ArticleThe American journal of psychiatry2017
Divorce and the Onset of Alcohol Use Disorder: A Swedish Population-Based Longitudinal Cohort and Co-Relative Study.
Article in The American journal of psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed, 70 citations in OpenAlex.
- The Impact of a Registry-Based Environmental Risk Score on Episodes of Alcohol Use Disorder and Drug Use Disorder in Swedish National Samples.Journal of studies on alcohol and drugs · 2026Article
- Association between perinatal depressive symptoms and parental cohabitation status in a Nordic high-income country.PloS one · 2026Article
- Neutrophil Elastase (ELANE) as a Novel Neuroinflammatory Biomarker in Alcohol Use Disorder: Clinical Validation.Addiction biology · 2025Article
- Tendency to consume alcohol among Poles in the light of coping with stress and selected socio-demographic factors during the COVID-19 pandemic.BMC public health · 2025Article
- Acute Alcohol Use and Suicide.JAMA network open · 2025Article
- Alcohol Misuse, Marital Functioning and Marital Instability: An Evidence-Based Review on Intimate Partner Violence, Marital Satisfaction and Divorce.Substance abuse and rehabilitation · 2025Review
- Family Genetic-Risk Profiles Associated With Divorce.Clinical psychological science : a journal of the Association for Psychological Science · 2024Article
- Prevalence and Correlates of Substance Use Among Youth Living with HIV in Fishing Communities in Uganda.AIDS and behavior · 2024Article
- Divorce, genetic risk, and suicidal thoughts and behaviors in a sample with recurrent major depressive disorder.Journal of affective disorders · 2024Article
- Divorce and risk of suicide attempt: a Swedish national study.Psychological medicine · 2024Article
- Personality correlates of past-year alcohol use in individuals with severe alcohol use disorder and a lifetime history of involvement in alcoholics anonymous.Alcohol, clinical & experimental research · 2024Article
- The role of substance use disorders in the transition from suicide attempt to suicide death: a record linkage study of a Swedish cohort.Psychological medicine · 2024Article
- Tobacco use in Haiti: findings from demographic and health survey.BMC public health · 2023Article
- Death of parent, sibling, spouse, and child in a Swedish national sample and risk of subsequent stress reaction, major depression, alcohol-use disorder, and drug-use disorder.Psychological medicine · 2023Article
- Military service and risk of subsequent drug use disorders among Swedish men.Social psychiatry and psychiatric epidemiology · 2023Article
- Shared genetic and environmental etiology between substance use disorders and suicidal behavior.Psychological medicine · 2023Article
- Genetic liability to suicide attempt, suicide death, and psychiatric and substance use disorders on the risk for suicide attempt and suicide death: a Swedish national study.Psychological medicine · 2023Article
- The transition to parenthood, opportunity to drink, drinking, and alcohol use disorder.Drug and alcohol dependence · 2022Article
- Separations of romantic relationships are experienced differently by initiators and noninitiators.Proceedings of the National Academy of Sciences of the United States of America · 2022Article
- Predicting the Onset of Opioid Use Disorder in the Swedish General Population.Journal of studies on alcohol and drugs · 2022Article
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5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveThe purpose of this study was to clarify the magnitude and nature of the relationship between divorce and risk for alcohol use disorder (AUD).
methodIn a population-based Swedish sample of married individuals (N=942,366), the authors examined the association between divorce or widowhood and risk for first registration for AUD. AUD was assessed using medical, criminal, and pharmacy registries.
resultsDivorce was strongly associated with risk for first AUD onset in both men (hazard ratio=5.98, 95% CI=5.65-6.33) and women (hazard ratio=7.29, 95% CI=6.72-7.91). The hazard ratio was estimated for AUD onset given divorce among discordant monozygotic twins to equal 3.45 and 3.62 in men and women, respectively. Divorce was also associated with an AUD recurrence in those with AUD registrations before marriage. Furthermore, widowhood increased risk for AUD in men (hazard ratio=3.85, 95% CI=2.81-5.28) and women (hazard ratio=4.10, 95% CI=2.98-5.64). Among divorced individuals, remarriage was associated with a large decline in AUD in both sexes (men: hazard ratio=0.56, 95% CI=0.52-0.64; women: hazard ratio=0.61, 95% CI=0.55-0.69). Divorce produced a greater increase in first AUD onset in those with a family history of AUD or with prior externalizing behaviors.
conclusionsSpousal loss through divorce or bereavement is associated with a large enduring increased AUD risk. This association likely reflects both causal and noncausal processes. That the AUD status of the spouse alters this association highlights the importance of spouse characteristics for the behavioral health consequences of spousal loss. The pronounced elevation in AUD risk following divorce or widowhood, and the protective effect of remarriage against subsequent AUD, speaks to the profound impact of marriage on problematic alcohol use.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.