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1 Professor of Preventive Medicine, Department of Psychiatry and Preventive Medicine, University of Western Ontario, London, Canada
Records of physicians' diagnoses from a health insurance plan in a Canadian city were used to investigate the occurrence of psychoneurosis in husband and wife. Among 51 married couples observed for at least a year pre-maritally and for an average of four years post-maritally, there was no departure either before or after marriage from a random distribution of both, one or neither with psychoneurosis. On the other hand, among 84 couples observed over a period ranging, on the average, from the 9th to the 13th year of marriage, there was a significant excess of couples with both partners psychoneurotic and both partners un-affected compared with the distribution expected upon a random basis. These observations suggest that marital interaction is much more important than assortative mating in determining the concordance between marital partners in psychoneurotic illness.
Submitted on October 15, 1964
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