Predicting problematic alcohol use with the DSM–5 alternative model of personality pathology.
Open accessAbstract
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. (PsycINFO Database Record
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Maladaptive personality traits are significantly associated with the development and maintenance of substance use disorder.
“Existing literature suggests that maladaptive personality traits are significantly associated with the development and maintenance of SUD [14].”
From The link of adverse childhood experiences and attachment to maladaptive personality traits in adults diagnosed with substance use disorder (2025) · cites this paper as [14]
The paper reports significant associations between Antagonism and Disinhibition and problematic alcohol use (Abstract; page unavailable). The Discussion says prospective studies are needed to examine how this relationship changes over time, and notes that other substance use disorders were not assessed. It therefore supports an association with alcohol problems, but not the claim about the development and maintenance of substance use disorders generally. (LLM, conf=0.87)
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References 55 · Cited by 56
Research works printed but not linked: 8
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- Babor TF Higgins-Biddle JC Saunders JB Monteiro MG AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Care 2001 Geneva WHO/MSD/MSB 01.6a, World Health Organization
- Cameron AC Trivedi PK Regression analysis of count data 1998 Cambridge, United Kingdom Cambridge University Press
- Livesley WJ Practical management of personality disorders 2003 New York Guilford Press
- Livesley WJ The Dimensional Assessment of Personality Pathology (DAPP) Approach to Personality Disorder Differentiating normal and abnormal personality 2006 2nd ed. New York, NY, US Springer Publishing Co 401 429
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- Roberts BW Wood D Mroczek D Little T Personality development in the context of the Neo-Socioanalytic Model of personality Handbook of Personality Development 2006 Mahwah, NJ Lawrance Erlbaum Associates 11 39 Chapter 2
- Widiger TA Seidlitz L Personality, psychopathology, and aging Journal of Research in Personality 2002 36 4 335 362
- Authors
- Creswell, K. G., Bachrach, R. L., Wright, A. G. C., Pinto, A., & Ansell, E.
- Affiliations
- Carnegie Mellon University (US)
- University at Buffalo, State University of New York (US)
- University of Pittsburgh (US)
- Northwell Health (US)
- Yale University (US)
- Venue
- Personality Disorders: Theory, Research, and Treatment
- Published
- 2016
- Volume
- 7
- Issue
- 1
- Pages
- 103-111
- ISSN
- 1949-2715 (ISSN-L)
- 1949-2723
- PMC
- PMC4710566
- OpenAlex
- W2470790558
- Cited by
- 56
- References
- 55
- Citations by year
- 2026: 6 · 2025: 2 · 2024: 1 · 2023: 10 · 2022: 2 · 2021: 6 · 2020: 7 · 2019: 3 · 2018: 9 · 2017: 6 · 2016: 4
- FWCI
- 7.85
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Personality Disorders Theory Research and Treatment (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Sponsor name not included (K23 MH080221, K08DA029641, F31AA022272)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- alcohol abuse, personality pathology, DSM-5 Section III, personality disorders, antagonism, disinhibition, age differences, gender differences, alcoholism, personality traits
- MeSH terms
- Adolescent, Adult, Age Factors, Aged, Female, Humans, Male, Middle Aged, Models, Psychological, Personality Disorders, Prognosis, Comorbidity, Alcohol-Related Disorders, Diagnostic and Statistical Manual of Mental Disorders, Young Adult
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