DSM-IV Alcohol Dependence and Marital Dissolution: Evidence From the National Epidemiologic Survey on Alcohol and Related Conditions

Cranford, James A.

doi:10.15288/jsad.2014.75.520

Cited by 40 publications

(30 citation statements)

References 70 publications

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“…However, the causal direction between unmarried status and psychiatric disorder is unclear. Dysfunction accompanying disorders can impair ability to establish or maintain a marriage, e.g., a study showed that Wave 1 alcohol disorders predicted marital dissolution at Wave 2 [93]). However, lack of social/emotional marital support may also increase risk for disorders, e.g., a study showing that unexpected death of a loved one at Wave 1 increased risk for Wave 2 disorders [94].…”

Section: Major Findingsmentioning

confidence: 99%

The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Waves 1 and 2: review and summary of findings

Hasin

Grant

2015

Soc Psychiatry Psychiatr Epidemiol

395

293

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Purpose The NESARC, a “third generation” psychiatric epidemiologic survey that integrated detailed measures of alcohol and drug use and problems, has been the data source for over >850 publications. A comprehensive review of NESARC findings and their implications is lacking. Method NESARC was a survey of 43,093 participants that covered alcohol, drug and psychiatric disorders, risk factors, and consequences. Wave 1 of the NESARC was conducted in 2001-2002. Three years later, Wave 2 follow-up re-interviews were conducted with 34,653 of the original participants. Scopus and Pubmed were used to search for NESARC papers, which were sorted into topic areas and summarized. Result The most common disorders were alcohol and post-traumatic stress disorders, and major depression. Females had more internalizing disorders and males had more externalizing disorders, although the preponderance of males with alcohol disorders (the “gender gap”) is less pronounced than it was in previous decades. A race/ethnic “paradox” (lower risk among disadvantaged minorities than whites) remains unexplained. Younger participants had higher risk for substance and personality disorders, but not unipolar depressive or anxiety disorders. Psychiatric comorbidity was extensive and often formed latent trans-diagnostic domains. Since 1991-1992, risk for marijuana and prescription drug disorders increased, while smoking decreased, although smoking decreases were less pronounced among those with comorbidity. A nexus of comorbidity, social support, and stress predicted transitions in diagnostic status between Waves 1 and 2. Childhood maltreatment predicted psychopathology. Alcohol and drug use disorders were seldom treated; attitudinal barriers (little perceived need, perceived alcoholism stigma, pessimism about efficacy) were more important in predicting non-treatment than financial barriers. Conclusions Understanding comorbidity and the effects of early stressors will require research incorporating biologic components, e.g., genetic variants and brain imaging. The lack of treatment for alcohol and drug disorders, predicted by attitudinal rather than financial variables, suggests urgent need for public and professional education to reduce the stigma associated with these disorders, and increase knowledge of treatment options.

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Section: Major Findingsmentioning

confidence: 99%

The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Waves 1 and 2: review and summary of findings

Hasin

Grant

2015

Soc Psychiatry Psychiatr Epidemiol

395

293

View full text Add to dashboard Cite

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“…Additional findings indicate high rates of divorce among substance abusing individuals (Cranford, 2014) and substantial rates of conflict, including physical violence, before entering substance abuse treatment (Chermack and Blow, 2002). Taken together, this research suggests that substance-using individuals are even less likely to be married or in a high-quality, committed intimate relationship compared to the general population.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial relationship status and quality as predictors of exercise intervention adherence and substance use outcomes: Results from the STRIDE (CTN-0037) study

Trombello

Carmody

Greer

et al. 2017

Psychiatry Research

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Social/intimate relationship status and quality are associated with health-promoting behaviors, while living alone or being isolated are adversely associated with physical and mental health outcomes. Limited work has investigated how particular components of one's social environment – usual living arrangements, satisfaction with those arrangements, and global social and family discord – are related to substance use reduction and intervention adherence. We investigated these questions in 270 individuals receiving study intervention for stimulant abuse/dependence through the multi-site Stimulant Reduction Intervention using Dosed Exercise (CTN-0037) trial. Using mixed effects modeling, results indicated that individuals with baseline social discord used stimulants on more days throughout the intervention period than those without social discord (d=0.39). An interaction between gender, usual living arrangements, and satisfaction with those arrangements indicated that women who lived alone and were dissatisfied with that arrangement reported greater days of stimulant use compared to several other groups (d≥1.46). Finally, individuals who reported usually living with a non-partner over the past three years attended a greater percentage of intervention sessions compared to those usually living with a partner (d=0.34). These results identify sample subgroups with adverse stimulant use and intervention adherence outcomes and suggest areas for future inquiry/intervention.

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“…Other longitudinal evidence showed that wives’ (but not husbands’) AUDs predicted their own and their husband’s marital dissatisfaction (Cranford et al, 2011), and a study using behavioral observation methods found higher levels of negativity and lower levels of positivity in couples with a female alcoholic proband compared to couples with a male alcoholic proband or no alcoholic proband (Haber & Jacob, 1997). However, a study based on a nationally representative sample found no evidence for gender differences in the relationship between AUD and marital dissolution (Cranford, 2014). …”

Section: Introductionmentioning

confidence: 99%

Using multiple methods to examine gender differences in alcohol involvement and marital interactions in alcoholic probands

Cranford

Tennen

Zucker

2015

Addictive Behaviors

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Background This study examined gender differences in alcohol involvement and marital interactions among probands with a past 1-year alcohol use disorder (AUD). Methods Adults with alcohol dependence (37 males and 17 females) and their spouses were recruited from a local substance abuse treatment center and from the local community. Couples completed a series of self-report measures and a 15-min videotaped marital interaction task that was coded for negative and positive behaviors and sequential interactions. Couples also separately called in to an interactive voice response (IVR) system every night for 14 consecutive nights and reported on their spouse’s negative and positive marital behaviors. Results Compared to male probands, female probands reported a) more negative marital interactions in the previous month; b) higher levels of negative reciprocity and a lower positive-to-negative ratio in the marital interaction task; and c) more daily and nightly marital conflict over the 14-day diary period. Negative marital behaviors in the evening by female spouses were associated with higher odds of intoxication among male probands on the following day. By contrast, a) negative marital behaviors by male spouses were cross-sectionally associated with higher odds of intoxication among female probands within the same day; and b) positive marital behaviors by male spouses during the day were associated with lower odds of intoxication among female probands that night. Conclusions Marital conflict, assessed via multiple methods over multiple time scales, appears to be more frequent among female compared to male alcoholics. Marital conflict predicts daily intoxication among male and female probands.

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DSM-IV Alcohol Dependence and Marital Dissolution: Evidence From the National Epidemiologic Survey on Alcohol and Related Conditions

Cited by 40 publications

References 70 publications

The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Waves 1 and 2: review and summary of findings

The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Waves 1 and 2: review and summary of findings

Psychosocial relationship status and quality as predictors of exercise intervention adherence and substance use outcomes: Results from the STRIDE (CTN-0037) study

Using multiple methods to examine gender differences in alcohol involvement and marital interactions in alcoholic probands

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