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JOURNAL OF

AFFECTIVE
ELSEVIER Journal of Affective Disorders 35 (1995) 91-96
DISORDERS

Research report

Parental divorce, self-esteem and depression: an intimate


relationship as a protective factor in young adulthood
U.K. Palosaari *, H.M. Aro
National Public Health Institute, Department of Mental Health, Tampere. Finland
University of Tampere, School of Public Health, Tampere, Finland

Received 4 July 1994; revised 10 April 1995; accepted 10 April 1995

Abstract

This study investigated whether an intimate relationship in young adulthood protects young people from depression in the
presence of risk factors (parental divorce, low self-esteem in adolescence). The data were drawn from a follow-up survey of
adolescents from the age of 16-22 (n = 1656). The prevalence of depression was highest among persons from divorced
families who had reported low self-esteem at the age of 16 and who in young adulthood lacked an intimate relationship. An
intimate relationship was found to protect young adults with the risk factor of earlier low self-esteem from depression
irrespective of family background. The pattern was similar in both sexes.

1. Introduction (1989) reported that girls with a background of


parental divorce had difficulties in intimate relation-
Divorce requires major adjustments from all fam- ships and that some feared being abandoned like
ily members. After the initial stress of parental di- their mothers. The experience of earlier parental
vorce children may have emotional distress, behav- divorce has been reported to be associated with
ioral problems or persistent decrease in their school vulnerability to depression in young adulthood in
performance for several years (Guidupaldi and Perry, both genders (Wallerstein and Blakeslee, 1989; Aro
1985; Hetherington et al., 1985; Featherstone et al., and Palosaari, 1992).
1992; Goodyer, 1993). It has been suggested that There is wide individual diversity in responses to
divorce-related difficulties among girls become visi- a stressful environment in childhood. In spite of a
ble especially in adolescence (Kalter et al., 1985; risk of a maladaptive life course, many individuals
Wallerstein and Corbin, 1989). Certain problems cope successfully with developmental challenges.
stemming from parental divorce may be mediated The impact of stressful childhood experiences on
via a lowered self-esteem (Parish and Wigle, 1985; further development is modified by factors or pro-
Palosaari et al., in press). Wallerstein and Corbin cesses in the child, family and community, and their
interactions which then affect further development
and life course either protecting from or predisposing
* Corresponding author. Address: University of Tampere, to stress or disorder at another developmental stage.
School of Public Health, Box 607, 333101 Tampere 10, Finland. Subsequent adverse or beneficial circumstances may

016%0327/95/$09.50 0 1995 Elsevier Science B.V. All rights reserved


SSDIOl65-0327(95)00037-2
92 U.K. Pnlosaari, H.M. Are/Journal of Affectiue Disorders 35 (1995) 91-96

intensify or mitigate the influence of early stressful nondivorced families. The girls excess risk of de-
experiences (Rutter, 1988; Brown et al., 1990). A pression due to parental divorce was partly mediated
protective factor has been defined as a factor which via lack of good self-esteem at the age of 16. Fur-
mitigates or buffers the effects of psychiatric risk ther, low self-esteem indicated increased vulnerabil-
(Rutter, 1985). ity to subsequent depression among boys and girls,
The processes of negotiation of life transitions, in general, irrespective of family background (Palo-
both in adolescence and in young adulthood, are of saari et al., in press).
special interest, because at this point in particular a In the present paper, we asked whether an inti-
persons life course may be redirected into a more mate relationship in young adulthood protects the
adaptive path (Rutter, 1987; Maugham and Cham- individual from depression in the presence of earlier
pion, 1988). Rutter (1987), e.g., has shown that risk factors (parental divorce and low self-esteem in
marriage with a supportive spouse may break the adolescence).
negative chains of pathological development. Diffi-
culties in commitment and lack of trust in an inti-
mate relationship may be one link mediating nega- 2. Methods
tive long-term impact of parental divorce. On the
other hand, a good relationship may operate as a 2.1. Study population
protecting factor in the life course of the offspring
from divorced families. The presence of a confiding The study population included all 9th-grade pupils
relationship, particularly with husband or boyfriend, attending secondary schools in the spring of 1983 in
reduced appreciably the risk of depressive disorder Tampere, a Finnish city of 166,000 inhabitants (Aro,
among adult women who had experienced parental 1988). There were altogether 2269 pupils, 97.6% of
loss in childhood (Brown et al., 1986b). One mecha- whom participated in the study and completed ques-
nism by which the buffering effect of social support tionnaires in their classrooms. The mean age of the
has been suggested to function is by increasing the pupils was 15.9 years (SD = 0.3 years). The same
individuals self-esteem and coping skills under stress young people were re-examined by means of postal
(OConnor and Brown, 1984, Rutter, 1987; Brown et questionnaires in spring 1989 at the age of 22. The
al., 1990). participation rate in the follow-up was 77.4%. No
This paper is one of a series of papers based on significant difference was found in parental divorce
the 6-year follow-up of adolescents. In the present between participants and nonparticipants. Before the
study (Aro and Palosaari, 1992), young adults with a first phase of the study, 24% of pupils had experi-
history of parental divorce were significantly more enced parental divorce (girls, n = 210; boys, n =
often depressive compared with young people from 146). These children were included in the study

Table 1
Adolescents self-esteem at age of 16, proportion of those having an intimate relationship at age of 22 and quality of relationship by family
background and gender (P values based on x2 statistic)
Females Males
Nondivorced Divorced Nondivorced Divorced

(h1 % (n) % P (n) % (n) % p


Self-esteem at age of 16 High (453) 54.3 (881 40.4 ** * (415) 71.8 (117) 75.0 NS
Low (297) 45.7 (130) 59.6 (163) 28.2 (39) 25.0
Intimate relationship at age of 22 Yes (459) 69.2 (155) 69.8 NS (344) 57.9 (94) 57.7 NS
No (204) 30.8 (67) 30.2 (250) 42.1 (69) 42.3
Sum score of quality of relationship (t test)
mean (SD) 10.1 (4.0) 10.6 (4.1) NS 10.0 (3.9) 10.0 (3.6) NS

*** P<O.OOl.
U.K. Palosaari, H.M. Are/Journal of Affective Disorders 35 (1995) 91-96 93

group and the children living in two-parent families tory. S-BDI score 5 was used as a cut-off point
(girls, n = 675; boys, n = 611) were in the control (Beck et al., 1974; Mattlar et al., 1987). Self-esteem
group. at the age of 16 was measured on a Finnish scale
developed for students. This included 7 assertions
with a 5-point scale resembling those in Rosenbergs
2.2. Variables
measure (Rosenberg, 1965; Aro, 1988). The asser-
tions were: I believe in myself and my prospects; I
Depression was screened by a Finnish modifica- wish I were different from what I am; I suffer from
tion of the short 13-item Becks Depression Inven- feelings of inferiority; I think I have many good
qualities; I feel I lack self-confidence; I am capable
of doing the same as others; I am often dissatisfied
with myself. The theoretical range of the scale was
Females 7-35. The internal reliability of the score was 0.79
among girls and 0.77 among boys measured by
Depresslon % Cronbachs alpha. In the analyses, the scale was
50 dichotomized at about the mean (girls, mean = 17;
Self-esteem
boys, mean = 15). In intimate relationship we in-
0 Hlgh Low
cluded marriage, cohabitation and steady dating. The
quality of intimate relationship was assessed with 6
40 questions concerning closeness and conflicts of the
relationship scored on a 5-point scale: Our relation-
ship is warm, We are close to each other, Our
relationship includes mutual trust, We have many
3a problems, Our relationship is cooling off, We
often quarrel. The sum of the scores was di-
chotomized in the mean (x = 9, SD = 3.4).
The preliminary statistical description was based
2a on cross-tabulation and on logistic regression mod-
elling. Furthermore, we were especially interested in
the multiplicative effects of predictors, i.e., in the
interaction structure of risk and protective factors.
Accordingly, the data were analysed using loglinear
modelling.

Yes No
3. Results
Intimate raiationship Intimate relationship
Non-divorced family Divorced family
Low self-esteem at the age of 16 was more com-
mon among girls from divorced families. Boys from
divorced and nondivorced families did not differ
Relstlonrhlp x Self-esteem x Oeprosslon p = 0.06 from each other. At the age of 22, no difference in
Parental divorce x Dspra8slon pI 0.05
Parental divorce x Self-esteem p = 0.002 the existence of an intimate relationship was found
Ooodner~ of fit of the model p I 0.77 between young people from divorced and nondi-
vorced homes. Further, family background did not
Fig. 1. Prevalences of depression among young females from
nondivorced and divorced families by self-esteem and by presence predict any difference in reported quality of present
of an intimate relationship. relationships (Table 1).
94 U.K. Palosaari, H.M. Are/ Journal of Affective Disorders 35 (1995) 91-96

Males The prevalence of depression was highest among


persons from divorced families who had reported
Depresslon % low self-esteem at the age of 16 and who in young
50
Self-esteem adulthood lacked an intimate relationship. An inti-
mate relationship was found to protect young adults
0 High Low
with the risk factor of earlier low self-esteem from
i depression irrespective of family background. The
association between parental divorce and depression
remained in the model. The pattern was similar
among both sexes. Among girls, there was also an
indirect association between parental divorce and
depression, with girls from divorced families report-
ing more frequently low self-esteem in adolescence.
The results also suggested that good self-esteem
in adolescence reflects resilience against depression
in both genders. The prevalence of depression re-
mained low in all subgroups with good self-esteem.
When the quality of relationship was taken into
account, the association between parental divorce
and depression in the offspring remained significant.
If the relationship was good the prevalence of de-
pression further decreased irrespective of family
background (females, poor relationship 16.7% vs.
good relationship 4.5%, x2 = 25.7, df = 1, P <
Yes NO Yes NO
0.001; males, poor relationship 9.2% vs. good rela-
Intimate relationship intimate relationship
tionship 2.6%, x2 = 8.83, df= 1, P < 0.01). How-
Non-divorced family Divorced family
ever, the proportion of depressive young people
among those who had no intimate relationship
Loglinew model (females, 20%; males, 13%) was bigger than that in
either of the former groups.
p = 0.04
p = 0.02

4. Discussion
Fig. 2. Prevalences of depression among young males from nondi-
vorced and divorced families by self-esteem and by presence of an
intimate relationship. Research showing that social support, including
an intimate relationship, functions as a buffer and
protective factor against depression has been a focus
of methodological consideration, largely due to the
3.1. Model building intertwinedness of risk, protective and outcome-re-
lated factors in the life course (Brown et al., 1986a;
At the age of 16, one of the predictors for subse- Alloway and Bebbington, 1987; Aro et al., 1989).
quent depression was low self-esteem (females, RR Within the methodological complexity, our results
= 2.3, CI 95% 1.6-3.3; males, RR = 2.15, CI 95% also lend support to this hypothesis.
1.2-3.4). In further analyses, parental divorce and Commitment to a partnership is among the devel-
low self-esteem were considered as risk factors for opmental tasks in young adulthood and managing to
depression. We studied whether an intimate relation- form an intimate relationship probably increases
ship protected young adults from depression in the trusting and hopeful attitudes towards the future. A
presence of these risk factors (Fig. 1, Fig. 2). close relationship may compensate for the effects of
U.K. Palosaari, H.M. Aro / Journal of Affective Disorders 35 (I 995) 91-96 95

earlier low self-esteem on choices in young adult- using crude measures for investigating complex in-
hood. Further, steady dating or an enduring relation- terplay of environmental and developmental pro-
ship are regarded as a normative part of the transi- cesses in psychopathology have many limitations. (2)
tion to adulthood. The lack of partnership at this age A depressive person may interpret the quality of the
may be stressful as such. On the other hand, the relationship distorted. The reliability of information
results suggested that good self-esteem in adoles- was aimed to improve by defining the intimate rela-
cence reflects resilience against depression. Those tionship to concern relatively long conditions (mar-
with good self-esteem in adolescence had low levels riage, cohabitation or steady dating). (3) Parental
of depression in spite of the lack of an intimate divorce is not a specific risk indicator of depression
relationship. An alternative interpretation of our data due to the great variation in conditions of both
is that a low self-esteem in adolescence and lack of divorced and nondivorced families. This may attenu-
an intimate relationship in young adulthood may ate the strength of associations. However, the follow-
both be indicators of a risk trajectory in develop- up design and the focus of the present study on the
ment. Those who were depressive at the age of 22 key stages of the childs development connect single
may have been depressive already at the age of 16. variables to the larger context of a persons life
Kandel and Davies (1986) suggest that long-term course. The associations of psychosocial stress in
effects of adolescent depression manifest themselves childhood (parental divorce) and developmentally
in reduced ability in forming an intimate relation- important factors (self-esteem in adolescence and
ship. In the follow-up study, they showed the conti- commitment to partnership in young adulthood) in
nuity of depressive symptoms over time and the the models contribute to the knowledge of the indi-
presence of associated long-term difficulties in rela- viduals susceptibility to depression. In addition, a
tionships, viz., a lack of closeness in relationship relatively large and representative nonclinical sample
with parents in adolescence and lack of closeness gives an opportunity to draw generalizable conclu-
with their spouses in young adulthood. However, the sions.
protective effect of an intimate relationship on the In accordance with earlier research, our findings
proneness to depression among those with low self- suggest that an intimate relationship in young adult-
esteem shows that the developmental phase of young hood can act as a buffer against the risk of low
adulthood may be a turning point in such a trajec- self-esteem, while the lack of it may predispose to
tory. depression in young adulthood.
The protective effect of an intimate relationship
on young adults from divorced families was similar
to the effect on those from nondivorced families. References
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