Marital functioning in early versus late-onset alcoholic couples.
Marital functioning in early versus late-onset alcoholic couples.
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早发性酗酒者与晚发性酗酒者的婚姻功能。
DOI：
10.1111/j.1530-0277.1997.tb03801.x
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发表时间：
1997
期刊：
影响因子：
--
通讯作者：
Hirsch,LS
中科院分区：
文献类型：
--
作者：
Epstein,EE;McCrady,BS;Hirsch,LS
目前关于酒精和婚姻功能的知识受到限制性样本选择的限制，不注意基于个体的酒精亚型的文献，以及缺乏将酗酒者之间的个体差异与婚姻功能联系起来的研究。本研究的目的是研究婚姻功能的酗酒者在目前的酒精类型学。受试者是一项更大的研究的一部分，该研究是关于酗酒男性及其女性伴侣的联合治疗。四种类型学，包括1/2型，在家里/在外面的家，稳定I发作，和早期ILATE发作，进行了测试的可复制性和判别效度，然后将它们与婚姻功能。仅发现早发型（59%）与晚发型（41%）具有判别效度;因此，进一步的分析仅将这种类型与婚姻功能联系起来。在基线时，早发夫妇报告了更多的婚姻不稳定，这些夫妇中的女性更痛苦。在治疗期间，早发性夫妇报告的日常婚姻满意度高于晚发性夫妇。无论发病年龄如何，男性在治疗期间报告的婚姻满意度高于其配偶，但他们的满意度在治疗期间没有增加。女性伴侣的婚姻满意度在治疗期间增加。晚发型男性的女性伴侣在治疗期间报告的婚姻满意度特别低。根据早发/迟发类型分析样本，在每种亚型中，男性和女性的婚姻满意度有不同的预测因素。对于早发性酗酒者的女性伴侣来说，与她的饮酒严重程度无关的心理困扰与她自己的婚姻满意度最相关，而晚发性酗酒者的女性伴侣的婚姻调整与男性对她的需求的感知准确性水平最相关。这种模式在男性中是相反的;早发性酗酒者的婚姻调整与他的伴侣对他的需求的感知准确性最相关，而晚发性酗酒者的婚姻功能最好由他自己的心理困扰来解释。
Current knowledge about alcohol and marital functioning is limited by restrictive sample selection, inattention to the literature on individual‐based alcoholic subtypes, and lack of research linking individual differences among alcoholics to marital functioning. The present study was designed to study marital functioning of alcoholics in light of current alcohol typologies. Subjects were part of a larger study on conjoint treatment of alcoholic males and their female partners. Four typologies—including Type 1/2, In‐Home/Out‐of‐home, SteadyIEpisodic, and EarlyILate Onset—were tested for replicability and discriminant validity before linking them to marital functioning. Discriminant validity was found only for the Early (59%)‐versus Late (41 %)‐Onset typology; thus, further analyses linked only this typology with marital functioning. At baseline, Early‐Onset couples reported more marital instability, and the females in these couples were more distressed. During treatment, Early‐Onset couples reported higher daily marital satisfaction than Late‐Onset couples. Regardless of age of onset, males reported higher marital satisfaction than their spouses during treatment, but their satisfaction did not increase during treatment. Female partners' marital satisfaction increased during treatment. Female partners of Late‐Onset males reported particularly low marital satisfaction during treatment. Parsing the sample according to the early‐/late‐onset typology yielded different predictors of marital satisfaction for males and females within each subtype. For female partners of Early‐Onset alcoholics, psychological distress unrelated to her pattner's drinking severity was most associated with her own marital satisfaction, whereas marital adjustment of female partners of Late‐Onset alcoholics was most associated with the male's level of perceptual accuracy regarding her needs. This pattern was reversed for the males; marital adjustment of Early‐Onset alcoholics was most associated with his partner's perceptual accuracy of his needs, whereas marital functioning of Late‐Onset alcoholics was best accounted for by his own psychological distress.
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作者：
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通讯作者：
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影响因子：
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作者：
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影响因子：
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作者：
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通讯作者：
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