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The impact of polygamy on women's mental health: a systematic review

Published online by Cambridge University Press:  14 March 2012

L. D. Shepard*
Affiliation:
Department of Social Policy and Social Work, University of Oxford, Oxford, OX1 2ER, UK
*
*Address for correspondence: Lindsay Dianne Shepard, 395 South 1500 East no.111, Salt Lake City, UT 84112, USA. (Email: lindsayshepard@gmail.com)

Abstract

Aims.

The purpose of this systematic review is to identify and appraise the present state of prevalence research on the mental health of polygynous women, or plural wives, and to summarize its implications for future research and social work practice.

Methods.

PsycInfo (1967 to November 2011) and Medline (1985 to November 2011) databases, systematic bibliography hand-searches, personal communication with a leading expert, and gray literature searching were applied in a systematic literature search of the prevalence of mental-health issues in polygynous women compared to monogamous women. Twenty-two studies meeting eligibility criteria were identified. Study characteristics, methods and findings were systematically extracted and appraised for quality.

Results.

The identified studies are of mixed methodological quality, but generally suggest a more significant prevalence of mental-health issues in polygynous women compared to monogamous women. Individual studies report a higher prevalence of somatization, depression, anxiety, hostility, psychoticism and psychiatric disorder in polygynous wives as well as reduced life and marital satisfaction, problematic family functioning and low self-esteem.

Conclusions.

The current state of the research reveals with moderate confidence, a more significant prevalence of mental-health issues in polygynous women as compared to monogamous women. Implications for practice and research are indicated.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2012

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References

Abbo, C, Ekblad, S, Waako, P, Muhwezi, W, Musisi, S, Okello, E (2008). Psychological distress and associated factors among the attendees of traditional healing practices in Jinja and Iganga districts, Eastern Uganda: a cross-sectional study. International Journal of Mental Health Systems 2, 19.CrossRefGoogle ScholarPubMed
Abou-Saleh, MT, Ghubash, R, Daradkeh, TK (2001). Al Ain community psychiatric survey. I. Prevalence and socio-demographic correlates. Social Psychiatry and Psychiatric Epidemiology 36, 2028.CrossRefGoogle Scholar
Al-Krenawi, A (1998). Family therapy with a multiparental/multispousal family. Family Process 37, 6581.CrossRefGoogle ScholarPubMed
Al-Krenawi, A (1999). Women of polygamous marriages in primary health care centers. Contemporary Family Therapy 21, 417430.CrossRefGoogle Scholar
Al-Krenawi, A (2001). Women from polygamous and monogamous marriages in an out-patient psychiatric clinic. Transcultural Psychiatry 38, 187199.CrossRefGoogle Scholar
Al-Krenawi, A (2004). Awareness and Utilization of Social, Health/Mental Health Services among Bedouin-Arab Women, Differentiated by Type of Residence and Type of Marriage. Center for Bedouin Studies and Development, Ben-Gurion University of the Negev: Beer-Sheva.Google Scholar
Al-Krenawi, A (2010). A study of psychological symptoms, family function, marital and life satisfactions of polygamous and monogamous women: the Palestinian case. International Journal of Social Psychiatry 58, 7986.CrossRefGoogle ScholarPubMed
Al-Krenawi, A, Graham, JR (1999 a). Gender and biomedical/traditional mental health utilization among the Bedouin-Arabs of the Negev. Culture, Medicine and Psychiatry 23, 219243.CrossRefGoogle ScholarPubMed
Al-Krenawi, A, Graham, JR (1999 b). The story of Bedouin-Arab women in a polygamous marriage. Women's Studies International Forum 22, 497509.CrossRefGoogle Scholar
Al-Krenawi, A, Graham, JR (2004). Somatization among Bedouin-Arab women: differentiated by marital status. Journal of Divorce and Remarriage 42, 131144.CrossRefGoogle Scholar
Al-Krenawi, A, Graham, JR (2006 a). A comparative study of family functioning, health, and mental health awareness and utilization among female Bedouin-Arabs from recognized and unrecognized villages in the Negev. Health Care for Women International 27, 182196.CrossRefGoogle ScholarPubMed
Al-Krenawi, A, Graham, JR (2006 b). A comparison of family functioning, life and marital satisfaction, and mental health of women in polygamous and monogamous marriages. International Journal of Social Psychiatry 52, 517.CrossRefGoogle ScholarPubMed
Al-Krenawi, A, Slonim-Nevo, V (2003). Psychosocial Functioning in Bedouin-Arab Society in the Negev: A Comparison of Polygamous and Monogamous Families. Ben-Gurion University of the Negev, Center for Bedouin Studies and Development: Beer-Sheva, Israel.Google Scholar
Al-Krenawi, A, Slonim-Nevo, V (2005 a). A comparative study of polygamous and monogamous marriages as they affect Bedouin-Arab women. In Guard Your Soul—Mental Health among Women in Israel, pp. 149–167. Ben-Gurion University of the Negev, in cooperation with Myers-JDC-Brookdale Institute. Retrieved 18 November 2008 from http://brookdale.jdc.org.il/?catid={B4BCF18B-DF16-4EB8-93EE-99431BB1A212}.Google Scholar
Al-Krenawi, A, Slonim-Nevo, V (2005 b). Psychosocial functioning of children from monogamous and polygamous families: Implications for practice. In Handbook for Working with Children and Youth (ed. Ungar, M.), pp. 279293. Sage: London.Google Scholar
Al-Krenawi, A, Slonim-Nevo, V (2008). The psychosocial profile of Bedouin Arab women living in polygamous and monogamous marriages. Families in Society 89, 139149.CrossRefGoogle Scholar
Al-Krenawi, A, Graham, JR, Izzeldin, A (2001). The psychosocial impact of polygamous marriages on Palestinian women. Women and Health 34, 116.CrossRefGoogle Scholar
Al-Krenawi, A, Graham, JR, Ben-Shimol-Jacobsen, S (2006). Attitudes toward and reasons for polygamy differentiated by gender and age among Bedouin-Arabs of the Negev. International Journal of Mental Health 35, 4661.CrossRefGoogle Scholar
Al-Krenawi, A, Graham, JR, Gharaibeh, FA (2011). A comparison study of psychological, family function, marital and life satisfactions of polygamous and monogamous women in Jordan. Community Mental Health Journal 47, 594602.CrossRefGoogle ScholarPubMed
Al-Shamsi, MSA, Fulcher, LC (2005). The impact of polygamy on United Arab Emirates' first wives and their children. International Journal of Child and Family Welfare 1, 4655.Google Scholar
Al-Sherbiny, LAM (2005). The case of first wife in polygamy: description of an Arab culture-specific condition. Arabpsynet eJournal 8, 19. Retrieved 18 June 2007 from http://www.arabpsynet.com/archives/op/apnJ8LotfiElsherbinie.pdf.Google Scholar
Amoran, OE, Lawoyin, TO, Oni, OO (2005). Risk factors associated with mental illness in Oyo State, Nigeria: a community based study. Annals of General Psychiatry 4, 1924.CrossRefGoogle ScholarPubMed
Bergstrom, T (1994). On the economics of polygyny. Paper 1994A, University of California, Santa Barbara. Retrieved 18 June 2007 from http://repositories.cdlib.org/ucsbecon/bergstrom/1994A/.Google Scholar
Chaleby, K (1985). Women of polygamous marriages in an inpatient psychiatric service. Journal of Nervous and Mental Disease 173, 5658.CrossRefGoogle Scholar
Chaleby, K (1987). Women of polygamous marriages in outpatient psychiatric services in Kuwait. International Journal of Family Psychiatry 8, 2534.Google Scholar
Chaleby, K (1988). Traditional Arabian marriages and mental health in a group of outpatient Saudis. Acta Psychiatrica Scandinavica 77, 139142.CrossRefGoogle Scholar
Chalmers, I (2003). Trying to do more good than harm in policy and practice: The role of rigorous, transparent, up-to-date evaluations. Annuals of the American Academy of Political and Social Sciences 589, 2240.CrossRefGoogle Scholar
Daradkeh, TK, Ghubash, R, Abou-Saleh, MT (2002). Al Ain community survey of psychiatric morbidity II. Sex differences in the prevalence of depressive disorders. Journal of Affective Disorders 72, 167176.CrossRefGoogle Scholar
Daradkeh, TK, Alawan, A, Al Ma'aitah, R, Otoom, SA (2006). Psychiatric morbidity and its sociodemographic correlates among women in Irbid, Jordan. Eastern Mediterranean Health Journal 12, S107S117.Google ScholarPubMed
Eastwell, H (1974). Dilemmas of aboriginal marriage in East Arnhem Land, North Australia. Australian and New Zealand Journal of Psychiatry 8, 4953.CrossRefGoogle ScholarPubMed
Ebigbo, PO, Onyeama, WP, Ihezue, UH, Ahanotu, AC (1981). Family therapy with polygamous families. Zeitschrift fur Psychosomatische Medizin und Psychoanalyse 27, 180191.Google Scholar
Elbedour, S, Onwuegbuzie, AJ, Caridine, C, Abu-Saad, H (2002). The effect of polygamous marital structure on behavioral, emotional, and academic adjustment in children: a comprehensive review of the literature. Clinical Child and Family Psychology Review 5, 255271.CrossRefGoogle ScholarPubMed
Ghubash, R, Hamdi, E, Bebbington, P (1992). The Dubai community psychiatric survey, I. Prevalence and socio-demographic correlates. Social Psychiatry and Psychiatric Epidemiology 27, 5361.CrossRefGoogle ScholarPubMed
Gumani, MA, Sodl, T (2009). The experiences of rural VhaVenda women involved in polygamous marriages. Journal of Psychology in Africa 19, 199206.CrossRefGoogle Scholar
Gwanfogbe, PN, Schumm, WR, Smith, M, Furrow, JL (1997). Polygamy and marital life satisfaction: an exploratory study from rural Cameroon. Journal of Comparative Family Studies 28, 5571.CrossRefGoogle Scholar
Hamdan, A, Hawamdeh, S, Hussein, A (2008). The prevalence and correlates of depressive symptoms among Arab women in a primary health care setting. International Journal of Psychiatry in Medicine 38, 453467.CrossRefGoogle Scholar
Hassouneh-Phillips, D (2001). Polygamy and wife abuse: a qualitative study of Muslim women in America. Health Care for Women International 22, 735748.CrossRefGoogle Scholar
Hinks, T, Davies, S (2008). Life satisfaction in Malawi and the importance of relative consumption, polygamy and religion. Journal of International Development 20, 888904.CrossRefGoogle Scholar
Iben-Hammad, M, Galai, N, Shoham-Vardi, I, Weitzman, D (2004). Health related quality of life of Bedouin Arab women in southern Israel. In The 132nd Annual Meeting of the American Public Health Association (APHA), November 6–10, 2004, Washington, DC.Google Scholar
Kianpoor, M, Bakhshani, NM, Daemi, N (2006). Co-occurrence of panic disorder and being a wife in polygamous family. Journal of Medical Science 6, 870873.CrossRefGoogle Scholar
Leighton, AH, Lembo, TA, Hughes, CC, Leighton, DC, Murphy, JM, Macklin, HB (1963). Psychiatric Disorder Among the Yoruba. Cornell University Press: Ithaca, NY.Google Scholar
Makanjuola, RO (1989). Socio-cultural parameters in Yoruba Nigerian patients with affective disorders. British Journal of Psychiatry 155, 337340.CrossRefGoogle ScholarPubMed
Maziak, W, Taghrid, A, Fawaz, M, Fouad, FM, Nael, K (2002). Socio-demographic correlates of psychiatric morbidity among low-income women in Aleppo, Syria. Social Science and Medicine 54, 14191427.CrossRefGoogle ScholarPubMed
Mojahed, A, Birashk, B (1995). Behavioral problems of children and mental health of parents in polygamous families. MSc thesis, Tehran Institute of Psychiatry.Google Scholar
Mojahed, A, Birashk, B (2004). Behavioral pattern of children and mental health of parents in polygamous families. Iranian Journal of Psychiatry and Clinical Psychology 9, 6067.Google Scholar
Mumford, DB, Nazir, M, Jilani, FU, Baig, IY (1996). Stress and psychiatric disorder in the Hindu Kush: a community survey of mountain villages in Chitral, Pakistan. British Journal of Psychiatry 168, 299307.CrossRefGoogle Scholar
National Statistical Office of Malawi (2005). Malawi Second Integrated Household Survey (IHS-2) 2004–2005: Basic Information Document. Zomba, Malawi. Retrieved 28 November 2011 from http://www.nso.malawi.net/.Google Scholar
Ozkan, M, Altindag, A, Oto, R, Sentunali, E (2006). Mental health aspects of Turkish women from polygamous versus monogamous families. International Journal of Social Psychiatry 52, 214220.CrossRefGoogle ScholarPubMed
Patil, C, Hadley, C (2008). Symptoms of anxiety and depression and mother's marital status: an exploratory analysis of polygyny and psychosocial stress. American Journal of Human Biology 20, 475477.CrossRefGoogle ScholarPubMed
Shepard, LD, Panos, P, Thompson, C (2010). Perpetuating polygamist tradition: an exploratory qualitative study of Senegalese women. Journal of Global Social Work Practice 3. Retrieved 12 January 2011 from http://www.globalsocialwork.org/vol3no1/Shepard.html.Google Scholar
Sherman, LW (2003). Misleading evidence and evidence-led policy: making social science more experimental. Annals of the American Academy of Political and Social Science 589, 619.CrossRefGoogle Scholar
Slonim-Nevo, V, Al-Krenawi, A (2006). Success and failure among polygamous families: the experience of wives, husbands and children. Family Process 45, 311330.CrossRefGoogle ScholarPubMed
Tabi, MM, Doster, C, Cheney, T (2010). A qualitative study of women in polygynous marriages. International Nursing Review 57, 121127.CrossRefGoogle ScholarPubMed
Valsiner, J (1989). Organization of children's social development in polygamic families. In Child Development in Cultural Context (ed. Valsiner, J.), pp. 6786. Hogrefe and Huber: Toronto.Google Scholar
Welch, CE, Glick, PC (1981). The incidence of polygamy in contemporary Africa: a research note. Journal of Marriage and the Family 43, 191193.CrossRefGoogle Scholar