Fairbairn Catharine E, Cranford James A
Department of Psychology.
Addiction Research Center, Department of Psychiatry, University of Michigan.
J Abnorm Psychol. 2016 Aug;125(6):805-10. doi: 10.1037/abn0000186. Epub 2016 Jun 30.
Models of alcohol use disorder (AUD) are increasingly conceptualizing social and relationship factors as being critical to the understanding of problem drinking. Close relationships involving conflict have been a particular research focus, and partners' expressions of negative emotion are theorized to affect drinking among those with AUD. Although it has long been presumed that behaviors during couples interactions influence drinking-and this assumption has informed many modern treatments for AUD-this hypothesis has not been directly tested. We bring multiple methods to bear on this question, combining laboratory-based behavioral observation with a longitudinal design. Forty-eight individuals with AUD (probands), together with their partners, completed a laboratory-based conflict interaction. Their behavior was coded with the Rapid Marital Interaction Coding System. Longitudinal follow-ups of drinking behaviors were completed at 6 and 12 months. Results showed that, above and beyond the proband's own behaviors, partner negative behaviors moderated probands' drinking trajectories, with drinkers whose partners displayed higher levels of hostility at baseline reporting slower declines in frequency of drinking, heavy episodic drinking, and alcohol problems over time and higher levels of drinking, heavy episodic drinking, and alcohol problems at follow-up. Results emphasize the importance of considering close relationships in the study of AUD and further indicate the utility of combining multiple methods in alcohol research. (PsycINFO Database Record
酒精使用障碍（AUD）模型越来越将社会和关系因素视为理解问题饮酒的关键。涉及冲突的亲密关系一直是一个特别的研究重点，并且理论上认为伴侣的负面情绪表达会影响患有酒精使用障碍者的饮酒行为。尽管长期以来人们一直假定夫妻互动中的行为会影响饮酒——这一假设为许多现代酒精使用障碍治疗方法提供了依据——但这一假设尚未得到直接检验。我们运用多种方法来探讨这个问题，将基于实验室的行为观察与纵向设计相结合。48名患有酒精使用障碍的个体（先证者）及其伴侣完成了一次基于实验室的冲突互动。他们的行为使用快速婚姻互动编码系统进行编码。在6个月和12个月时完成了对饮酒行为的纵向随访。结果表明，除了先证者自身的行为之外，伴侣的负面行为调节了先证者的饮酒轨迹，其伴侣在基线时表现出更高敌意水平的饮酒者报告称，随着时间推移，饮酒频率、大量饮酒发作和酒精问题的下降速度较慢，并且在随访时饮酒水平、大量饮酒发作和酒精问题更高。结果强调了在酒精使用障碍研究中考虑亲密关系的重要性，并进一步表明了在酒精研究中结合多种方法的实用性。（PsycINFO数据库记录）
