Miller B A, Downs W R, Gondoli D M, Keil A
Research Institute on Alcoholism, New York State Division of Alcoholism and Alcohol Abuse, Buffalo.
Violence Vict. 1987 Fall;2(3):157-72.
The effects of childhood sexual abuse on the development of alcoholism in women were examined by comparing a sample of 45 alcoholic women selected from local treatment agencies and Alcoholics Anonymous groups with a group of 40 nonalcoholic women selected randomly from a household population. Face-to-face interview schedules were administered to both samples. Sexual abuse was defined as any unwanted sexual contact with a person at least five years older than the respondent, or with any family relative, regardless of age difference. Types of sexual contact included both nonphysical contact (e.g., invitations, exposure) and physical contact (e.g., fondling, intercourse). Results showed that alcoholic women were more likely to have experienced sexual abuse, had a greater number of different types of sexual abuse experiences, and endured sexual abuse over a longer period than the comparison group. The presence of any childhood sexual abuse experience was sufficient to discriminate between the alcoholic women and the comparison group, even controlling for demographic variables and the presence of a parent with alcohol-related problems. Although alcoholic women were more likely to report that a parent had alcohol-related problems, relatively few of the sexual abuse incidents were perpetrated by a parent. The data suggest that vulnerabilities to sexual abuse were attributable to environmental or psychological factors in homes in which a parent was reported as having alcohol-related problems.
通过比较从当地治疗机构和戒酒互助会中选取的45名酗酒女性样本与从家庭人口中随机选取的40名非酗酒女性样本，研究了童年期性虐待对女性酗酒发展的影响。对两个样本都进行了面对面访谈。性虐待被定义为与比受访者至少大五岁的人或任何家庭成员发生的任何非自愿性接触，无论年龄差异如何。性接触类型包括非身体接触（如邀请、暴露）和身体接触（如抚摸、性交）。结果显示，与对照组相比，酗酒女性更有可能经历过性虐待，有更多不同类型的性虐待经历，且遭受性虐待的时间更长。即使在控制了人口统计学变量和有与酒精相关问题的父母的情况下，任何童年期性虐待经历的存在都足以区分酗酒女性和对照组。虽然酗酒女性更有可能报告父母有与酒精相关的问题，但相对较少的性虐待事件是由父母实施的。数据表明，性虐待的易感性归因于报告有与酒精相关问题的父母所在家庭的环境或心理因素。
