Comparative effectiveness of three types of spouse involvement in outpatient behavioral alcoholism treatment.

McCrady, Barbara S.; Noel, Nora E.; Abrams, David B.; Stout, Robert L.; Nelson, Hilary Fisher; Hay, William M.

doi:10.15288/jsa.1986.47.459

Cited by 199 publications

(119 citation statements)

References 18 publications

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“…These findings are also consistent with clinical studies indicating that positive outcomes after alcoholism treatment are fostered by marital satisfaction (Maisto et al, 1998;Orford, et al, 1975) and that alcoholism treatment is more effective when treatments focused on improving marital functioning are also provided (e.g. O'Farrell, Cutter, & Floyd, 1985;McCrady, et al, 1986). In addition, these findings are also consistent with a broader literature suggesting that marital quality is associated with desistence from antisocial behavior and substance use (Laub, Nagin, & Sampson, 1998;Maume, Ousey, & Beaver, 2005).…”

Section: Discussionsupporting

confidence: 88%

Predictors of heavy drinking and drinking problems over the first 4 years of marriage.

Leonard

Homish

2008

Psychology of Addictive Behaviors

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This study investigated the factors predictive of heavy drinking and drinking problems over the early years of marriage, focusing on the premarital drinking and relatively stable individual risk and protective factors that were present prior to marriage, and on social-interpersonal factors that may change or emerge over marriage. Newlywed couples were assessed at the time of marriage, and at the 1 st , 2 nd , and 4 th anniversaries with respect to frequency of heavy drinking and the extent of drinking problems, and a variety of factors that have been found to be predictive of adult alcohol problems. The results indicated that antisocial characteristics, family history of alcoholism, negative affect, and alcohol expectancies were related to heavy drinking and alcohol problems at the time of marriage. Changes after marriage were predicted by the drinking of one's partner and of one's peers and by alcohol expectancies for social/physical pleasure for both men and women. In addition, the quality of the marriage was longitudinally protective from the experience of alcohol problems for both men and women, although it was not related to changes in heavy drinking. KeywordsAlcohol Problems; Drinking Patterns; Marital Functioning; Partner Influence; Peer Influence Theoretical approaches to excessive drinking and alcohol problems have shifted from risk factor and person-environment interaction models to probabilistic-developmental models (e.g., Zucker, 2004) that incorporate person-environmental interactions into a broader developmental psychopathology approach (Windle & Davies, 1999). These models emphasize an array of biological, psychological, and social processes, sometimes acting in concert and sometimes in opposition to each other. This model argues that alcohol use and alcohol problems both affect and are affected by maturational processes and phase-specific transitional events. As Zucker, Fitzgerald, and Moses (1995) (p. 686). From this perspective, understanding the development of heavy drinking and alcohol problems is fostered by focusing on transitional events, particularly those that introduce, remove, or reorganize the biological, psychological, or social influences on drinking.One of the most important psychosocial transitional events is marriage, an event experienced by more than 70% of men and women by age 35 (Fields, 2003). Marriage carries with it a variety of tasks that can fundamentally alter an individual's view of self, as well as how the broader social network behaves toward the individual and the couple. At the psychological level, there is often a marked shift away from more individualistic values and toward more interdependent and socially positive values, consistent with the adoption of the new role of spouse. There is also often a major reorganization of the social network involving the reestablishment or redefinition of ties, both as individuals and as a couple, with each member's extended family and peer network (Boss, 1983;McGoldrick & Carter, 1982).In addition to these psycho-socia...

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Section: Discussionsupporting

confidence: 88%

Predictors of heavy drinking and drinking problems over the first 4 years of marriage.

Leonard

Homish

2008

Psychology of Addictive Behaviors

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“…Seminal work, conducted by O'Farrell et al (1985) and McCrady et al (1986), reported promising effects for adding ABCT to alcoholism treatment, with respect to both marital functioning and drinking outcomes. This work and subsequent research by these two teams demonstrated that (a) the improvement was not simply due to including the spouse in the treatment context; (b) the improvement was observed primarily in ABCT and not other marital therapies; (c) the advantages of ABCT could be observed at two years after treatment, and (d) ABCT had an overall positive cost/benefit ratio (Epstein & McCrady 1998).…”

Section: Treating the Marriages Of Alcoholicsmentioning

confidence: 99%

Marital and Family Processes in the Context of Alcohol Use and Alcohol Disorders

Leonard

Eiden²

2007

Annu. Rev. Clin. Psychol.

248

211

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Alcohol use is often part of the fabric of marriage and family life, and although it is associated with certain positive effects, excessive drinking and alcohol disorders can exert a negative effect on the marital development and on the development of children in the context of the family. This review considers evidence that alcohol influences and is influenced by marital/family processes, including transitions into marriage and parenthood, marital satisfaction, marital violence, parenting, and child development. The review discusses the importance of antisocial behavior and the need to examine women's drinking, and the joint impact of men's and women's drinking on marital/family processes. The review highlights the lack of studies in certain key areas, including the link between discordant drinking and violence and marital satisfaction, the role of alcohol in child neglect, and the potential role of marital conflict as a mediator or moderator of the relationship between alcohol and child functioning.

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“…For instance, McCrady, Stout, Noel, Abrams, and Nelson (1991) found that a treatment for alcoholism that involved the spouse led to gradual improvements in abstinence, as well as higher reports of well-being and lower rates of marital separation. Longabaugh et al (1983) found that two treatments for alcoholism that involved spouses were equally effective in producing abstinence, but that the treatment that allowed patients to go home at nights and on weekends rather than remain hospitalized led to reports of higher well-being.…”

Section: Many Psychological Interventions Are Effectivementioning

confidence: 99%

Beyond Money

Diener

Seligman

2004

Psychol Sci Public Interest

1,802

292

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SUMMARY-Policy decisions at the organizational, corporate, and governmental levels should be more heavily influenced by issues related to well-being--people's evaluations and feelings about their lives. Domestic policy currently focuses heavily on economic outcomes, although economic indicators omit, and even mislead about, much of what society values. We show that economic indicators have many shortcomings, and that measures of well-being point to important conclusions that are not apparent from economic indicators alone. For example, although economic output has risen steeply over the past decades, there has been no rise in life satisfaction during this period, and there has been a substantial increase in depression and distrust. We argue that economic indicators were extremely important in the early stages of economic development, when the fulfillment of basic needs was the main issue. As societies grow wealthy, however, differences in well-being are less frequently due to income, and are more frequently due to factors such as social relationships and enjoyment at work.Important noneconomic predictors of the average levels of well-being of societies include social capital, democratic governance, and human rights. In the workplace, noneconomic factors influence work satisfaction and profitability. It is therefore important that organizations, as well as nations, monitor the well-being of workers, and take steps to improve it.Assessing the well-being of individuals with mental disorders casts light on policy problems that do not emerge from economic indicators. Mental disorders cause widespread suffering, and their impact is growing, especially in relation to the influence of medical disorders, which is declining. Although many studies now show that the suffering due to mental disorders can be alleviated by treatment, a large proportion of persons with mental disorders go untreated. Thus, a policy imperative is to offer treatment to more people with mental disorders, and more assistance to their caregivers.Supportive, positive social relationships are necessary for well-being. There are data suggesting that well-being leads to good social relationships and does not merely follow from them. In addition, experimental evidence indicates that people suffer when they are ostracized from groups or have poor relationships in groups. The fact that strong social relationships are critical to well-being has many policy implications. For instance, corporations should carefully consider relocating employees because doing so can sever friendships and therefore be detrimental to well-being.Desirable outcomes, even economic ones, are often caused by well-being rather than the other way around. People high in wellbeing later earn higher incomes and perform better at work than people who report low well-being. Happy workers are better organizational citizens, meaning that they help other people at work in various ways. Furthermore, people high in well-being seem to have better social relationships than people low in wellbeing. ...

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Comparative effectiveness of three types of spouse involvement in outpatient behavioral alcoholism treatment.

Cited by 199 publications

References 18 publications

Predictors of heavy drinking and drinking problems over the first 4 years of marriage.

Predictors of heavy drinking and drinking problems over the first 4 years of marriage.

Marital and Family Processes in the Context of Alcohol Use and Alcohol Disorders

Beyond Money

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