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新婚夫妇中的饮酒行为、酒精相关问题及抑郁症状

Alcohol use, alcohol problems, and depressive symptomatology among newly married couples.

作者信息

Homish Gregory G, Leonard Kenneth E, Kearns-Bodkin Jill N

机构信息

Research Institute on Addictions, University at Buffalo, The State University of New York, 1021 Main Street, Buffalo, NY 14203-1016, USA.

出版信息

Drug Alcohol Depend. 2006 Jul 27;83(3):185-92. doi: 10.1016/j.drugalcdep.2005.10.017. Epub 2005 Dec 7.

Abstract

BACKGROUND

Individuals married to heavy drinking spouses often have poorer health compared to those whose spouses are not heavy drinkers. This work examined how one spouse's alcohol involvement and alcohol-related problems affect his/her spouse's depressive symptomatology over time.

METHODS

Couples (N=634) were assessed for past year alcohol involvement and alcohol-related problems (marital and non-marital) and depressive symptomatology when they applied for a marriage license. They were reassessed at their first and second anniversaries. Multilevel models were used to analyze the association between one spouse's alcohol involvement and alcohol problems and his/her partner's depressive symptomatology over time.

RESULTS

Both husbands' and wives' marital alcohol problems were associated with wives' depressive symptoms. Neither spouses' alcohol consumption was associated with wives' depressive symptoms. Husbands' marriage-related alcohol problems and frequency of heavy drinking were related to husbands' depressive symptoms; however, wives' alcohol problems and alcohol use were unrelated to husbands' depression.

CONCLUSIONS

In a community sample of married couples, we found that husbands' and wives' marital alcohol problems affect wives' depressive symptoms, but only husbands' marital alcohol problems affect husbands' depressive symptoms. Future work should consider other subgroups of alcohol-related problems in one spouse and their relation to depression in his/her partner.

摘要

背景

与配偶非酗酒者相比,配偶为酗酒者的个体往往健康状况较差。这项研究探讨了一方配偶的酒精摄入及与酒精相关的问题如何随时间影响其配偶的抑郁症状。

方法

对634对夫妇在申请结婚证时进行了评估,了解他们过去一年的酒精摄入及与酒精相关的问题(婚姻及非婚姻方面)和抑郁症状。在他们结婚一周年和两周年时进行重新评估。采用多层次模型分析一方配偶的酒精摄入和酒精问题与其配偶随时间变化的抑郁症状之间的关联。

结果

丈夫和妻子的婚姻酒精问题均与妻子的抑郁症状相关。配偶双方的酒精消费均与妻子的抑郁症状无关。丈夫与婚姻相关的酒精问题及酗酒频率与丈夫的抑郁症状有关;然而,妻子的酒精问题和饮酒情况与丈夫的抑郁无关。

结论

在一个已婚夫妇的社区样本中,我们发现丈夫和妻子的婚姻酒精问题会影响妻子的抑郁症状,但只有丈夫的婚姻酒精问题会影响丈夫的抑郁症状。未来的研究应考虑一方配偶中与酒精相关问题的其他亚组及其与配偶抑郁的关系。

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