Predicting problematic alcohol use with the DSM 5 alternative model of personality pathology

Kasey G. Creswell, Rachel L. Bachrach, Aidan G C Wright, Anthony Pinto, Emily Ansell

Research output: Research - peer-reviewArticle

  • 8 Citations

Abstract

High comorbidity between personality disorders and alcohol use disorders appears related to individual differences in underlying personality dimensions of behavioral undercontrol and affective dysregulation. However, very little is known about how the Diagnostic and Statistical Manual of Mental Disorders (5th edition; DSM 5) Section III trait model of personality pathology relates to alcohol problems or how the strength of the relationship between personality pathology and alcohol problems changes with age and across gender. The current study examined these questions in a sample of 877 participants using the General Assessment of Personality Disorder to assess general personality dysfunction, the Personality Inventory for DSM 5 to measure specific traits, and the Alcohol Use Disorder Identification Test (AUDIT) to assess problematic alcohol use. Results demonstrated that general personality pathology (Criterion A) was significantly related to problematic alcohol use after controlling for age and gender effects. Furthermore, 2 of the 5 higher-order personality trait domains (Criterion B), Antagonism and Disinhibition, remained significant predictors of problematic alcohol use after accounting for the influence of general personality pathology; however, general personality pathology no longer predicted hazardous alcohol use once Antagonism and Disinhibition were added into the model. Finally, these 2 specific traits interacted with age, such that Antagonism was a stronger predictor of AUDIT scores among older individuals and Disinhibition was a stronger predictor of alcohol problems among younger individuals. Findings support the general validity of this new personality disorder diagnostic system and suggest important age effects in the relationship between traits and problematic alcohol use.

LanguageEnglish (US)
Pages103-111
Number of pages9
JournalPersonality Disorders: Theory, Research, and Treatment
Volume7
Issue number1
DOIs
StatePublished - Jan 1 2016
Externally publishedYes

Fingerprint

Personality
Alcohols
Pathology
Personality Disorders
Identification (Psychology)
Personality Inventory
Individuality
Diagnostic and Statistical Manual of Mental Disorders
Comorbidity

Keywords

  • Alcohol use
  • DSM-5
  • Five-factor model
  • Personality pathology
  • Personality traits

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Predicting problematic alcohol use with the DSM 5 alternative model of personality pathology. / Creswell, Kasey G.; Bachrach, Rachel L.; Wright, Aidan G C; Pinto, Anthony; Ansell, Emily.

In: Personality Disorders: Theory, Research, and Treatment, Vol. 7, No. 1, 01.01.2016, p. 103-111.

Research output: Research - peer-reviewArticle

Creswell, Kasey G. ; Bachrach, Rachel L. ; Wright, Aidan G C ; Pinto, Anthony ; Ansell, Emily. / Predicting problematic alcohol use with the DSM 5 alternative model of personality pathology. In: Personality Disorders: Theory, Research, and Treatment. 2016 ; Vol. 7, No. 1. pp. 103-111
@article{4a8c6a8501f44ae1afd52022c749058d,
title = "Predicting problematic alcohol use with the DSM 5 alternative model of personality pathology",
abstract = "High comorbidity between personality disorders and alcohol use disorders appears related to individual differences in underlying personality dimensions of behavioral undercontrol and affective dysregulation. However, very little is known about how the Diagnostic and Statistical Manual of Mental Disorders (5th edition; DSM 5) Section III trait model of personality pathology relates to alcohol problems or how the strength of the relationship between personality pathology and alcohol problems changes with age and across gender. The current study examined these questions in a sample of 877 participants using the General Assessment of Personality Disorder to assess general personality dysfunction, the Personality Inventory for DSM 5 to measure specific traits, and the Alcohol Use Disorder Identification Test (AUDIT) to assess problematic alcohol use. Results demonstrated that general personality pathology (Criterion A) was significantly related to problematic alcohol use after controlling for age and gender effects. Furthermore, 2 of the 5 higher-order personality trait domains (Criterion B), Antagonism and Disinhibition, remained significant predictors of problematic alcohol use after accounting for the influence of general personality pathology; however, general personality pathology no longer predicted hazardous alcohol use once Antagonism and Disinhibition were added into the model. Finally, these 2 specific traits interacted with age, such that Antagonism was a stronger predictor of AUDIT scores among older individuals and Disinhibition was a stronger predictor of alcohol problems among younger individuals. Findings support the general validity of this new personality disorder diagnostic system and suggest important age effects in the relationship between traits and problematic alcohol use.",
keywords = "Alcohol use, DSM-5, Five-factor model, Personality pathology, Personality traits",
author = "Creswell, {Kasey G.} and Bachrach, {Rachel L.} and Wright, {Aidan G C} and Anthony Pinto and Emily Ansell",
year = "2016",
month = "1",
doi = "10.1037/per0000131",
volume = "7",
pages = "103--111",
journal = "Personality Disorders: Theory, Research, and Treatment",
issn = "1949-2715",
publisher = "American Psychological Association Inc.",
number = "1",

}

TY - JOUR

T1 - Predicting problematic alcohol use with the DSM 5 alternative model of personality pathology

AU - Creswell,Kasey G.

AU - Bachrach,Rachel L.

AU - Wright,Aidan G C

AU - Pinto,Anthony

AU - Ansell,Emily

PY - 2016/1/1

Y1 - 2016/1/1

N2 - High comorbidity between personality disorders and alcohol use disorders appears related to individual differences in underlying personality dimensions of behavioral undercontrol and affective dysregulation. However, very little is known about how the Diagnostic and Statistical Manual of Mental Disorders (5th edition; DSM 5) Section III trait model of personality pathology relates to alcohol problems or how the strength of the relationship between personality pathology and alcohol problems changes with age and across gender. The current study examined these questions in a sample of 877 participants using the General Assessment of Personality Disorder to assess general personality dysfunction, the Personality Inventory for DSM 5 to measure specific traits, and the Alcohol Use Disorder Identification Test (AUDIT) to assess problematic alcohol use. Results demonstrated that general personality pathology (Criterion A) was significantly related to problematic alcohol use after controlling for age and gender effects. Furthermore, 2 of the 5 higher-order personality trait domains (Criterion B), Antagonism and Disinhibition, remained significant predictors of problematic alcohol use after accounting for the influence of general personality pathology; however, general personality pathology no longer predicted hazardous alcohol use once Antagonism and Disinhibition were added into the model. Finally, these 2 specific traits interacted with age, such that Antagonism was a stronger predictor of AUDIT scores among older individuals and Disinhibition was a stronger predictor of alcohol problems among younger individuals. Findings support the general validity of this new personality disorder diagnostic system and suggest important age effects in the relationship between traits and problematic alcohol use.

AB - High comorbidity between personality disorders and alcohol use disorders appears related to individual differences in underlying personality dimensions of behavioral undercontrol and affective dysregulation. However, very little is known about how the Diagnostic and Statistical Manual of Mental Disorders (5th edition; DSM 5) Section III trait model of personality pathology relates to alcohol problems or how the strength of the relationship between personality pathology and alcohol problems changes with age and across gender. The current study examined these questions in a sample of 877 participants using the General Assessment of Personality Disorder to assess general personality dysfunction, the Personality Inventory for DSM 5 to measure specific traits, and the Alcohol Use Disorder Identification Test (AUDIT) to assess problematic alcohol use. Results demonstrated that general personality pathology (Criterion A) was significantly related to problematic alcohol use after controlling for age and gender effects. Furthermore, 2 of the 5 higher-order personality trait domains (Criterion B), Antagonism and Disinhibition, remained significant predictors of problematic alcohol use after accounting for the influence of general personality pathology; however, general personality pathology no longer predicted hazardous alcohol use once Antagonism and Disinhibition were added into the model. Finally, these 2 specific traits interacted with age, such that Antagonism was a stronger predictor of AUDIT scores among older individuals and Disinhibition was a stronger predictor of alcohol problems among younger individuals. Findings support the general validity of this new personality disorder diagnostic system and suggest important age effects in the relationship between traits and problematic alcohol use.

KW - Alcohol use

KW - DSM-5

KW - Five-factor model

KW - Personality pathology

KW - Personality traits

UR - http://www.scopus.com/inward/record.url?scp=84954361936&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84954361936&partnerID=8YFLogxK

U2 - 10.1037/per0000131

DO - 10.1037/per0000131

M3 - Article

VL - 7

SP - 103

EP - 111

JO - Personality Disorders: Theory, Research, and Treatment

T2 - Personality Disorders: Theory, Research, and Treatment

JF - Personality Disorders: Theory, Research, and Treatment

SN - 1949-2715

IS - 1

ER -