Drinking and parental unpredictability among adult children of alcoholics: a pilot study

A Transdiagnostic Model for Depression, Anxiety, and Obsessive-Compulsive Disorder

ABSTRACT

Depression, obsessive-compulsive disorder (OCD), and anxiety disorders (ADs) can seriously impair functionality. Studies have shown that there are common mechanisms in the emergence of these disorders. This study discussed unpredictability beliefs, family unpredictability, locus of control, intolerance of uncertainty, emotional regulation difficulties, and coping styles. In this study, a model created with these transdiagnostic variables that play a role in the emergence of depression, OCD, and ADs was tested. The sample of the study consisted of 795 people. The model explained a significant part of the variance in psychological symptoms. In addition to various limitations, it is thought that this study has important contributions to the field by examining the relationships between unpredictability beliefs and various variables for the first time, and bringing together many transdiagnostic factors related to psychological symptoms. In addition, it provides valuable information for clinicians as it provides a basis for intervention programs targeting many transdiagnostic mechanisms.

The Associations between Remission Status, Discounting Rates, and Recovery from Substance Use Disorders

Background: Recovery from substance use disorders (SUDs) requires sustained and purposeful support to maintain long-term remission. Methods: This study investigated the association between assessment of recovery capital, household chaos, delay discounting (DD) and probability discounting (PD), and remission status among individuals in recovery from SUD. Data from 281 participants from the International Quit & Recovery Registry (IQRR), an ongoing online registry that aims to study the recovery process, were included in the analysis. Results: Lower DD rates and higher recovery capital were found among those in remission compared to those not in remission after controlling for demographics. In contrast, the association of household chaos and PD with remission status were insignificant. Overall, DD accounted for 20% of the total effect between the recovery capital and the remission status. Conclusion: This study contributes to the understanding of recovery as a multidimensional process, supports DD as a behavioral marker of addiction, and suggests areas for future research.

Life History Theory and Recovery From Substance Use Disorder

Recovery has emerged as an important paradigm in addictions treatment but the field has yet to achieve consensus on how it should be defined and measured. The recovery construct has been extended beyond sustained reductions in use or abstinence to enhancements in global health/well-being and also prosocial community reintegration. However, few studies have included these broader domains in their measurement of recovery and few scientific theories have been advanced to explain why reductions in substance use occasion these broader life changes. This article applies life history theory to recovery for the first time to help define recovery, advance recovery measurement, and explain why broad change across multiple life domains should facilitate sustained recovery progress. We conclude with a discussion of future directions and challenges for future research informed by our life history framework for recovery.

Anxiety and Drinking: Are Personal Beliefs Regarding Control and Unpredictability Relevant?

Anxiety and drinking problems are fairly common, and it is important to know what factors affect these issues. Previous studies document that control beliefs are associated with anxiety and drinking. Unpredictability beliefs correlate with anxiety, yet whether they relate to drinking is unknown. The present study explored these relationships in a sample of adults (N = 150; 40.0% female; M = 34.4 years old) and in a sample of college students (N = 182; 74.7% female; M = 18.9  years old). Among adults, unpredictability beliefs correlated with anxiety and control beliefs, but not drinking. Similarly, control beliefs correlated with anxiety but not drinking. Furthermore, anxiety and drinking were uncorrelated. Among undergraduates, unpredictability and control beliefs predicted anxiety, whereas unpredictability (pertaining to the self and others) and internality predicted frequency of drinking. Personal unpredictability beliefs emerged as having the strongest association with anxiety across both samples. Future research and treatment should take into account unpredictability beliefs when addressing anxiety problems.

Comparing Alcoholic and Nonalcoholic Parents on the Family Unpredictability Scale

Research findings and clinical observations suggest that families with an alcoholic parent are more unpredictable. Alcoholic parents ( n = 25, 68% men, 68% Euro-American, M age = 38.6 yr.) and community parents ( n = 27, 52% men, 70% Euro-American, M age = 38.8 yr.) completed the self-report Family Unpredictability Scale of Ross and Hill. Alcoholic parents reported significantly higher (less predictability) scores on the subscales of Nurturance, Finances, and Discipline, as well as on the Total Family Unpredictability Scale ( ps < .01). This appears to be the first study on family unpredictability and parental alcoholism in which parental reports of multiple dimensions of unpredictability are used. We provide suggestions for research and clinical uses of the scale, especially pertaining to families with an alcoholic parent.

Parental alcohol misuse is a powerful predictor for the risk of traumatic brain injury in childhood

BACKGROUND

Although the positive relationship between parental alcohol use and children's injuries is well established, it is not known whether parental alcohol misuse is a risk factor for traumatic brain injuries (TBIs) of their children and whether subjects with childhood TBI have hazardous drinking habits in adolescence.

METHODS

The authors conducted a longitudinal cohort study at Oulu University Hospital. The cohort consisted of 12 058 subjects born in 1966, of which 207 had sustained TBI before the age of 14 years. Data on parental alcohol problems were obtained from the Finnish Hospital Discharge Register and the adolescents' drinking habits were analysed based on a postal inquiry at the age of 14 years.

RESULTS

Parental alcohol misuse (RR 1.99, CI 1.19-3.33) and male gender (RR 1.53, CI 1.12-2.08) significantly predicted the risk of childhood TBI. Drinking to intoxication at the age of 14 was significantly associated with parental alcohol misuse (RR 1.62, CI 1.34-1.96), belonging to a one-parent family (RR 1.80, CI 1.61-2.02) and mild TBI (RR 1.67, CI 1.20-2.33).

CONCLUSIONS

It was observed that parental alcohol misuse is a major risk factor for TBI in children and drinking to intoxication is a common drinking pattern of adolescents who have sustained TBI in childhood.

Eating disorders: relations with inconsistent discipline, anxiety, and drinking among college women

Since as many as 20% of all college women report symptoms of eating disorders, the present study examined the relationship between self-reported eating disorder symptoms. anxiety, drinking, and retrospective reports of inconsistent parenting during childhood. 101 college women, 85% Euro-Americans of mean age 19 yr., completed an anonymous survey including questions from the Eating Disorder Index-1, the Retrospective Family Unpredictability Scale, the Trait Anxiety Scale, and measures of drinking in the previous month. Eating disorder symptoms correlated with self-reported drinking quantity, anxiety, and retrospective ratings of inconsistent discipline. This appears to be the first time eating disorder symptoms have been associated with inconsistent discipline. Implications for etiology and treatment of eating disorders are discussed.

Life-history theory and risky drinking

AIMS

Life-history theory, a major theory related to evolutionary biology and behavioral ecology, is applied to analyze patterns in alcohol abuse and dependence. The life-history approach examines how intensity of reproductive competition affects the benefits and costs of risk-taking, which are typically greater for young men than for women or older men. We used this framework to predict demographic variation in hazardous patterns of alcohol use, assuming that they reflect risk-taking in general.

DESIGN

This paper is a review of literature on demographic patterns in risky drinking and alcohol dependence. Predictions are generated using evolutionary analysis of risk-taking. Existing surveys of drinking behavior are reviewed, and findings are compared to predictions.

FINDINGS

Results were generally consistent with predictions. The frequency of risky drinking and dependence is higher for men, and people of younger age, single marital status, childless parental status or unstable environmental resources. An exception is the effect of educational attainment. which is inconsistent.

CONCLUSIONS

Risky drinking behavior, as with other forms of physical risk-taking, is more frequently observed in young men, and it increases where environmental instability is higher. The utility of life-history theory is compared to alternate conceptions of risky drinking and dependence. Implications of this perspective for research and clinical efforts are explored.

CHILDHOOD UNPREDICTABILITY, SCHEMAS FOR UNPREDICTABILITY, AND RISK TAKING

The present paper describes a conceptual model of possible antecedents, markers, and consequences of unpredictability schemas, and outlines empirical support for the model. Early experiences, especially those pertaining to one's family, are the basis for the development of an unpredictability schema. To date, an unpredictability schema has been measured indirectly with scales that tap a variety of interrelated beliefs. Measures of such beliefs show associations with risk taking. An unpredictability schema, thus, may be an overlooked factor in risk-taking behavior. The present model takes a multidisciplinary approach and makes two major contributions. First, it integrates psychological constructs that have not previously been linked. Second, it clarifies existing relationships among background characteristics and risk-related outcomes. Implications for prevention and intervention programming are discussed.