Abstract
Owing to growing alcoholism and gambling, numerous variables have been the subject of study to better understand the causes of such addictions. This study aims to investigate personality factors, parental styles in upbringing and early exposure to alcoholism integratively to shed light on how such variables generally shape vulnerability for addictive behaviours and alcohol use disorder (AUD) as well as pathological gambling (PG), separately. The sample consisted of 150 for the inpatient groups (78 AUD and 72 PG) and 102 participants for the control group. The inpatient group comprised “pure” AUD (excluding gambling and other significant addictive disorders) and “pure” PG (excluding AUD and other significant addictive disorders). A random forest-trees analysis established a model accurately classifying 79% of participants from the addictive group and found low conscientiousness, an authoritarian father, a less-flexible mother and neuroticism to be predisposed factors for both addictions. Additionally, through structural equation modeling, a satisfying-index model shows higher extroversion and lower openness may be attributed to PG, as well as the father’s authoritarian parenting style. The mother’s authoritarian or permissive styles may be linked to AUD and the father’s alcoholism. The research concludes AUD and PG have similarities in personality as vulnerable factors for addictive behaviours as well as essential differences in personality and early experiences from boundaries set by mothers and fathers and alcoholism in childhood. The results are applicable in preventive programs as well as working with patients and their parents to create more individualized treatment in relation to addiction type.
Similar content being viewed by others
References
Abbott, M. (2017). The epidemiology and impact of gambling disorder and other gambling-related harm. WHO Forum on alcohol, drugs and addictive behaviours Enhancing public health actions through partnerships and collaboration 26–28 June 2017, WHO headquarters Geneva,Switzerland. https://www.who.int/substance_abuse/activities/fadab/abbot_gambling_forum.pdf
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
Armstrong, J. M., Ruttle, P. L., Burk, L. R., Costanzo, P. R., Strauman, T. J., & Essex, M. J. (2013). Early risk factors for alcohol use across high school and its covariation with deviant friends. Journal of Studies on Alcohol and Drugs, 74(5), 746–756. https://doi.org/10.1528/jsad.2013.74.746
Babor, T.F., Higgins-Biddle, J.C., Saunders, J.B. & Monteiro, M.G. (2001) The Alcohol Use Disorders Identification Test (AUDIT) manual: Guidelines for use in primary care. 2nd Edition, Department of Mental Health and Substance Dependence. World Health Organization, Geneva, WHO/MSD/MSB/01.6a, 4–32. http://whqlibdoc.who.int/hq/2001/who_msd_msb_01.6a.pdf
Bagby, R. M., Vachon, D. D., Bulmash, E. L., Toneatto, T., Quilty, L. C., & Costa, P. T. (2007). Pathological gambling and the five-factor model of personality. Personality and Individual Differences, 43(4), 873–880. https://doi.org/10.1016/j.paid.2007.02.011
Baumrind, D. (1971). Current patterns of parental authority. Developmental Psychology, 4(1 PART 2), 1–103. https://doi.org/10.1037/h0030372
Beach, S. R. H., Brody, G. H., Lei, M.-K., & Philibert, R. A. (2010). Differential susceptibility to parenting among African American youths: Testing the DRD4 hypothesis. Journal of Family Psychology, 24(5), 513–521. https://doi.org/10.1037/a0020835
Belsky, J. (1997). Variation in susceptibility to rearing influence: An evolutionary argument. Psychological Inquiry, 8, 182–186. https://doi.org/10.1207/s15327965pli0803_3
Belsky, J., Bakermans-Kranenburg, M. J., & van Ijzendoorn, M. H. (2007). For better and for worse: Differential susceptibility to environmental influences. Current Directions in Psychological Science, 16(6), 300–304. https://doi.org/10.1111/j.1467-8721.2007.00525.x
Belsky, J., & Pluess, M. (2009). Beyond diathesis stress: Differential susceptibility to environmental influences. Psychological Bulletin, 135(6), 885–908. https://doi.org/10.1037/a0017376
Biseul, I., Icick, R., Seguin, P., Bellivier, F., & Scott, J. (2017). Feasibility and acceptability of the ‘habit’ group programme for comorbid bipolar and alcohol and substance use disorders. Clinical Psychology and Psychotherapy, 24, 887–898. https://doi.org/10.1002/cpp.2053
Boden, J. M., & Fergusson, D. M. (2011). Alcohol and depression. Addiction, 106, 906–914. https://doi.org/10.1111/j.1360-0443.2010.03351.x
Brody, G., Yu, T., & Beach, S. (2016). Resilience to adversity and the early origins of disease. Development and Psychopathology, 28(4pt2), 1347–1365. https://doi.org/10.1017/S0954579416000894
Buri, J. R. (1991). Parental authority questionnaire. Journal of Personality Assessment, 57(1), 110–119. https://doi.org/10.1207/s15327752jpa5701_13
Burk, L. R., Armstrong, J. M., Goldsmith, H. H., Klein, M. H., Strauman, T. J., Costanzo, P., et al. (2011). Sex, temperament, and family context: How the interaction of early factors differentially predict adolescent alcohol use and are mediated by proximal adolescent factors. Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors., 25(1), 1–15. https://doi.org/10.1037/a0022349
Costa, P. T., & McCrae, R. R. (1992). Revised NEO personality inventory (NEO PI-R) and NEO five-factor inventory (NEO-FFI) professional manual. Psychological Assessment Resource, 36(3), 587–596. https://doi.org/10.1016/S0191-8869(03)00118-1
Costa, P. T., Terracciano, A., & McCrae, R. R. (2001). Gender differences in personality traits across cultures: Robust and surprising findings. Journal of Personality and Social Psychology, 81(2), 322–331. https://doi.org/10.1037/0022-3514.81.2.322
Dale, G., Rock, A. J., & Clark, G. I. (2020). Cue-reactive imagery mediates the relationships of reward responsiveness with both cue-reactive urge to gamble and positive affect in poker-machine gamblers. Journal of Gambling Studies, 36, 1045–1063. https://doi.org/10.1007/s10899-019-09864-x
Dash, G. F., Slutske, W. S., Martin, N. G., Statham, D. J., Agrawal, A., & Lynskey, M. T. (2019). Big five personality traits and alcohol, nicotine, cannabis, and gambling disorder comorbidity. Psychology of Addictive Behaviors, 33(4), 420–429. https://doi.org/10.1037/adb0000468
Depue, R. A., & Collins, P. F. (1999). Neurobiology of the structure of personality: Dopamine, facilitation of incentive motivation, and extraversion. Behavioral and Brain Sciences. https://doi.org/10.1017/S0140525X99002046
Gambino, B., & Lesieur, H. R. (2006). The South Oaks Gambling Screen (SOGS): A rebuttal to critics. Journal of Gambling Issues, 17, 1–16. https://doi.org/10.4309/jgi.2006.17.10
Gowin, J. L., Sloan, M. E., Stangl, B. L., Vatsalya, V., & Ramchandani, V. A. (2017). Vulnerability for alcohol use disorder and rate of alcohol consumption. American Journal of Psychiatry, 174(11), 1094–1101. https://doi.org/10.1176/appi.ajp.2017.16101180
Hardoon, K. K., Gupta, R., & Derevensky, J. L. (2004). Psychosocial variables associated with adolescent gambling. Psychology of Addictive Behaviors, 18(2), 170–179. https://doi.org/10.1037/0893-164X.18.2.170
Hodgins, D. C., Maticka-Tyndale, E., El-Guebaly, N., & West, M. (1993). The cast-6: Development of a short-form of the children of alcoholics screening test. Addictive Behaviors, 18(3), 337–345. https://doi.org/10.1016/0306-4603(93)90035-8
Hopwood, C. J., Morey, L. C., Skodol, A. E., Stout, R. L., Yen, S., Ansell, E. B., Grilo, C. M., & McGlashan, T. H. (2007). Five-factor model personality traits associated with alcohol-related diagnoses in a clinical sample. Journal of Studies on Alcohol and Drugs, 68(3), 455–460. https://doi.org/10.15288/jsad.2007.68.455
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indices in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. https://doi.org/10.1080/10705519909540118
Huggett, S. B., Winiger, E. A., Corley, R. P., Hewitt, J. K., & Stallings, M. C. (2019). Alcohol use, psychiatric disorders and gambling behaviors: A multi-sample study testing causal relationships via the co-twin control design. Addictive Behaviors, 93, 173–179. https://doi.org/10.1016/j.addbeh.2019.01.024
Ibáñez, M. I., Moya, J., Villa, H., Mezquita, L., Ruipérez, M. Á., & Ortet, G. (2010). Basic personality dimensions and alcohol consumption in young adults. Personality and Individual Differences, 48(2), 171–176. https://doi.org/10.1016/j.paid.2009.09.017
Imperatori, C., Innamorati, M., Bersani, F. S., Imbimbo, F., Pompili, M., Contardi, A., & Farina, B. (2017). The association among childhood trauma, pathological dissociation and gambling severity in casino gamblers. Clinical Psychology and Psychotherapy, 24(1), 203–211. https://doi.org/10.1002/cpp.1997
Kaufman, A., Jones Nielsen, J. D., & Bowden-Jones, H. (2017). Barriers to treatment for female problem gamblers: A UK perspective. Journal of Gambling Studies, 33(3), 975–991. https://doi.org/10.1007/s10899-016-9663-1
Kaya & Deveci, A. 2021 Parental acceptance/rejection perceptions and attachment styles of men with online gambling disorder, Journal Gambling Studies, in Press https://doi.org/10.1007/s10899-021-10084-5
Keough, M. T., Penniston, T. L., Vilhena-Churchill, N., Michael Bagby, R., & Quilty, L. C. (2018). Depression symptoms and reasons for gambling sequentially mediate the associations between insecure attachment styles and problem gambling. Addictive Behaviors, 78, 166–172. https://doi.org/10.1016/j.addbeh.2017.11.018
Knezevic G, Dzamonja-Ignjatovic T & Djuric-Jocic D (2004). Five-factor personality model. Belgrade, RS: Center of Applied Psychology
Kotov, R., Gamez, W., Schmidt, F., & Watson, D. (2010). Linking “big” personality traits to anxiety, depressive, and substance use disorders: A meta-analysis. Psychological Bulletin, 136(5), 768–821. https://doi.org/10.1037/a0020327
Kuntsche, E., Von Fischer, M., & Gmel, G. (2008). Personality factors and alcohol use: A mediator analysis of drinking motives. Personality and Individual Differences, 45, 796–800. https://doi.org/10.1016/j.paid.2008.08.009
Kuperman, S., Schlosser, S. S., Lidral, J., & Reich, W. (1999). Relationship of child psychopathology to parental alcoholism and antisocial personality disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 38(6), 686–692. https://doi.org/10.1097/00004583-199906000-00015
Kusmierski, S., Nichols, J., McDonnell, R., & Taylor, M. (2004). Do parenting styles influence alcohol use and binge drinking during high school and college? UW-La crosse Journal of Undergraduate Research, IV, 63–70. https://pdfs.semanticscholar.org/410a/a6ce8caa4f38017323ca8e0825603bb2b481.pdf
Lamberton, A., & Oei, T. P. S. (1997). Problem gambling in adults: An overview. Clinical Psychology and Psychotherapy, 4, 84–104. https://doi.org/10.1002/(SICI)1099-0879(199706)4:2%3c84::AID-CPP124%3e3.0.CO;2-L
Lesieur, H. R., & Blume, S. B. (1987). The south oaks gambling screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 1184–1188. https://doi.org/10.1176/ajp.144.9.1184
Loginova, S. V., & Slobodskaya, H. R. (2021). Interactions between child personality and parenting in relation to child well-being: Support for diathesis-stress and differential susceptibility patterns. Frontiers in Psychology, 12, 558224. https://doi.org/10.3389/fpsyg.2021.558224
Loukas, A., Krull, J. L., Chassin, L., & Carle, A. C. (2000). The relation of personality to alcohol abuse/dependence in a high-risk sample. Journal of Personality, 68(6), 1153–1175. https://doi.org/10.1111/1467-6494.00130
Lundin, A., Hallgren, M., Balliu, N., & Forsell, Y. (2015). The use of alcohol use disorders identification test (AUDIT) in detecting alcohol use disorder and risk drinking in the general population: Validation of AUDIT using schedules for clinical assessment in neuropsychiatry. Alcoholism: Clinical and Experimental Research, 39(1), 158–165. https://doi.org/10.1111/acer.12593
MacLaren, V. V., Best, L. A., Dixon, M. J., & Harrigan, K. A. (2011). Problem gambling and the five factor model in university students. Personality and Individual Differences, 50(3), 335–338. https://doi.org/10.1016/j.paid.2010.10.011
Magoon, M. E., & Ingersoll, G. M. (2006). Parental modeling, attachment, and supervision as moderators of adolescent gambling. Journal of Gambling Studies, 22(1), 1–22. https://doi.org/10.1007/s10899-005-9000-6
Marsh, H. W., Lüdtke, O., Muthén, B., Asparouhov, T., Morin, A. J. S., Trautwein, U., & Nagengast, B. (2010). A new look at the big five factor structure through exploratory structural equation modeling. Psychological Assessment, 22, 471–491. https://doi.org/10.1037/a0019227
Martsh, C. T., & Miller, W. R. (1997). Extraversion predicts heavy drinking in college students. Personality and Individual Differences, 23(1), 153–155. https://doi.org/10.1016/S0191-8869(97)00015-9
McAdams, K. K., & Donnellan, M. B. (2009). Facets of personality and drinking in first-year college students. Personality and Individual Differences, 46(2), 207–212. https://doi.org/10.1016/j.paid.2008.09.028
McCrae, R. R. (1994). Openness to experience: Expanding the boundaries of factor V. European Journal of Personality, 8(4), 251–272. https://doi.org/10.1002/per.2410080404
McCutcheon, V. V., Schuckit, M. A., Kramer, J. R., Chan, G., Edenberg, H. J., Smith, T. L., Bender, A. K., Hesselbrock, M., & Bucholz, K. K. (2017). Familial association of abstinent remission from alcohol use disorder in first-degree relatives of alcohol-dependent treatment-seeking probands. Addiction, 112(11), 1909–1917. https://doi.org/10.1111/add.13890
Mesman, J., Alink, L. R. A., van Zeijl, J., Stolk, M. N., Juffer, F., Koot, H. M., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2007). Maternal sensitivity moderates the relation between negative discipline and aggression in early childhood. 171–192. Abstract from Biennial Conference of the SRCD. 29/03/07 - 1/04/07 pp. 171–192.
Miller, J. D., MacKillop, J., Fortune, E. E., Maples, J., Lance, C. E., Keith Campbell, W., & Goodie, A. S. (2013). Personality correlates of pathological gambling derived from big three and big five personality models. Psychiatry Research, 206(1), 50–55. https://doi.org/10.1016/j.psychres.2012.09.042
Monroe, S. M., & Simons, A. D. (1991). Diathesis-stress theories in the context of life stress research: Implications for the depressive disorders. Psychological Bulletin, 110(3), 406–425. https://doi.org/10.1037/0033-2909.110.3.406
Myrseth, H., Pallesen, S., Molde, H., Johnsen, B. H., & Lorvik, I. M. (2009). Personality factors as predictors of pathological gambling. Personality and Individual Differences, 47(8), 933–937. https://doi.org/10.1016/j.paid.2009.07.018
Patock-Peckham, J. A., & Morgan-Lopez, A. A. (2015). Direct and mediational links between parental bonds and neglect, antisocial personality, reasons for drinking, alcohol use, and alcohol problems. Journal of Studies on Alcohol and Drugs, 71(1), 95–104. https://doi.org/10.15288/jsad.2010.71.95
Patock-Peckham, J. A., Cheong, J. W., Balhorn, M. E., & Nagoshi, C. T. (2001). A social learning perspective: A model of parenting styles, self-regulation, perceived drinking control, and alcohol use and problems. Alcoholism: Clinical and Experimental Research, 25(9), 1284–1292. https://doi.org/10.1111/j.1530-0277.2001.tb02349.x
Pedregosa, et al. (2011). Scikit-learn: Machine learning in Python. Journal of Machine Learning Research, 12, 2825–2830.
Ramos-Grille, I., Gomà-i-Freixanet, M., Aragay, N., Valero, S., & Vallès, V. (2013). The role of personality in the prediction of treatment outcome in pathological gamblers: A follow-up study. Psychological Assessment, 25(2), 599–605. https://doi.org/10.1037/a0031930
Reinert, D. F., & Allen, J. P. (2002). The alcohol use disorders identification test (AUDIT): A review of recent research. Alcoholism: Clinal & Experimental Research, 26(2), 272–279. https://doi.org/10.1111/j.1530-0277.2002.tb02534.x
Rioux, C., Castellanos-Ryan, N., Parent, S., Vitaro, F., Tremblay, R. E., & Séguin, J. R. (2016). Differential susceptibility to environmental influences: Interactions between child temperament and parenting in adolescent alcohol use. Development and Psychopathology, 28(1), 265–275. https://doi.org/10.1017/S0954579415000437
Ruiz, M. A., Pincus, A. L., & Dickinson, K. A. (2003). NEO PI-R predictors of alcohol use and alcohol-related problems. Journal of Personality Assessment, 81(3), 226–236. https://doi.org/10.1207/S15327752JPA8103_05
Ruiz, M. A., Pincus, A. L., & Schinka, J. A. (2008). Externalizing pathology and the five-factor model: a meta-analysis of personality traits associated with antisocial personality disorder, substance use disorder, and their co-occurrence. Journal of Personality Disorders, 22(4), 365–388. https://doi.org/10.1521/pedi.2008.22.4.365
Salvatore, J. E., Larsson Lönn, S., Long, E. C., Sundquist, J., Kendler, K. S., Sundquist, K., & Edwards, A. C. (2019). Parental alcohol use disorder and offspring marital outcomes. Addiction, 114(1), 81–91. https://doi.org/10.1111/add.14405
Sheehan D.V., Janavs J., Harnett-Sheehan K, et al. (2010). M.I.N.I.: Mini International Neuropsychiatric Interview, English version 6.0.0 (DSM-IV. Tampa: University of South Florida.
Sitharthan, T., Sitharthan, G., & Kavanagh, D. J. (2001). Emotional cue exposure for alcohol abuse: Development of a new treatment procedure to train moderation drinking in the context of dysphoria. Clinical Psychology and Psychotherapy, 8, 73–78. https://doi.org/10.1002/cpp.267
Stice, E., & Gonzales, N. (1998). Adolescent temperament moderates the relation of parenting to antisocial behavior and substance use. Journal of Adolescent Research, 13(1), 5–31. https://doi.org/10.1177/0743554898131002
Stinchfield, R. (2002). Reliability, validity, and classification accuracy of the South Oaks gambling screen (SOGS). Addictive Behaviors, 27, 1–19. https://doi.org/10.1016/S0306-4603(00)00158-1
Strobl, C., Boulesteix, A. L., Yrileis, A., & Hothorn, T. (2007). Bias in random forest variable importance measures: Illustration, sources and a solution. BMC Bioinformatics, 8, 25. https://doi.org/10.1186/1471-2105-8-25.
Sztainert, T., Wohl, M. J. A., McManus, J. F., & Stead, J. H. D. (2014). On being attracted to the possibility of a win: Reward sensitivity (via gambling motives) undermines treatment seeking among pathological gamblers. Journal of Gambling Studies, 30, 901–911. https://doi.org/10.1007/s10899-013-9394-5
Townshend, J. M., Kambouropoulos, N., Griffin, A., Hunt, F. J., & Milani, R. M. (2014). Binge drinking reflection impulsivity and unplanned sexual behavior: Impaired decision-making in young social drinkers. Alcoholism: Clinical and Experimental Research, 38(4), 1143–1150. https://doi.org/10.1111/acer.12333
Vachon, J., Vitaro, F., Wanner, B., & Tremblay, R. E. (2004). Adolescent gambling: Relationships with parent gambling and parenting practices. Psychology of Addictive Behaviors, 18(4), 398–401. https://doi.org/10.1037/0893-164X.18.4.398
Widinghoff, C., Berge, J., Wallinius, M., Billstedt, E., Hofvander, B., & Håkansson, A. (2019). Gambling disorder in male violent offenders in the prison system: Psychiatric and substance-related comorbidity. Journal of Gambling Studies, 35, 485–500. https://doi.org/10.1007/s10899-018-9785-8
Wills, T. A., & Dishion, T. J. (2004). Temperament and adolescent substance use: A transactional analysis of emerging self-control. Journal of Clinical Child and Adolescent Psychology, 33, 69–81. https://doi.org/10.1207/S15374424JCCP3301_7
World Health Organization. (2018). Global status report on alcohol and health 2018. Global status report on alcohol (pp. 1–472). WORLD HEALTH ORGANIZATION.
Acknowledgment
The authors wish to acknowledge the work of the members of the Substance Abuse Clinic of the Institute of Mental Health, Belgrade, Serbia, for their assistance with the selection of participants for the study. This work would also not have been possible without the assistance of MSc EE Minja Belic of the Department of Biomedical Engineering, University of Belgrade, Serbia, who contributed all analyses done in Python. This was done as the result of a suggestion by an anonymous reviewer whom the authors also wish to express their distinct gratitude. The authors would also like to acknowledge the work of Mr. Timothy Johnston who has assisted in the drafting, proofreading and editing of the paper.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
The study was conducted at the Clinic for Substance Abuse.
Appendix 1
Rights and permissions
About this article
Cite this article
Perunicic-Mladenovic, I., Filipovic, S. Proneness to Alcohol use Disorder or Pathological Gambling as Differentially Determined by Early Parental and Personality Factors. J Gambl Stud 38, 1447–1467 (2022). https://doi.org/10.1007/s10899-021-10095-2
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10899-021-10095-2