Alcohol use and spousal mental distress in a population sample: the nord-trøndelag health study

BMC Public Health

Kristian Tambs²  Espen Røysamb¹  Fartein Ask Torvik²  Kamilla Rognmo² 

[1] Department of Psychology, University of Oslo, PO BOX 1094, Blindern, Oslo 0317, Norway;Norwegian Institute of Public Health, Division of Mental Health, PO BOX 4404, Nydalen, Oslo N-0403, Norway

关键词: Population sample;    Depression;    Anxiety;    Spousal mental distress;    Alcohol abuse;    Alcohol consumption;    Alcohol;   

Others  :  1162362
DOI  :  10.1186/1471-2458-13-319

 received in 2012-11-28, accepted in 2013-04-04,  发布年份 2013

【 摘 要 】

Background

It is a widely held notion that alcohol abuse is related to mental distress in the spouse. Research has substantiated this notion by showing a tendency for spouses of alcohol abusers to experience more mental distress than spouses of non-abusers. However, the picture seems to be more complex, as some results do not show a significant effect or even less mental distress among spouses of alcohol abusers with the highest alcohol consumption. The present study investigates the association between spousal mental distress and both a high consumption of alcohol and having experienced alcohol related problems.

Methods

Norwegian population-based questionnaire data from the Nord-Trøndelag Health Study (HUNT 2) were analyzed. In total 11,584 couples were eligible for analysis. Alcohol consumption was measured by numerical indicators of alcohol amount and frequency of drinking, whereas alcohol-related problems (i.e. having been criticized for excessive drinking) were measured by the CAGE Alcohol Screening Questionnaire. Multivariate hierarchical regression analyses were performed.

Results

Results revealed that alcohol consumption was significantly associated with a decrease in spousal mental distress, whereas alcohol-related problems were associated with an increase in spousal mental distress when adjusted for each other. Interaction effects indicated that couples discordant for drinking problems experienced more mental distress than spouses concordant for drinking problems.

Conclusions

The results of our study indicate that alcohol-related problems constitute a clear risk factor for spousal mental distress. On the other hand, a high consumption of alcohol per se was related to lower levels of spousal mental distress, after adjusting for the alcohol-related problems perceived by the alcohol consumer him/herself. All effect sizes were small, but the trends were clear, challenging the notion that a high consumption of alcohol is exclusively and under all circumstances negative for the spouse.

【 授权许可】

   
2013 Rognmo et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]Homish GG, Leonard KE, Kearns-Bodkin JN: Alcohol use, alcohol problems and depressive symptomatology among newly married couples. Drug Alcohol Depend 2006, 83:185-192.
• [2]Hansson H, Zetterlind U, Åberg-Örbeck K, Berglund M: Two-year outcome of coping skills training, group support and information for spouses of alcoholics. Alcohol Alcohol 2004, 39:135-140.
• [3]Tempier R, Boyer R, Lambert J, Mosier K, Duncan CR: Psychological distress among female spouses of male at risk drinkers. Alcohol 2006, 40:41-49.
• [4]Dawson DA, Grant BF, Chou SP: The impact of partner alcohol problems on women’s physical and mental health. J Stud Alcohol Drugs 2007, 68:66-75.
• [5]Schuckit MA, Smith TL, Eng MY, Kunovac J: Women who marry men with alcohol-use disorders. Alcohol Clin Exp Res 2002, 26:1336-1343.
• [6]Jacob T, Dunn NJ, Leonard K: Patterns of alcohol abuse and family stability. Alcohol Clin Exp Res 1983, 7:382-385.
• [7]Kahler CW, McCrady BS, Epstein EE: Sources of distress among women in treatment with their alcoholic partner. J Subst Abuse Treat 2003, 24:257-265.
• [8]Cornelius JR, Kirisci L, Reynolds M, Homish GG, Clark DB: Husband’s SUD is associated with higher levels of co-occurring but not non-co-occurring psychiatric disorders among their wives. Addict Behav 2008, 33:1231-1234.
• [9]Homish GG, Leonard KE: The drinking partnership and marital satisfaction: The longitudinal influence of discrepant drinking. J Consult Clin Psychol 2007, 5:43-51.
• [10]Mudar P, Leonard KE, Soltysinski K: Discrepant substance use and marital functioning in newlywed couples. J Consult Clin Psychol 2001, 69:130-134.
• [11]Kiecolt-Glaser JK, Newton TL: Marriage and health: His and hers. Psychol Bull 2001, 127:472-503.
• [12]Maes HHM, Neale MC, Kendler KS, Hewitt JK, Silberg JL, Foley DL, Meyer JM, Rutter M, Simonoff E, Pickles A, Eaves LJ: Assortative mating for major psychiatric diagnoses in two population-based samples. Psychol Med 1998, 28:1389-1401.
• [13]Tambs K: Moderate effects of hearing loss on mental health and subjective well-being: Results from the Nord-Trøndelag Hearing Loss Study. Psychosom Med 2004, 66:776-782.
• [14]Ewing JA: Detecting alcoholism: the CAGE questionnaire. JAMA 1984, 252:1905-1907.
• [15]Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta psychiatr scan 1983, 67:361-370.
• [16]Søgaard AJ, Bjelland I, Tell GS, Røysamb E: A comparison of the CONOR Mental Health Index to the HSCL-10 and HADS. Measuring mental health status in the Oslo Health Study and the Nord-Trøndelag Health Study. Nor epidemiol 2003, 13:279-284.
• [17]Fergusson DM, Boden JM, Horwood LJ: Tests of causal links between alcohol abuse or dependence and major depression. Arch gen psych 2009, 66:260-266.
• [18]Kawachi I, Berkman LF: Social ties and mental health. J Urban Health 2001, 78:458-467.
• [19]Kringlen E, Torgersen S, Cramer V: A Norwegian psychiatric epidemiological study. Am J Psychiatry 2001, 158:1091-1098.
• [20]Horverak O, Bye EK: Det Norske Drikkemønsteret: En studie basert på intervjudata fra 1973-2004. 2007, 2007. Retrieved from http://www.sirus.no/filestore/Import_vedlegg/sirusrap.2.07.pdf webcite
• [21]Dohrenwend BP, Levav I, Shrout PE, Schwartz S, Naveh G, Link BG, Skodal A, Stueve A: Socioeconomic status and psychiatric disorders: The causation selection issue. Science 1992, 255:946-952.
• [22]Torvik FA, Rognmo K, Tambs K: Alcohol use and mental distress as predictors of non-response in a general population health survey: The HUNT study. Soc Psychiatry Psychiatr Epidemiol 2011.
• [23]Knudsen AK, Hotopf M, Skogen JC, Overland S, Mykletun A: The health status of nonparticipants in a population-based health study: the Hordaland Health Study. Am J Epidemiol 2010, 172:1306-1314.
• [24]Høyer G, Nilssen O, Brenn T, Schirmer H: The Svalbard study 1988-89: A unique setting for validation of self-reported alcohol consumption. Addict 1995, 90:539-544.
• [25]Skog AOJ: The collectivity of drinking cultures: A theory of the distribution of alcohol conusmption. Br J Addict 1985, 80:83-99.
• [26]Ask H, Rognmo K, Torvik FA, Røysamb E, Tambs K: Non-random mating and convergence over time for alcohol consumption, smoking and excercise: The Nord-Trøndelag Health Study. Behav genetics 2012, 42:354-365.