While spouse similarity for psychiatric morbidity has been the object
of numerous studies, most of these focused on clinical samples and, co
nsequently, the interpretation of their results is limited by the exis
tence of a selection bias. In this study, conducted on a sample of 845
general population couples, significant spouse similarity was observe
d for psychological distress and well-being, characterized by a marked
symmetry in the relation between spouses' scores. The sex differences
observed in many earlier studies would appear essentially to be artef
actual. Spouse similarity was also found to be significant in the subp
opulation of couples married less than two years, which pointed to ass
ortative mating for psychological distress and well-being. While many
studies have found educational dissimilarity and age difference betwee
n spouses to be associated with certain health variables, such as high
blood pressure and coronary heart disease, these variables do not hav
e a significant influence on individual levels of psychological distre
ss and well-being. Spouse similarity for socio-demographic characteris
tics does not play a significant role in explaining spouse similarity
for mental health. Consequently, assortative mating for psychological
distress and well-being would appear to be primarily due to personal p
reference.