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Other evidence for at least two alcoholisms II: Life course variation in antisociality and heterogeneity of alcoholic outcome

Published online by Cambridge University Press:  04 March 2009

Robert A. Zucker*
Affiliation:
University of Michigan
Deborah A. Ellis
Affiliation:
Vayne State University School of Medicine
Hiram E. Fitzgerald
Affiliation:
Michigan State University
C. Raymond Bingham
Affiliation:
Michigan State University
Keith Sanford
Affiliation:
Michigan State University
*
Robert A. Zucker, University of Michigan Alcohol Research Center, 400 E. Eisenhower Parkway, Ste. 2A, Ann Arbor, MI 48108–3318 (E-mail: zuckerra@umich.edu).

Abstract

Within the framework of a cumulation/nesting theory for the emergence of adult psychopathology, a typing structure for alcoholism based upon variations in life course continuity of antisocial behavior over childhood and adulthood was examined for its ability to differentiate symptomatic and life history variations among alcoholic and nonalcoholic men accessed by way of a population-based recruitment strategy. Results supported the theory and identified two alcoholic types, one high on lifetime antisociality (antisocial alcoholic = AAL), the other low (nonantisocial alcoholic = NAAL), and a third nonalcoholic type with low lifetime antisociality. Types differed in age of onset, severity, number, and life course of alcohol problems, measures of social adaptation, amount and severity of other psychopathology, and salience of family history load of alcoholism. Antisociality and alcoholism tended to be nested characteristics.

Type
Articles
Copyright
Copyright © Cambridge University Press 1996

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References

Alterman, A. I., & Tarter, R. E. (1986). An examination of selected typologies: hyperactivity, familial, and antisocial alcoholism. In Galanter, M. (Ed.), Recent developments in alcoholism, 4, 145164. New York: Plenum.CrossRefGoogle Scholar
American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders, 3rd ed., revised. Washington, DC: Author.Google Scholar
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th ed.Washington, DC: Author.Google Scholar
Babor, T. F. (1994). Introduction. Method and theory in the classification of alcoholics. Annals of the New York Academy of Sciences, 708, 16.Google Scholar
Babor, T. F., & Lauerman, R. J. (1986). Classification and forms of inebriety: historical antecedents of alcoholic typologies. In Galanter, M. (Ed.), Recent developments in alcoholism, 5, 113144. New York: Plenum.CrossRefGoogle Scholar
Babor, T. F., & Dolinsky, Z. S. (1988). Alcoholic typologies: historical evolution and empirical evaluation of some common classification schemes. In Rose, R. M. & Barrett, J. (Eds.), Alcoholism: Origins and outcome (pp. 245266). New York: Raven Press.Google Scholar
Babor, T. F., Hofmann, M., DelBoca, F. K., Hesselbrock, V., Meyer, R. E., Dolinsky, Z. S., & Rousaville, B. (1992). Types of alcoholics, I: Evidence for an empirically derived typology based on indicators of vulnerability and severity. Archives of General Psychiatry, 49, 599608.CrossRefGoogle ScholarPubMed
Beck, A., Rial, W., & Rickels, K. (1974). Short form of the Beck Depression Inventory: Cross validation. Psychological Reports, 34, 11841186.CrossRefGoogle ScholarPubMed
Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77100.CrossRefGoogle Scholar
Bertalanffy, L. von. (1968). General system theory. New York: Braziller.Google Scholar
Bingham, C. R., Zucker, R. A., & Fitzgerald, H. E. (1996). Risk load and problem behavior development across the preschool and early school years among sons of alcoholics: Variation across subtypes of alcoholic families. Manuscript submitted for publication, Michigan State University-University of Michigan Longitudinal Study.Google Scholar
Brewin, C., Andrews, B., & Gotlib, I. (1993). Psycho-pathology and early experience: A reappraisal of retrospective reports. Psychological Bulletin, 113, 8298.Google Scholar
Brown, J., Babor, T. F., Litt, M. D., & Kranzler, H. R. (1994). The Type A/Type B distinction. Subtyping alcoholics according to indicators of vulnerability and severity. Annals of the New York Academy of Sciences, 708, 2333.CrossRefGoogle ScholarPubMed
Buydens-Branchey, L., Branchey, M. H., & Noumair, D. (1989). Age of alcoholism onset, I: relationship to psychopathology. Archives of General Psychiatry, 46, 231236.CrossRefGoogle ScholarPubMed
Cahalan, D., Cisin, I., & Crossley, H. (1969). American drinking practices: A national study of drinking behavior and attitudes. New Brunswick, NJ: Publications Division, Rutgers Center for Alcohol Studies.Google Scholar
Caspi, A., & Moffitt, T. E. (1995). The continuity of maladaptive behavior: From description to understanding in the study of antisocial behavior. In Cicchetti, D. & Cohen, D. J. (Eds.), Developmental Psychopathology. Volume 2. Risk, disorder and adaptation (pp. 472511). New York: Wiley.Google Scholar
Cicchetti, D. (1990). A historical perspective on the discipline of developmental psychopathology. In Rolf, J., Masten, A. S., Cicchetti, D., & Nuechterlein, K. H. (Eds.), Risk and protective factors in the development of psychopathology (pp. 228). New York: Cambridge University Press.Google Scholar
Cloninger, C. R. (1987). Neurogenetic adaptive mechanisms in alcoholism. Science: 236, 410416.Google Scholar
Cloninger, R., Bohman, M., & Sigvardsson, S. (1981). Inheritance of substance abuse: Cross-fostering analysis of adopted men. Archives of General Psychiatry, Vol. 38, 861867.Google Scholar
Dishion, T. J., Patterson, G. R., & Reid, J. R. (1988). Parent and peer factors associated with drug sampling in early adolescence: Implications for treatment. In Rahdert, E. R. & Grabowski, J. (Eds.), Adolescent drug abuse: Analyses of treatment research. NIDA Research Monograph GG, Washington, DC: U.S. Government Printing Office, 6993.Google Scholar
Donovan, J. E., & Jessor, R. (1985). Structure of problem behavior in adolescence and young adulthood. Journal of Consulting Clinical Psychology, 53, 890904.Google Scholar
Ellis, D. A., Bingham, C. R., Zucker, R. A., & Fitzgerald, H. E. (1996). Typological differences in patterns of risk load and child adaptation among young alcoholic families. Manuscript submitted for publication, Michigan State University-University of Michigan Longitudinal Study.Google Scholar
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A., Winokur, G., & Munoz, R. (1972). Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5763.CrossRefGoogle ScholarPubMed
Fitzgerald, H. E., Sullivan, L. A., Ham, H. P., Zucker, R. A., Bruckel, S., Schneider, A. M., & Noll, R. B. (1993). Predictors of behavioral problems in three-year-old sons of alcoholics: Early evidence for the onset of risk. Child Development, 64, 110123.Google Scholar
Fitzgerald, H. E., & Zucker, R. A. (1995). Socioeconomic status and alcoholism: structuring developmental pathways to addiction. In Fitzgerald, H. E., Lester, B. M. & Zuckerman, B. (Eds.), Children of poverty. (Chapter 6, pp. 125147). New York: Garland Press.Google Scholar
Gilligan, S. B., Reich, T., & Cloninger, C. R. (1988). Alcohol-related symptoms in heterogeneous families of hospitalized alcoholics. Alcoholism: Clinical and Experimental Research, 12, 671678.CrossRefGoogle ScholarPubMed
Guze, S. B., Wolfgram, E. D., McKinney, J. K., & Cant-well, D. P. (1967). Psychiatric illness in the families of convicted criminals: a study of 519 first-degree relatives. Diseases of the Nervous System, 28, 651659.Google ScholarPubMed
Ham, H. P., Zucker, R. A., & Fitzgerald, H. E. (1993, 06). Assessing antisociality with the Antisocial Behavior Checklist: Reliability and validity studies. Paper presented at the annual meetings of the American Psychological Society, Chicago, IL.Google Scholar
Hamilton, M. (1969). Standardized assessment and recording of depressive symptoms. Journal of Psychiatry, Neurology, and Neurosurgery, 72, 201205.Google Scholar
Hawkins, J. D., & Lishner, D. M. (1987). Schooling and delinquency. In Johnson, E. H. (Ed.), Handbook on crime and delinquency prevention. New York: Springer-Verlag, 2750.Google Scholar
Helzer, J. E., Burnam, A., McEvoy, L. T. (1991). Alcohol abuse and dependence. In Robins, L. N. & Regier, D. A. (Eds.), Psychiatric disorders in America: The epidemiologic catchment area study (pp. 81115). New York: The Free Press.Google Scholar
Henry, B., Moffitt, T. E., Caspi, A., Langley, J., & Silva, P. A. (1994). On the “remembrance of things past”: A longitudinal evaluation of the retrospective method. Psychological Assessment, 6, 92101.Google Scholar
Hesselbrock, M. N., Hesselbrock, V. M., Babor, T. F., Meyer, R. E., Stabenau, J. R., & Weidenman, M. A. (1984). Antisocial behavior, psychopathology and problem drinking in the natural history of alcoholism. In Goodwin, D. W., Van Dusen, K. T., & Mednick, S. A. (Eds.), Longitudinal research in alcoholism. Dordrecht, The Netherlands: Kluwer.Google Scholar
Hesselbrock, M. N., & Hesselbrock, V. M. (1992). Relationship of family history, antisocial personality disorder and personality traits in young men at risk for alcoholism. Journal of Studies on Alcohol, 53, 619625.Google Scholar
Irwin, M., Schuckit, M., & Smith, T. L. (1990). Clinical importance of age at onset in type 1 and type 2 primary alcoholics. Archives of General Psychiatry, 47, 320324.Google Scholar
Jaffe, J. H., Babor, T. F., & Fishbein, D. H. (1988). Alcoholics, aggression, and antisocial personality. Journal of Studies on Alcohol, 49, 211218.CrossRefGoogle ScholarPubMed
Kadden, R. M., Litt, M. D., & Cooney, N. L. (1994). Matching alcoholics to coping skills or interactional therapy: Role of intervening variables. Annals of the New York Academy of Sciences, 708, 218229.CrossRefGoogle ScholarPubMed
Kandel, D. B. (1978). Covergences in prospective longitudinal surveys of drug use in normal populations. In Kandel, D. B. (Ed.), Longitudinal research on drug use. Washington, DC: Hemisphere.Google Scholar
Knight, R. P. (1937). The dynamics and treatment of chronic alcohol addiction. Bulletin of the Menninger Clinic, 1, 233250.Google Scholar
Lex, B. W., Sholar, J. W., Bower, T., & Mendelson, J. H. (1991). Putative type II alcoholism characteristics in female third DUI offenders in Massachusetts: A pilot study. Alcohol, 8, 283297.CrossRefGoogle ScholarPubMed
Litt, M. D., Babor, T. R., DelBoca, F. K., Kadden, R. M., & Cooney, N. L. (1992). Types of alcoholics II: Application of an empirically derived typology to treatment matching. Archives of General Psychiatry, 49, 609614.Google Scholar
Loeber, R. (1982). The stability of antisocial and delinquent child behavior: A review. Child Development, 53, 14311446.CrossRefGoogle ScholarPubMed
Moffitt, T. E. (1993). Adolescent-limited and life-course-persistent antisocial behavior: a developmental taxonomy. Psychological Review, 100, 674701.CrossRefGoogle Scholar
Nixon, S. J., & Parsons, O. A. (1990). Application of the tridimensional personality questionnaire to a population of alcoholics and other substance abusers. Alcoholism: Clinical and Experimental Research, 14, 513517.Google Scholar
Penick, E. C., Powell, B. J., Nickel, E. J., Read, M. R., Gabrielli, W. F., & Liskow, B. I. (1990). Examination of Cloninger's type I and type II alcoholism with a sample of men alcoholics in treatment. Alcoholism: Clinical and Experimental Research, 14, 623629.Google Scholar
Pickens, R. W., Svikis, D. S., McGue, M., Lykken, D. T., Heston, L. L., & Clayton, P. J. (1991). Heterogeneity in the inheritance of alcoholism. Archives of General Psychiatry, 48, 1928.Google Scholar
Schuckit, M. A. (1985). The clinical implications of primary diagnostic groups among alcoholics. Archives of General Psychiatry, 42, 10431049.Google Scholar
Schuckit, M. A., Tipp, J., Smith, T. L., Shapiro, E., Hesselbrock, V. M., Bucholz, K. K., Reich, R., & Numberger, J. I. (1995). An evaluation of Type A and B alcoholics. Manuscript under review, Department of Psychiatry, University of California, San Diego.Google Scholar
Selzer, M., Vinokur, A. & van Rooijen, L. (1975). A self-administered Short Michigan Alcoholism Screening Test (SMAST). Journal of Studies on Alcohol, 36, 117126.Google Scholar
Stevens, G., & Featherman, D. L. (1981). A revised socioeconomic index of occupational status. Social Science Research, 10, 364395.Google Scholar
Tarter, R. E., & Vanukov, M. M. (1994). Stepwise developmental model of alcoholism etiology. In Zucker, R. A., Howard, J., & Boyd, G. M. (Eds.), The development of alcohol problems: Exploring the biopsy-chosocial matrix of risk (Res. Monogr. No. 26, pp. 303330). Rockville, MD: National Institute on Alcohol Abuse and Alcoholism.Google Scholar
Tremblay, R. E., Pihl, R. O., Vitaro, F., & Dobkin, P. C. (1994). Predicting early onset of male antisocial behavior from preschool behavior. Archives of General Psychiatry, 51, 732739.Google Scholar
von Eye, A. (1990). Introduction to configural frequency analysis: The search for types and antitypes in cross classifications. New York: Cambridge University Press.Google Scholar
von Knorring, L., Palm, V., & Anderson, H. (1985). Relationship between treatment outcome and subtype of alcoholism in men. Journal of Studies on Alcohol, 46, 388391.Google Scholar
Whisman, M. A., Strosahl, K., Fruzzetti, A. E., Schmaling, K. B., Jacobson, N. S., & Miller, D. M. (1989). A structured interview version of the Hamilton Rating Scale for Depression: Reliability and validity. Psychological Assessment, 1, 238241.Google Scholar
Wilden, A. (1980). System and structure. London: Tavistock.Google Scholar
Wise, R. A., & Bozarth, M. A. (1987). A psychomotor stimulant theory of addiction. Psychological Review, 94, 469492.CrossRefGoogle ScholarPubMed
Windle, M., & Searles, J. S. (Eds.). (1990). Children of alcoholics: Critical perspectives. New York: Guilford Press.Google Scholar
Zaninelli, R. M., Porjesz, B., & Begleiter, H. (1992). The tridimensional personality questionnaire in males at high and low risk for alcoholism. Alcoholism: Clinical and Experimental Research, 16, 6880.Google Scholar
Zucker, R. A. (1987). The four alcoholisms: A developmental account of the etiologic process. In Rivers, P. C. (Ed.), Nebraska symposium on motivation: Alcohol and addictive behaviors (Vol. 34, pp. 2783). Lincoln, NE: University of Nebraska Press.Google Scholar
Zucker, R. A. (1989). Is risk for alcoholism predictable? A probabilistic approach to a developmental problem. Drugs and Society, 4, 6993.Google Scholar
Zucker, R. A. (1991). Scaling the developmental momentum of alcohol process via the Lifetime Alcohol Problems Score. Alcohol & Alcoholism (Supp. 1), 505510.Google Scholar
Zucker, R. A. (1994). Pathways to alcohol problems and alcoholisms: A developmental account of the evidence for multiple alcoholisms and for contextual contributions to risk. In Zucker, R. A., Howard, J., & Boyd, G. M. (Eds.), The development of alcohol problems: Exploring the biopsychosocial matrix of risk (Res. Monogr. No. 26, pp. 225289). Rockville, MD: National Institute on Alcohol Abuse and Alcoholism.Google Scholar
Zucker, R. A., & Davies, W. H. (1989). The Revised Quantity-Frequency-Variability Index: Rationale and formulae. Unpublished manuscript, Michigan State University, Department of Psychology, East Lansing MI.Google Scholar
Zucker, R. A., Ellis, D. A., & Fitzgerald, H. E. (1994). Developmental evidence for at least two alcoholisms, I: Biopsychosocial variation among pathways into symptomatic difficulty. Annals of the New York Academy of Sciences, 708, 134136.Google Scholar
Zucker, R. A., & Fitzgerald, H. E. (1992). Risk and coping in children of alcoholics. NIAAA grant ROl AA-07065, East Lansing: Michigan State University, Department of Psychology.Google Scholar
Zucker, R. A., Fitzgerald, H. E., & Moses, H. D. (1995). Emergence of alcohol problems and the several alcoholisms: A developmental perspective on etiologic theory and life course trajectory. In Cicchetti, D. & Cohen, D. J. (Eds.), Developmental Psychopathology. Volume 2. Risk, disorder and adaptation (pp. 677711). New York: Wiley.Google Scholar
Zucker, R. A., & Gomberg, E. S. L. (1986). Etiology of alcoholism reconsidered: The case for a biopsychosocial process. American Psychologist, 41, 783793.Google Scholar
Zucker, R. A., & Noll, R. B. (1980). Assessment of antisocial behavior: Development of an instrument. East Lansing: Michigan State University.Google Scholar
Zucker, R. A., Noll, R. B., Ham, H. P., Fitzgerald, H. E., Sullivan, L. S. (1994). Assessing antisociality with the Antisocial Behavior Checklist: Reliability and validity studies. Unpublished manuscript, Michigan State University, Department of Psychology.Google Scholar