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Abstract

French

Helene Bygholm Christensen: Family interaction and symptoms of psychological distress among alcoholics and spouses

This article focuses on the relationship between alcoholism, dysfunctional family interaction and symptoms of psychological distress among alcoholics and spouses. In a Danish sample of 58 alcoholics and 23 spouses, measures of psychological distress showed that both alcoholics and spouses were psychologically impaired (Brief Symptom Inventory). We found no significant differences between the two groups, indicating that being a spouse of an alcoholic is connected to the same amount of psychological distress as being alcoholic. Family interaction in this group of alcoholic families is characterized by being rigid and control oriented, with unclear communication and an atmosphere of depressiveness, hostility and anxiety (measured with Self-Report Family Inventory). Measures of family interaction and symptoms of psychological distress were mostly unrelated to measures of socioeconomic status and drinking pattern. We found strong correlations between all dimensions of family interaction and alcoholics' symptoms of psychological distress. Contrary to this, spouses' symptoms of psychological distress were almost only related to the level of conflict in the family. The results of this study emphasize the necessity of bringing considerations of comorbidity and family interaction into the treatment of alcoholics.

Keywords

Alcoholism spouse family interaction psychological distress demographics drinking pattern

References

American Psychiatric Association (1995): Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC

Babor

T.F.

, & Brown

, & Del Boca

F.K.

(1990): Validity of self-reports in applied research on additive behaviours: Facts or fiction? Behavioral Assessment 12: 1–27

Bateson

(1987): Steps to an Ecology of Mind. London: Jason Aronson Inc.

Beavers

W.R.

(1981): A System Model of Family for Family Therapists. Journal of Marital and Family Therapy (July): 299–307

Beavers

W.R.

, & Voeller

M.N.

(1983): Family Models: Comparing and Contrasting the Olson Circumplex Model with the Beavers Systems Model. Family Process 22: 85–98

Beavers

W.R.

, & Hampson

R.B.

, & Hulgus

Y.F.

(1990): Beavers System Model Manual. Dallas, TX: Southwest Family Institute

Billings

A.G.

, & Moos

R.H.

(1983): Psychosocial Processes of Recovery among Alcoholics and their Families: Implications for Clinicians and Program Evaluators. Addictive Behaviors 8: 205–218

Christensen

H.B.

(1996): Dansk oversættelse af Self-report Family Inventory. Center for Rusmiddelforskning, Aarhus Universitet

Christensen

H.B.

(1998): Alkoholisme, relation og familieinteraktion. Nordisk Psykologi 50(4): 280–304

10.

Clair

, & Genest

(1987): Variables Associated with the Adjustment of Offsprings of Alcoholic Fathers. Journal of Studies on Alcohol 48(4): 345–355

11.

Cooney

N.L.

, & Zweben

, & Fleming

M.F.

(1995): Screening for Alcohol Problems and At-Risk Drinking in Health-Care Settings. In: Hester

R.K.

, & Miller

W.R.

(eds.): Handbook of Alcoholism Treatment Approaches. Effective Alternatives, 2. ed.

Boston:

Allyn and Bacon

12.

Cronkite

R.C.

, & Finney

J.W.

, & Nekich

, & Moos

R.H.

(1990): Remission Among Alcoholic Patients and Family Adaptation to Alcoholism: A Stress and Coping Perspective. In: Collins

R.L.

, & Leonard

K.E.

, & Searles

(eds.): Alcohol and the Family. Research and Clinical Perspectives. New York: The Guildford Press, 309–338

13.

Derogatis

L.R.

, & Melisaratos

(1983): The Brief Symptom Inventory: An Introductory Report. Psychological Medicin (13): 595–605

14.

Derogatis

L.R.

(1993): BSI. Brief Symptom Inventory. Administration, Scoring and Procedures Manual. Minneapolis, USA: National Computer System Inc.

15.

Derogatis

L.R.

, & Lazarus

(1994): SCL-90-R, Brief Symptom Inventory and Matching Clinical Rating Scale. In: Maruisen

M.E.

, & Erlbaum

(eds.): The Use of Psychological Testing for Treatment Planning and Outcome Assesment. New Jersey: Associations Publishers, 217–248

16.

Duckert

(1996): Personlig kommunikation

17.

Gilligan

(1982): In a Different Voice. Cambridge, MA: Harvard University Press

18.

Hansen

(1992): Fra avmakt til handlekraft. En terapeuts møte med voksne barn af rusmisbrukere. Tidsskrift for Norsk Psykologforening 29: 599–610

19.

Haugland

B.S.

, & Havik

O.E.

(1998): Correlates of Family Competence in Families with Parental Alcohol Abuse. Psychological Reports 83: 867–880

20.

Jacob

, & Dunn

, & Leonard

(1981): Patterns of Alcohol Abuse and Family Stability. Alcoholism: Clinical and Experimental Research 7: 382–385

21.

Jacob

, & Leonard

(1988): Alcoholic-Spouse Interaction as a Function of Alcoholism Subtype and Alcohol Consumption. Journal of Abnormal Psychology, 97: 231–237

22.

Kessler

R.C.

, & McLeod

J.D.

(1984): Sex Differences in Vulnerability to Undesirable Life Events. American Sociological Review 49: 620–631

23.

McCrady

B.S.

(1990): The Marital Relationship and Alcoholism Treatment. In: Collins

R.L.

, & Leonard

K.E.

, & Searles

J.S.

(eds.): Alcohol and the Family. Research and Clinical Perspectives. New York:

The Guildford Press

24.

McCrady

B.S.

(1993): Alcoholism. In: Barlow

D.H.

(ed.): Clinical Handbook of Psychological Disorders, 2. ed. New York:

The Guildford Press

25.

Moos

R.H.

, & Billings

A.G.

(1982): Children of Alcoholics during the Recovering Process: Alcoholic and Matched Control Families. Addictive Behavior 7: 155–163

26.

Moos

R.H.

, & Moos

B.S.

(1984): The Process of Recovery from Alcoholism: III Comparing Functioning in Families of Alcoholics and Matched Control Families. Journal of Studies on Alcohol 45(2): 111–117

27.

Rosenberg

N.K.

, & Mortensen

K.V.

(1993): Undersøgelsesmetoder i klinisk psykologisk forskning. I: Rosenberg

N.K.

, & Mortensen

K.V.

, & Hougaard

, & Lunn

, & Theilgaard

(red.) (1993): Klinisk psykologisk forskning. S. 91–115. København: Dansk Psykologisk Forlag, 91–115

28.

Rotunda

R.J.

, & Scherer

D.G.

, & Imm

P.S.

(1995): Family Systems and Alcohol Misuse: Research on the Effects of Alcoholism on Family Functioning and Effective Family Interventions. Professional Psychology: Research and Practice 26(1): 95–104

29.

Steinglass

(1979): The Alcoholic Family in the Interaction Laboratory. Journal of Nervous and Mental Disease 167(7): 428–436

30.

Steinglass

(1981): The Alcoholic Family at Home. Archives of General Psychology 38 (May): 578–584

31.

Steinglass

, & Bennett

, & Wolin

S.J.

, & Reiss

(1987): The Alcoholic Family. New York: Basic Books

32.

Taksdal

(1997): Kvinderettet rusbehandling. Oslo Rusmiddeldirektoratet/Sosial- og Helsedepartementet

33.

Vaillant

G.E.

(1995): The Natural History of Alcoholism. Revisited. The President and Fellows of Harvard College. Cambridge: Harvard University Press

34.

WHO ICD-10 (1996): Psykiatriske lidelser og adfærdsmæssige forstyrrelser. Klassifikation og diagnostiske kriterier. København: Munksgaard

35.

Zachariae

(årstal ukendt): Dansk oversættelse af Brief Symptom Inventory. Psykologisk Institut, Aarhus Universitet.

Familieinteraktion og symptomer på psykiske belastninger hos alkoholikere og ægtefæller til alkoholikere *

Abstract

Keywords

References