Subtyping male alcoholics by family history of alcohol abuse and co-occurring psychiatric disorder: a bi-dimensional model.
Six studies of 568 alcoholics in treatment are summarized to illustrate the interactive effects of familial alcoholism, other forms of family psychopathology and the lifetime prevalence of additional psychiatric disorder on the onset and course of male alcoholism. A family history of alcoholism as well as additional co-occurring psychiatric syndromes were associated with (1) earlier onsets of problem drinking, (2) a more virulent course and (3) greater heterogeneity of psychopathology among first degree relatives. A bi-dimensional method of classifying male alcoholics is proposed which combines a family history of abusive drinking and the presence or absence of co-morbid psychiatric disorders. Implications for the clinical researcher and practitioner are briefly discussed.
Department of Psychiatry, University of Kansas Medical Center, Kansas City 66103.
M R
MR
Read
E C
EC
Penick
B J
BJ
Powell
E J
EJ
Nickel
S F
SF
Bingham
J
J
Campbell
D000328:Adult; D000437:Alcoholism / Q000150:complications / Q000235:genetics*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000235:genetics*; D015337:Multicenter Studies as Topic; D010556:Personality Tests; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D014728:Veterans / Q000523:psychology*