioned based on directionality and third-variable concerns. The present study improves on past research by using a propensity score matching algorithm to identify a subsample of continuously married participants equivalent in divorce risk to participants who actually experienced separation/divorce between two waves of the nationally representative Midlife Development in the United States (MIDUS) study. After correcting for participants’ propensity to separate/divorce, we observed increased rates of depression at the second MIDUS assessment only among participants who (a) were depressed at the initial MIDUS assessment and (b) experienced a separation/divorce. Participants who were not depressed at the initial assessment but who experienced a separation/divorce were not at increased risk for a later major depressive disorder. Thus, both social selection and social causation contribute to the increased risk for a major depressive disorder found among separated/divorced adults.