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Related Experiment Videos

Marital functioning in early versus late-onset alcoholic couples

E E Epstein1, B S McCrady, L S Hirsch

  • 1Center of Alcohol Studies, Rutgers-The State University of New Jersey, Piscataway 08855-0969, USA.

Alcoholism, Clinical and Experimental Research
|May 1, 1997
PubMed
Summary

This study reveals that the age of onset of alcoholism significantly impacts marital functioning. Early-onset alcoholism is linked to initial instability but greater satisfaction during treatment, while late-onset alcoholism shows different predictors for marital satisfaction.

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Area of Science:

  • Psychiatry and Behavioral Science
  • Clinical Psychology
  • Family Studies

Background:

  • Existing research on alcoholism and marital functioning is limited by sample selection and a lack of focus on alcoholic subtypes.
  • Understanding individual differences among alcoholics is crucial for effective marital intervention strategies.

Purpose of the Study:

  • To investigate the marital functioning of individuals with alcoholism within the framework of established alcohol typologies.
  • To examine the replicability and discriminant validity of four alcohol typologies: Type 1/2, In-Home/Out-of-home, Steady/Episodic, and Early/Late Onset.
  • To link the validated Early/Late Onset typology to marital functioning and treatment outcomes.

Main Methods:

  • The study utilized data from a larger conjoint treatment program for alcoholic males and their female partners.

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  • Four alcohol typologies were assessed for replicability and discriminant validity.
  • The Early/Late Onset typology, showing discriminant validity, was used to analyze baseline and treatment marital functioning and satisfaction.

    • Main Results:

    • The Early/Late Onset typology demonstrated discriminant validity, with 59% Early-Onset and 41% Late-Onset.
    • At baseline, Early-Onset couples exhibited greater marital instability and female distress.
    • During treatment, Early-Onset couples reported higher daily marital satisfaction; male satisfaction did not increase, but female satisfaction improved, especially for partners of Late-Onset alcoholics.

    Conclusions:

    • The Early/Late Onset typology is a valid framework for understanding marital functioning in alcoholism.
    • Predictors of marital satisfaction differ between genders and onset types, highlighting the need for tailored interventions.
    • For female partners, psychological distress (Early-Onset) and perceived needs accuracy (Late-Onset) are key; for males, partner needs accuracy (Early-Onset) and personal distress (Late-Onset) are significant.