Divorce’s medical and psychological implications

by Tom Hayden

Recent sociological studies have pointed to a variety of long-term economic, social, physical, and mental health consequences of divorce, although the full extent of such effects remains hotly debated. All the studies to date suffer from an inherent methodological weakness which researchers have not yet found a solution to: establishing the relevant baseline for comparisons. By definition, all divorces are of unhappy couples; meanwhile, those who do not divorce are some mix of happy couples and of unhappy ones who stayed married. Comparisons of life outcomes or well-being along the simple divorced/not divorced axis will therefore always show poorer outcomes for the group which is composed entirely of unhappy couples, demonstrating simply that being part of a happy couple is better than being part of an unhappy one.

Any list of formal sociological articles on aftereffects of divorce would quickly become obsolete, but among the more accessible books are [Wallerstein 2000] (reports long-term negative effects of divorce on children) and [Hetherington 2002] (reports that not all kids fare so badly, and that divorce can actually help children living in high-conflict homes such as those with domestic violence).

Recent longtitudinal studies have reported that some divorced people are no happier after divorce. University of Chicago sociologist Linda Waite [Waite 2003] analyzed the relationships between marriage, divorce and happiness using the National Survey of Family and Households. She reported that unhappily married adults who had divorced were no happier than those who had stayed married. Some studies report that cohabitation before marriage is correlated with an increased divorce rate [Bramlett 2001].

Attempts to assess the impact of divorce on children are inherently compromised by the same methodological problem as with adults: establishing the relevant baseline for comparisons. By definition, virtually all children of divorce are from unhappy families; meanwhile, children whose parents never divorced are from some mix of happy families and unhappy ones (parents who stayed married despite an unhappy marital relationship). Comparisons of life outcomes or well-being along the simple divorced/not divorced axis naturally always show poorer outcomes for the group that is composed entirely of children of unhappy families, demonstrating simply that being the child of happy parents is better than being the child of unhappy ones. The actual question of interest is whether being a child of unhappy parents who divorce is better or worse than being a child of unhappy parents who do not divorce. Establishing data for that comparison would require being able to identify with reasonable certainty the subset of nondivorced parents who are nonetheless deeply unhappy with each other, something no researcher has found a way to do at a meaningful scale.

From work that has been done along the flawed axis described above, it was until recently generally assumed that children’s difficulties with divorce, while common, were short-lived. However, recent authors have argued that a major cost to children comes long after: when they attempt to form stable marriages themselves. There is extensive and heated debate over just how much harm, just how many children are harmed to what extent, what factors mediate the harm, and so on. Mavis Hetherington [Hetherington 2002] (a University of Virginia professor) reports that 70% of children coming from divorced families consider divorce an adequate answer to marital problems (even if children are present), compared to only 40% of children from non-divorced families.

Children of divorced parents (those entirely from unhappy families) are reported to have a higher chance of behavioral problems than those of non-divorced parents (a mix of happy and unhappy families). Studies have also reported the former to be more likely to suffer abuse than children in intact families, and to have a greater chance of living in poverty [Fagan 2000]. [Troxel 2002] discusses a variety of health consequences for children of the unhappy couples that do divorce.

Constance Ahron, who has published books suggesting there may be positive effects for children, interviewed ninety-eight divorced families’ children for We’re Still Family: What Grown Children Have to Say About Their Parents’ Divorce [Ahron 2004]. Since by definition all children of divorced parents had lived in unhappy homes, they unsurprisingly reported numerous unhappy experiences. Numerous subjects said things like “I saw some of the things my parents did and know not to do that in my marriage and see the way they treated each other and know not to do that to my spouse and my children. I know [the divorce] has made me more committed to my husband and my children.” Ahron’s method of asking adult children of divorce how they feel about it also has the well-known weaknesses of “self-report” studies.

Researchers have reported that in cases of extremely high conflict, divorce can be positive. An article in the Oklahoma Bar Journal [Bartlett 2004] defines “high conflict” in terms of ongoing litigation, anger and distress, verbal abuse, physical aggression or threats of physical aggression, difficulty in communicating about and cooperating in child care, or other court-determined factors.

Various studies have claimed that people who have been in divorced families:

  • have higher rates of alcoholism and other substance abuse compared to those who have never been divorced. Robert H. Coombs, Professor of Behavioral Sciences at UCLA, reviewed over 130 studies measuring how marital status affects personal well-being. They “attest that married people live longer and generally are more emotionally and physically healthy than the unmarried.” Also, “studies consistently found more alcoholism and problem drinking among the unmarried than the married.” The separated and divorced account for 70% of all chronic problem drinkers, and marrieds 15% [Coombs 1991].
  • have higher rates of clinical depression. “Family disruption and low socioeconomic status in early childhood increase the long-term risk for major depression” [Gilman 2003].
  • seek formal psychiatric care at higher rates. Studies vary, suggesting from 5 to 21 times the risk, and vary over whether men or women are more seriously affected [Marks 1998] and [Bloom 1979].
  • in the case of men, are more likely to commit suicide at some point in their lives, according to a study by Augustine Kposowa, a University of California at Riverside sociologist [Kposowa 2003]. This study quantified earlier work [Kposowa 2000] that estimated an increased risk of 2.7 times for men.
  • have lower life expectancies overall [see [Smock 1993], [US Bureau of the Census 1991], [Dickson 1993], [Arendell 1995], [Amato 1991], and [Joung 1994].
  • are more likely to live in poverty [McLanahan 1994].

Studies have also claimed positive correlations between divorce and rates of:

  • stroke See [Engstrom 2004]: “Marital dissolution is followed by an increased incidence of stroke.”
  • cancer. Married cancer patients are also more likely to recover than divorced ones [Goodwin 1987].
  • acute infectious diseases, parasitic diseases, respiratory illnesses, digestive illnesses, and severe injuries. See [Lawson 2000]. In support of these particular claims, that article cites [US Bureau of the Census 1991] and [Albrecht 1980].
  • heart problems. Some research suggests that childhood trauma, including parental divorce, can lead to much greater risk of heart attack in later life. See [O'Rand 2005]. Combined with job stress, divorce led to a 69% increase of death rate among men with above average risk of heart disease [Reuters 2002].
  • rheumatoid arthritis and osteoarthritis. [Mili 2002] shows a 30% increase in risk at any given age. [Kopec 2003] finds that parental divorce leads to increased risk of arthritis for children later in life.
  • sexually transmitted diseases. For example, in Uganda “Results from a baseline survey of HIV-1 infection in the cohort of over 4,000 adults (over 12 years old) showed a twofold increase in risk of infection in divorced or separated persons when compared with those who are married.” [Nabaitu 1994].

[Wallerstein 2000], which reported some of these effects, was at first criticized because the subjects were all drawn from an affluent section of California rather than a broader sample. This is a real issue. However, more recent studies have repeated her conclusions and sometimes shown that her sample group was actually better off than average; of course those studies also suffered from the same broader methodological flaw described here. Families with lower income and education levels did somewhat worse than more advantaged subjects in Wallerstein’s study.

This article is licensed under the GNU Free Documentation License . It uses material from the Wikipedia article “Divorce”. Tags: ,

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