Sex and marital status in relation to the treatment and outcome of alcoholic patients

This article focuses on gender and marital status differences in the treatment process, posttreatment experiences, and outcome of 332 alcoholic patients and explores the utility of several sex-role models in explaining the observed findings. Among men patients, being married is related to better treatment outcome, but the marital status difference is negligible among women patients. Participation in group therapy is related to better outcome for men relative to women; exposure to educational materials on alcoholism is associated with better outcome of women relative to men. Men and women patients also differ in the way in which their perceptions of the treatment environment are related to outcome. After discharge, unmarried women and married men are most likely to receive aftercare outpatient treatment, which is also related to better outcome among men patients. The findings underscore the importance of gender and marital status factors and of patient-program congruence effects in the treatment outcome of alcoholic patients.This research was supported in part by NIAAA Grant AAO2863 and by Vetrans Administration Medical Research Funds. The authors wish to thank Ruth Lederman for her valuable assistance with data analyses, and John Finney and Deborah Shields for helpful comments on earlier drafts.