Downs William R, Capshew Thomas, Rindels Barb
Department of Social Work, University of Northern Iowa, 30 Sabin Hall, Cedar Falls, Iowa 50614-0405, USA.
J Stud Alcohol. 2004 May;65(3):336-44. doi: 10.15288/jsa.2004.65.336.
The objective of this study is to examine the associations between mother physical abuse, mother psychological aggression, father physical abuse and father psychological aggression and women's alcohol dependence while controlling for several demographic variables, childhood sexual abuse and mother and father alcohol problems.
Samples of women in treatment for substance use disorders (n = 225) and receiving services for domestic violence (n = 222) volunteered to be in the study. We used the Parent-Child Conflict Tactics Scales to assess retrospectively experiences of parental aggression during childhood and the Composite International Diagnostic Interview for a diagnosis of alcohol dependence based on International Classification of Diseases (ICD-10) criteria.
Logistic regression applied to the data showed that being in the substance use disorder treatment sample, being unemployed and not being black were significantly related to a higher likelihood of lifetime diagnosis of alcohol dependence. Mother psychological aggression was found to be significantly associated with alcohol dependence. Father psychological aggression was found to be significantly related to alcohol dependence for nonwhite women but not for white women. Mother and father physical abuse were both found to be significantly related to alcohol dependence, but only for women who did not report childhood sexual abuse.
Associations between experiences of childhood abuse and development of alcohol problems for women are complex. Experiences of mother and father abuse need to be examined separately with samples of women who are of different ethnicities and samples of women who are receiving services for different problems.
本研究的目的是在控制若干人口统计学变量、童年期性虐待以及母亲和父亲的酒精问题的同时,考察母亲身体虐待、母亲心理攻击、父亲身体虐待和父亲心理攻击与女性酒精依赖之间的关联。
正在接受物质使用障碍治疗的女性样本(n = 225)和正在接受家庭暴力服务的女性样本(n = 222)自愿参与本研究。我们使用亲子冲突策略量表来回顾性评估童年期父母攻击的经历,并使用复合国际诊断访谈根据国际疾病分类(ICD - 10)标准诊断酒精依赖。
对数据进行的逻辑回归分析表明,处于物质使用障碍治疗样本中、失业以及非黑人与终生酒精依赖诊断的较高可能性显著相关。发现母亲心理攻击与酒精依赖显著相关。发现父亲心理攻击与非白人女性的酒精依赖显著相关,但与白人女性无关。母亲和父亲的身体虐待均被发现与酒精依赖显著相关,但仅适用于未报告童年期性虐待的女性。
女性童年期虐待经历与酒精问题发展之间的关联很复杂。需要分别对不同种族的女性样本以及因不同问题接受服务的女性样本进行母亲和父亲虐待经历的考察。