The influence of parental drinking behaviour and antisocial personality disorder on adolescent behavioural problems: results of the Greifswalder Family Study.
OBJECTIVE
Contradictory results have been produced by previous research on the question to what extent do children of alcoholics (COAs) differ in measures of externalizing symptoms from children of non-alcoholic parents. The goal of this study was to determine whether COAs are characterized by more behavioural problems than non-COAs, and also to determine the influence of a paternal antisocial personality disorder (ASPD) in this context.


METHODS
In this study, 340 children and adolescents between the ages of 11 and 18 years and their parents were included. Of this sample, 76 adolescents showed a positive family history of alcoholism (FHalc) and 47 adolescents a positive history of a paternal ASPD (FHaspd). Externalizing symptoms, which where measured on the basis of maternal ratings and self-assessments, were analysed with a two-factorial MANCOVA with FHalc and FHaspd as independent factors.


RESULTS
The results of the MANCOVA revealed that only children with paternal ASPD showed significant higher scores in attentional problems, self-rated aggression/delinquency and disruptive behaviour, while there were no differences for FHalc and the interaction effect.


CONCLUSIONS
Our findings show that the higher of behavioural problems relates primarily to a higher prevalence in both cases of ASPD among fathers. These results were discussed regarding the mediating role of a paternal ASPD for the differences in behavioural problems in COAs and non-COAs. Furthermore, children with FHalc and/or FHaspd represent high-risk groups and should be the focus of prevention and intervention measures.
Barnow
Sven
S
Department of Psychiatry, Ernst Moritz Arndt University of Greifswald, Ellernholzstr. 1-2, 17487 Greifswald, Germany. barnow@uni-greifswald.de
Ulrich
Ines
I
Grabe
Hans-J
HJ
Freyberger
Harald J
HJ
Spitzer
Carsten
C
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D000328:Adult; D000368:Aged; D000437:Alcoholism; D000987:Antisocial Personality Disorder / Q000453:epidemiology* / Q000517:prevention & control / Q000523:psychology*; D002648:Child; D016241:Child of Impaired Parents / Q000523:psychology*; D003430:Cross-Sectional Studies; D005195:Family Relations; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D010290:Parents / Q000523:psychology; D012307:Risk Factors