Miller B A, Downs W R, Testa M
Research Institute on Addictions, Buffalo, New York 14203.
J Stud Alcohol Suppl. 1993 Sep;11:109-17. doi: 10.15288/jsas.1993.s11.109.
The interrelationships between experiences of childhood victimization and the development of women's alcohol-related problems are explored. Two different forms of childhood victimization are examined: (1) parent-to-child violence and (2) childhood sexual abuse (familial and nonfamilial). Data were collected from 472 women between the ages of 18 and 45 during in-depth interviews. Women were grouped to allow for the following two sets of comparisons: comparison 1: alcoholics in alcoholism treatment (n = 98), drinking drivers (n = 100) and a household sample (without alcohol problems) (n = 82); comparison 2: women with alcohol problems in treatment (n = 178), women without alcohol problems in treatment (n = 92) and a household sample (n = 82). High rates of childhood victimization for women with alcohol problems suggest that there is a link between victimization and the development, specifically, of women's alcohol problems. The strength of the interrelationships between childhood victimization and the development of women's alcohol problems when holding the treatment condition constant is of particular interest in this study. The rates of childhood victimization were significantly greater for women with alcohol problems in treatment as compared to women without alcohol problems in treatment. Thus, even when holding the treatment condition and family background variables constant, childhood victimization has a specific connection to the development of women's alcohol problems. These findings remained significant even when controlling for demographic and family background differences, including parental alcohol problems.
本文探讨了童年期受侵害经历与女性酒精相关问题发展之间的相互关系。研究考察了两种不同形式的童年期受侵害情况:(1)亲子暴力;(2)童年期性虐待(家庭内和家庭外)。通过深入访谈收集了472名年龄在18至45岁之间女性的数据。将女性分组以进行以下两组比较:比较1:接受酒精成瘾治疗的酗酒者(n = 98)、酒驾者(n = 100)和一个家庭样本(无酒精问题)(n = 82);比较2:接受治疗的有酒精问题的女性(n = 178)、接受治疗的无酒精问题的女性(n = 92)和一个家庭样本(n = 82)。有酒精问题的女性童年期受侵害率较高,这表明受侵害与女性酒精问题的发展之间存在联系。在本研究中,特别关注在治疗条件不变的情况下,童年期受侵害与女性酒精问题发展之间相互关系的强度。与接受治疗的无酒精问题的女性相比,接受治疗的有酒精问题的女性童年期受侵害率显著更高。因此,即使在治疗条件和家庭背景变量不变的情况下,童年期受侵害与女性酒精问题的发展也存在特定联系。即使在控制了人口统计学和家庭背景差异(包括父母的酒精问题)后,这些发现仍然显著。