Kahler Christopher W, McCrady Barbara S, Epstein Elizabeth E
Center for Alcohol and Addiction Studies, Brown University, Box G-BH, Providence, RI 02912, USA.
J Subst Abuse Treat. 2003 Apr;24(3):257-65. doi: 10.1016/s0740-5472(03)00033-3.
We examined sources of psychological and relationship distress among 90 nonalcoholic women with alcoholic male partners seeking outpatient, conjoint alcohol treatment. Results indicated that greater psychological distress among these women was most strongly associated with lower satisfaction with the marital relationship, presence of domestic violence, lower frequency of male partner's drinking, lower perceived social support from family, and more frequent attempts to cope with the partner's drinking. Controlling for psychological distress, greater marital satisfaction was associated most strongly with greater attempts to reinforce positively the partner's abstinence and with less effort to detach from the partner's drinking. Severity of partner's alcohol problems was unexpectedly associated with greater marital satisfaction in multiple regression analyses, though not in bivariate analyses. Results highlight the close connection between psychological and relationship distress and potential relations between alcohol-related coping behaviors and both psychological and relationship distress.
我们对90名寻求门诊联合戒酒治疗、伴侣为酗酒男性的非酗酒女性的心理及关系困扰源进行了调查。结果表明，这些女性中较高的心理困扰与对婚姻关系的较低满意度、存在家庭暴力、男性伴侣较低的饮酒频率、较低的来自家庭的感知社会支持以及更频繁地试图应对伴侣饮酒行为密切相关。在控制心理困扰因素后，较高的婚姻满意度与更积极地强化伴侣戒酒的更多尝试以及较少努力与伴侣饮酒行为脱离关系最为密切相关。在多元回归分析中，伴侣酒精问题的严重程度出人意料地与较高的婚姻满意度相关，尽管在双变量分析中并非如此。结果突出了心理困扰与关系困扰之间的紧密联系，以及与酒精相关的应对行为与心理及关系困扰之间的潜在关系。
