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Family interactions of alcoholics as related to alcoholism type and drinking condition.
Alcohol Clin Exp Res. 2001 Jun; 25(6):835-43.AC

Abstract

BACKGROUND

Several studies have reported that the marital interactions of antisocial and aggressive, versus nonantisocial and nonaggressive, alcoholics exhibit higher rates of aversive-defensive communications and higher levels of negative reciprocity. To extend these findings, we examined the effect of alcoholism type (high- versus low-antisocial alcoholics: HAS, LAS) and drinking condition on family communication patterns.

METHODS

Marital and parent-child dyads from 100 alcoholic families were videotaped while they discussed personally relevant issues during drinking and no-drinking sessions (no children were offered any alcohol). All interactions were coded with the Marital Interaction Coding System, and the data were assessed for differences in rate of positive, negative, and problem-solving behaviors, as well as sequential structures.

RESULTS

HAS couples were more negative during the drink versus no-drink condition, whereas drinking did not affect negativity for LAS couples. In addition, the negative communications of HAS versus LAS alcoholics were more likely to increase spouse negativity during the drink versus no-drink condition. Group differences for parent-child interactions were few.

CONCLUSIONS

The nature of family interactions was related to both alcoholism type and alcohol consumption, and the marital interactions of alcoholism types could be differentiated on the basis of the frequency and sequential structure of negative exchanges. It is most important to note that it is the interactions of the HAS alcoholic that undergo the most change as a function of drinking condition, with little support for the "adaptive consequences" hypothesis that alcohol consumption leads to more effective problem-solving for couples in which the alcoholic exhibits fewer antisocial and more internalizing characteristics. Study limitations and directions for future research are discussed.

Authors+Show Affiliations

Palo Alto Veterans Affairs Health Care System, Palo Alto, California 94304, USA. tjacob@odd.stanford.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

11410718

Citation

Jacob, T, et al. "Family Interactions of Alcoholics as Related to Alcoholism Type and Drinking Condition." Alcoholism, Clinical and Experimental Research, vol. 25, no. 6, 2001, pp. 835-43.
Jacob T, Leonard KE, Randolph Haber J. Family interactions of alcoholics as related to alcoholism type and drinking condition. Alcohol Clin Exp Res. 2001;25(6):835-43.
Jacob, T., Leonard, K. E., & Randolph Haber, J. (2001). Family interactions of alcoholics as related to alcoholism type and drinking condition. Alcoholism, Clinical and Experimental Research, 25(6), 835-43.
Jacob T, Leonard KE, Randolph Haber J. Family Interactions of Alcoholics as Related to Alcoholism Type and Drinking Condition. Alcohol Clin Exp Res. 2001;25(6):835-43. PubMed PMID: 11410718.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Family interactions of alcoholics as related to alcoholism type and drinking condition. AU - Jacob,T, AU - Leonard,K E, AU - Randolph Haber,J, PY - 2001/6/19/pubmed PY - 2001/8/3/medline PY - 2001/6/19/entrez SP - 835 EP - 43 JF - Alcoholism, clinical and experimental research JO - Alcohol. Clin. Exp. Res. VL - 25 IS - 6 N2 - BACKGROUND: Several studies have reported that the marital interactions of antisocial and aggressive, versus nonantisocial and nonaggressive, alcoholics exhibit higher rates of aversive-defensive communications and higher levels of negative reciprocity. To extend these findings, we examined the effect of alcoholism type (high- versus low-antisocial alcoholics: HAS, LAS) and drinking condition on family communication patterns. METHODS: Marital and parent-child dyads from 100 alcoholic families were videotaped while they discussed personally relevant issues during drinking and no-drinking sessions (no children were offered any alcohol). All interactions were coded with the Marital Interaction Coding System, and the data were assessed for differences in rate of positive, negative, and problem-solving behaviors, as well as sequential structures. RESULTS: HAS couples were more negative during the drink versus no-drink condition, whereas drinking did not affect negativity for LAS couples. In addition, the negative communications of HAS versus LAS alcoholics were more likely to increase spouse negativity during the drink versus no-drink condition. Group differences for parent-child interactions were few. CONCLUSIONS: The nature of family interactions was related to both alcoholism type and alcohol consumption, and the marital interactions of alcoholism types could be differentiated on the basis of the frequency and sequential structure of negative exchanges. It is most important to note that it is the interactions of the HAS alcoholic that undergo the most change as a function of drinking condition, with little support for the "adaptive consequences" hypothesis that alcohol consumption leads to more effective problem-solving for couples in which the alcoholic exhibits fewer antisocial and more internalizing characteristics. Study limitations and directions for future research are discussed. SN - 0145-6008 UR - https://www.unboundmedicine.com/medline/citation/11410718/Family_interactions_of_alcoholics_as_related_to_alcoholism_type_and_drinking_condition_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0145-6008&date=2001&volume=25&issue=6&spage=835 DB - PRIME DP - Unbound Medicine ER -