McKay J R, Longabaugh R, Beattie M C, Maisto S A, Noel N E
Department of Psychiatry, University of Pennsylvania, Philadelphia 19104.
Am J Drug Alcohol Abuse. 1992;18(4):445-60. doi: 10.3109/00952999209051041.
The relationship of alcoholics' perceptions of the pretreatment functioning of their families to drinking outcomes during an 18-month follow-up was examined. Family functioning was hypothesized to be predictive of drinking behavior, particularly in subjects with low assertion of autonomy scores. These individuals report greater dependency and attachment, and therefore might be more affected by the state of important relationships. The results indicated that with low autonomy male alcoholics, greater family dysfunction predicted significantly fewer days abstinent during Months 1-6 and 13-18 and more severe drinking episodes during the first year of the follow-up. In the high autonomy males, family dysfunction was unrelated to subsequent drinking behavior. In women, on the other hand, greater family dysfunction predicted more days abstinent in those high in autonomy and was unrelated to the drinking behavior of those low in autonomy. Implications for patient-treatment matching, differences between male and female alcoholics, and the need for additional studies of family functioning and drinking behavior in women are discussed.
研究了酗酒者对其家庭治疗前功能的认知与18个月随访期间饮酒结果之间的关系。假设家庭功能可预测饮酒行为，尤其是在自主性得分较低的受试者中。这些个体表现出更强的依赖性和依恋性，因此可能更容易受到重要关系状态的影响。结果表明，自主性较低的男性酗酒者中，更严重的家庭功能障碍预示着在第1至6个月和第13至18个月期间戒酒天数显著减少，且在随访的第一年中饮酒发作更为严重。在自主性较高的男性中，家庭功能障碍与随后的饮酒行为无关。另一方面，在女性中，更严重的家庭功能障碍预示着自主性较高的女性戒酒天数更多，且与自主性较低的女性的饮酒行为无关。文中讨论了患者治疗匹配的意义、男性和女性酗酒者之间的差异，以及对女性家庭功能和饮酒行为进行更多研究的必要性。
