Pérodeau G M, Kohn P M
Douglas Hospital Research Centre, McGill University, Verdun, Quebec, Canada.
Drug Alcohol Depend. 1989 Jan;23(1):1-11. doi: 10.1016/0376-8716(89)90027-6.
Fifty-five treated alcoholics (31 males and 24 females) were matched with a control group of social drinkers on four dimensions: sex, age, level of education and number of children. Spouses of alcoholic and non-alcoholic respondents were also sampled (total n = 199). Respondents and spouses completed the following questionnaires: The Dyadic Adjustment Scale (DAS), the Areas of Change Questionnaire (AC), and the Marital Status Inventory (MSI). Major results were as follows: (1) Alcoholics reported poorer marital functioning than non-alcoholics. (2) Male alcoholics described less troubled relationships than did female alcoholics. (3) However, spouses of alcoholics described strained marriages in both cases. (4) Alcoholic couples were less congruent than control couples on conscious decisions regarding marital dissolution. (5) Alcoholic wives had taken more steps towards marital dissolution than their husbands had, whereas alcoholic husbands had taken fewer steps than their wives had. It was suggested that male alcoholics externalize their drinking and deny its impact on their marriages, whereas female alcoholics acknowledge their drinking and take the blame for their marital problems. Therapeutic and research implications were discussed.
55名接受治疗的酗酒者（31名男性和24名女性）在性别、年龄、教育程度和子女数量这四个维度上与一个社交饮酒者对照组进行了匹配。还对酗酒者和非酗酒者的配偶进行了抽样（总计n = 199）。受访者和配偶完成了以下问卷：二元调适量表（DAS）、改变领域问卷（AC）和婚姻状况量表（MSI）。主要结果如下：（1）酗酒者报告的婚姻功能比非酗酒者差。（2）男性酗酒者描述的关系困扰比女性酗酒者少。（3）然而，在这两种情况下，酗酒者的配偶都描述了紧张的婚姻关系。（4）在关于婚姻解体的有意识决定方面，酗酒夫妇比对照组夫妇的一致性更低。（5）酗酒的妻子比她们的丈夫采取了更多走向婚姻解体的步骤，而酗酒的丈夫比他们的妻子采取的步骤更少。研究表明，男性酗酒者将饮酒行为外化，并否认其对婚姻的影响，而女性酗酒者承认自己饮酒，并为婚姻问题承担责任。文中还讨论了治疗和研究方面的意义。
