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Proulx's 2009 paper, Moderators of the link between marital hostility and change in spouses' depressive symptoms, demonstrated spousal anger as a contributing factor to depressive illness in the other spouse.

A thorough history of the self-giving to romantic aspect of the marriage, to the marital friendship and to betrothed love, which includes, but is more than, sexual intimacy of each spouse is an essential aspect of the evaluation of a depressed spouse.

In addition we regularly ask the spouse to rate himself/herself and the other spouse on the checklists which evaluate difficulties in marital self-giving in the evaluate your marriage chapter of this site.

A 2011 study revealed that about one in 10 Americans aged 12 and over takes antidepressant medication.

Antidepressants were the third most common prescription drug taken by Americans of all ages in 2005–2008 and the most frequently used by persons aged 18–44 years.

Epidemiological data demonstrated that unhappy marriages were a potent risk factor for major depressive disorder, associated with a 25 fold increase relative to untroubled marriages in one major study from Yale, (Weissman MM. Another study found a 10-fold increase in risk for depressive symptoms associated with marital discord (O'Leary KD, et al.

1994, A closer look at the link between marital discord and depressive symptomatology, -41.) C.This chapter will present the numerous origins of sadness and depression in married life and related a number of strategies to diminish this often-disabling emotional pain.The intervention into the pain of sadness will include uncovering its origins, the resolution of the anger associated with it, marital therapy, the use of cognitive-behavioral approaches, growth in virtues which is referred to as a positive psychology and the support of faith when appropriate.Fortunately, in spite of the high divorce rate, many couples do report marital happiness. Social Forces 83:3) In my experience, many husbands would express similar views and might add being treated with respect, being appreciated and being trusted and not controlled.An important research study in 2006 of what makes women happy in their marriage revealed the following factors as important: (Wilcox, B. Let's now look at common causes of unhappiness and sadness in spouses arising from disappointments and hurts from within and from outside the marriage. Childhood sibling relationships as a predictor of major depression in adulthood: a 30-yearprospective study. Now whom do you identify as having the most emotional conflicts leading to sadness, your spouse or you?It is important for couples to realize that, while marital love is very powerful and comforting, it cannot fill a void in the heart left by a lack of warmth, affirmation or love in a parental relationship or in important previous relationships.