Using multiple methods to examine gender differences in alcohol involvement and marital interactions in alcoholic probands
Using multiple methods to examine gender differences in alcohol involvement and marital interactions in alcoholic probands
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DOI：
10.1016/j.addbeh.2014.10.009
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发表时间：
2015-02-01
影响因子：
4.4
通讯作者：
Zucker, Robert A.
中科院分区：
文献类型：
--
作者：
Cranford, James A.;Tennen, Howard;Zucker, Robert A.
背景资料：本研究探讨了酒精参与和婚姻关系的性别差异先证者与过去1年的酒精使用disorder（AUD）。方法：成年人酒精依赖（37名男性和17名女性）和他们的配偶被招募从当地的药物滥用治疗中心和当地社区。夫妇完成了一系列的自我报告措施和15分钟的录像婚姻互动任务，编码的消极和积极的行为和顺序的互动。结果：与男性先证者相比，女性先证者在前一个月的婚姻互动中表现出更多的消极互动，在婚姻互动任务中表现出更高的消极互惠水平和更低的积极/消极比率，在前一个月的婚姻互动任务中表现出更高的消极互惠水平和更低的积极/消极比率，在前一个月的婚姻互动任务中表现出更高的消极互惠水平和更低的积极/消极比率。以及c）在14天的日记期内，更多的每日和每晚的婚姻冲突。女性配偶在晚上的消极婚姻行为与男性先证者在第二天的醉酒几率较高有关。相比之下，a）男性配偶的消极婚姻行为与女性先证者在同一天内的更高醉酒几率相关; B）男性配偶在白天的积极婚姻行为与女性先证者当晚的更低醉酒几率相关。婚姻冲突，通过多种方法在多个时间尺度上进行评估，似乎是更频繁的女性相比，男性酗酒者。婚姻冲突预示着男性和女性先证者的日常中毒。(C)2014爱思唯尔有限公司版权所有。
Background: This study examined gender differences in alcohol involvement and marital interactions among probands with a past 1-year alcohol use disorder (AUD).Methods: Adults with alcohol dependence (37 males and 17 females) and their spouses were recruited from a local substance abuse treatment center and from the local community. Couples completed a series of self-report measures and a 15-min videotaped marital interaction task that was coded for negative and positive behaviors and sequential interactions. Couples also separately called in to an interactive voice response (IVR) system every night for 14 consecutive nights and reported on their spouse's negative and positive marital behaviors.Results: Compared to male probands, female probands reported a) more negative marital interactions in the previous month; b) higher levels of negative reciprocity and a lower positive-to-negative ratio in the marital interaction task; and c) more daily and nightly marital conflict over the 14-day diary period. Negative marital behaviors in the evening by female spouses were associated with higher odds of intoxication among male probands on the following day. In contrast, a) negative marital behaviors by male spouses were cross-sectionally associated with higher odds of intoxication among female probands within the same day; and b) positive marital behaviors by male spouses during the day were associated with lower odds of intoxication among female probands that night.Conclusions: Marital conflict, assessed via multiple methods over multiple time scales, appears to be more frequent among female compared to male alcoholics. Marital conflict predicts daily intoxication among male and female probands. (C) 2014 Elsevier Ltd. All rights reserved.