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Berglund, K., Roman, E., Balldin, J., Berggren, U., Eriksson, M., Gustavsson, P. & Fahlke, C. (2011). Do men with excessive alcohol consumption and
social stability have an addictive personality? Scandinavian Journal of Psychology 52, 257260.
The existence of an addictive personality has been extensively debated. The current study investigated personality in male individuals with excessive
alcohol consumption (n = 100) in comparison to a population-based control group (n = 131). The individuals with excessive alcohol consumption were
recruited by advertisements in a regional daily newspaper and controls from a population based Swedish Twin Registry. Personality was assessed by the
Karolinska Scales of Personality (KSP). Comparisons were made with normative data. Furthermore, by using a multivariate projection-based approach
(Principal Component Analysis; PCA), hidden structures of traits and possible relationships among the individuals with excessive consumption and the
controls was investigated. The individuals with excessive alcohol consumption as well as the controls had mean values within the normative range in all
scales of the KSP. Moreover, the PCA analysis revealed no systematic between-group separation. Taken together, this result demonstrates that male individ-
uals with excessive alcohol consumption do not have a personality different from that of a general population, which supports the notion of no addictive
personality.
Key words: Personality, men, excessive alcohol consumption.
Kristina Berglund, Department of Psychology, University of Gothenburg, PO Box 500, SE-405 30 Goteborg, Sweden. Tel: 46-31-786 18 78; fax: 46-31-
786 46 28; e-mail: Kristina.Berglund@psy.gu.se
70 70
60 60
50 50
T-scores
T-scores
40 40
30 30
20 20
10 10
0 0
SA PA MT PS IM MA SO IA VA IR SU GU IoA DE SD SA PA MT PS IM MA SO IA VA IR SU GU IoA DE SD
Fig. 1. T-scores (mean SD) for personality traits as assessed by the Karolinska Scales of Personality: (a) the T-scores for male individuals with excessive
alcohol consumption (n = 100); (b) the T-scores for the male controls (n = 131). Note: SA = somatic anxiety, PA = psychic anxiety, MT = muscular
tension, PS = psychasthenia, IM = impulsiveness, MA = monotony avoidance, SO = socialization, IA = indirect aggression, VA = verbal aggression, IR =
irritability, SU = suspicion, GU = guilt, IoA = inhibition of aggression, DE = detachment and SD = social desirability.
The systematic variance of individuals with excessive alcohol (a) PCA score plot for individuals with excessive alcohol
consumption (A) and controls (C)
consumption and controls in the scales of the KSP was investi-
4
gated using the PCA. The score plot indicated no between-group A
3 A A
separation (see Fig. 2a). There was, however, signicantly more AA A
A A AC C A AA
AA A
2 C
A C A
outliers in the group of individuals with excessive alcohol con- C CC A C CCA CA A A C
C
A CA C C C CAAA A C
C CAC C
1 C CC AC C
ACC CACCC A
sumption (n = 11; 11%) in comparison to controls (n = 4; 3%); C CC CCC CA CA A
CC CCC AC CCA
v2 = 4,94, 1 df, p < 0.05. The majority of the outliers in the group 0
A
C CCC C
AA
AC
A
C
A
CAC
CC
C C C CCACA CCA
C C
CC CC CC CC C
C C
CC CC C
CAA
AC C
CCA CC
of individuals with excessive alcohol consumption had higher C A C
C A
A CCC
C
AA A CAC
C
A C C
1 CC C A CC A C C AC A C
psychic anxiety and lower impulsiveness and monotony avoid- AC CC C C CC C
A
AA
2 A AACA AA AA AAA A
ance. Figure 2b shows how the dimensions of the KSP loaded in A A A AA
3 CAA A AA A
the model, regardless of the two groups. Dimensions appearing A AA A
A A
close to the origin are less signicant, whereas dimensions appear- 4 A A
A
ing at some distance are more important. Psychic anxiety and 5 4 3 2 1 0 1 2 3 4 5 6 7 8
impulsiveness loaded opposite with the largest span to each other,
which indicates an inverse relationship between these two dimen-
(b) PCA loading for the 15 dimensions of KSP
sions.
0.5 MAIM
0.4
DISCUSSION 0.3
Our hypothesis that male individuals with excessive alcohol 0.2
consumption do not have a specic addictive personality, was 0.1 IA
VA SU IR PS SA
conrmed in this study. Thus, this group as well as the popula- 0.0 GU
tion-based control group had mean values within the normative 0.1 MT
DE
IoA
range in all scales of the KSP. Furthermore the score plot in the 0.2
PCA did not indicate a between-group separation. Our ndings,
0.3
obtained by either norm group comparisons or through the use of PA
0.4 SO SD
the statistical method of PCA, are thus in agreement with our own
0.2 0.1 0.0 0.1 0.2 0.3 0.4
previous ndings (Berglund et al., 2006; Eriksson et al., 2001a)
that individuals with excessive alcohol consumption do not differ Fig. 2. (a) the PCA score plot for male individuals with excessive alcohol
in personality patterns from a general reference population as consumption (n = 100) and male controls (n = 131). The ellipse denotes
assessed by the Temperament and Character Inventory (Cloninger, the limit for 2 SD; (b) the PCA loading plot for the 15 dimensions of the
KSP for both groups together. Note: SA = somatic anxiety, PA = psychic
Svrakic & Przybeck, 1993). These results are also in agreement
anxiety, MT = muscular tension, PS = psychasthenia, IM = impulsiveness,
with the notion that there exists little empirical evidence for a cer- MA = monotony avoidance, SO = socialization, IA = indirect aggression,
tain addictive personality (e.g. Mulder, 2002; Sher & Trull, VA = verbal aggression, IR = irritability, SU = suspicion, GU = guilt, IoA
1994; Sutker & Allain, 1988; Weijers et al., 1999) at least regard- = inhibition of aggression, DE = detachment and SD = social desirability.
ing individuals with excessive alcohol consumption resembling
either type 1 alcoholics (Cloninger et al., 1981) or those with excessive alcohol consumption (11%) as compared to controls
social stability (Berglund, 2009; Schuckit, 2009). (3%). The majority of these outliers had higher psychic anxiety
Despite no between-group separation in the PCA analysis, there and lower impulsiveness scores. According to the denition of
was, however, more outliers in the group of individuals with KSP (Schalling et al., 1987), higher scores of the dimension
psychic anxiety reect anxiousness, lack of self-condence and Cloninger, R. C., Svrakic, D. M. & Przybeck, T. R. (1993). A psychobi-
social anxiety (i.e. neuroticism or negative emotionality). Lower ological model of temperament and character. Archives of General
Psychiatry, 50, 975990.
scores of the dimension impulsiveness reect well-planned behav-
Eriksson, M., Berggren, U., Blennow, K., Fahlke, C. & Balldin, J.
ior and less acting on the spur of the moment. Since this study is (2001a). Further investigation of citalopram on alcohol consumption
cross-sectional, we cannot conclude whether this deviating per- in heavy drinkers: Responsiveness possibly linked to the DRD2 A2/
sonality pattern in the outliers had a causal role in the develop- A2 genotype. Alcohol, 24, 1523.
ment of alcoholism, or if this personality pattern rather is a Eriksson, M., Fahlke, C., Hansen, S., Berggren, U., Marin, P. & Balldin,
J. (2001b). No effect of the cortisol-synthesis inhibitor metyrapone
consequence of excessive alcohol consumption. It should, how-
on alcohol drinking: A pilot study. Alcohol, 25, 115122.
ever, be emphasized that 89% of male individuals with excessive Eriksson, L., Johansson, E., Kettaneh-Wold, N., Trygg, J., Wikstrom, C.
alcohol consumption have personality traits within the normal & Wold, S. (2006). Multi- and megavariate data analysis. Part I:
range. Basic principles and applications. Second revised and enlarged
There are some limitations in the present study. First, only mid- edition (p. 425). Umea: Umetrics AB.
Gustavsson, J. P., Weinryb, R. M., Goransson, S., Pedersen, N. L. &
dle-aged men were included in this study. Secondly, they were
Asberg, M. (1997). Stability and predictive ability of personality
recruited by advertisements, mainly aimed to investigate pharma- traits across 9 years. Personality and Individual Differences, 22, 783
cotherapeutical interventions for excessive alcohol consumption 791.
(Balldin et al., 1994; Eriksson et al., 2001a, 2001b). These limita- Hamilton, M. (1959). The assessment of anxiety states by rating. British
tions may impede the generalization of the ndings to other Journal of Psychology, 32, 5055.
Hamilton, M. (1967). Development of a rating scale for primary depres-
groups of individuals with excessive alcohol consumption. More-
sive illness. British Journal of Social and Clinical Psychology, 6,
over, the control group was recruited from a population-based 278296.
Swedish Twin Registry (Pedersen et al., 1991). It cannot be Lesch, O. M. & Walter, H. (1996). Subtypes of alcoholism and there role
excluded that some individuals within that group also had exces- in therapy. Alcohol and Alcoholism, 31(Suppl.1), 6367.
sive alcohol consumption. Finally, it may be argued that the Miller, P. M., Anton, R. F., Egan, B. M., Basile, J. & Nguyen, S. A.
(2005). Excessive alcohol consumption and hypertension: Clinical
samples were relatively small for such statistical analysis as PCA.
implications of current research. Journal of Clinical Hypertension
It should, however, be noted that the total sample was 231 (Greenwich), 7, 346351.
individuals. Mulder, R. T. (2002). Alcoholism and personality. Australian and New
Zealand Journal of Psychiatry, 36, 4452.
Pedersen, N. L., McClearn, G. E., Plomin, R., Nesselroade, J. R., Berg,
CONCLUSION S. & DeFaire, U. (1991). The Swedish adoption twin study of aging:
An update. Acta Geneticae Medicae Gemellologie, 40, 720.
The majority of male individuals with excessive alcohol consump- Ramklint, M. & Ekselius, L. (2003). Personality traits and personality
tion, recruited by advertisement and at the time of the study not disorders in early onset versus late onset major depression. Journal
participating in any treatment, do not have a personality different of Affective Disorders, 75, 3542.
from that of a general population. This nding thus supports the Schalling, D., Asberg, M., Edman, G. & Oreland, L. (1987). Markers for
vulnerability to psychopathology: Temperament traits associated with
notion that there exists no addictive personality. As socially
platelet MAO activity. Acta Psychiatrica Scandinavica, 76, 172182.
stable men with excessive alcohol consumption may represent the Schuckit, M. A. (2009). Alcohol-use disorders. Lancet, 373, 492501.
majority of the population with alcohol problems, this nding Schuckit, M. A. & Irwin, M. (1989). An analysis of the clinical rele-
may be of importance when formulating national guidelines for vance of type 1 and type 2 alcoholics. Addiction, 84, 869876.
care-giving and treatment of this group. Sher, K. J. & Trull, T. J. (1994). Personality and disinhibitory psychopa-
thology: Alcoholism and antisocial personality. Journal of Abnormal
Psychology, 103, 92102.
Sher, K. J., Trull, T. J., Bartholow, B. D. & Vieth, A. (1999). Personality
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