← Back to Search
Primary Psychopathy And Alcohol Pathology In College Students: The Role Of Protective Behavioral Strategies
Matthew P Kramer, B. Stevenson, R. Dvorak
Published 2017 · Psychology, Medicine
Download PDFAnalyze on Scholarcy
ABSTRACT Overview: Though not an official diagnosis, psychopathy has become an important area of research due to the litany of deleterious outcomes associated with this aspect of temperament. Psychopathy is composed of primary and secondary traits. Research consistently links psychopathy to alcohol pathology, though often only via secondary traits which are comprised of intractable aspects of behavior (e.g., poor impulse control). In contrast, primary psychopathy is comprised of behaviors that can be learned and thus may be more malleable (i.e., low harm reduction behaviors). Objectives: The current study examines associations between primary psychopathic traits and alcohol involvement as a function of Protective Behavioral Strategies (PBS) utilization in a sample of college students. Method: Participants (n = 936 college student drinkers; 66.56% female) completed a series of questionnaires assessing primary psychopathy, alcohol involvement, and PBS use. Results: There was a significant positive association between primary psychopathy and alcohol consumption and pathology. This association was partially mediated via diminished PBS use. PBS use also moderated the relationship between alcohol consumption and pathology. The indirect effects from psychopathy to alcohol outcomes were attenuated at high (+1SD) PBS and potentiated at low (−1SD) PBS. Conclusion: The current findings suggest that some of the alcohol pathology associated with psychopathy is a function of lower harm reduction strategies among individuals with more psychopathic traits. These findings suggest that interventions targeting PBS use may be one way to reduce alcohol problems among those with higher levels of primary psychopathy.
This paper references
Psychopathy and DSM-IV psychopathology. Handbook Psychopathy 2006:156–171
TA Widiger (2006)
Male alcoholics, secondary psychopathy and Eysenck's theory of personality
C. Macandrew (1980)
The psychotherapeutic management of psychopathic, narcissistic, and paranoid transferences.
O. Kernberg (1998)
Brief Alcohol Screening and Intervention for College Students (BASICS): A Harm Reduction Approach
L. Dimeff (1999)
Alcohol use and problem severity: associations with dual systems of self-control.
R. Dvorak (2011)
Disinhibitory psychopathology and delay discounting in alcohol dependence: personality and cognitive correlates.
Lyuba Bobova (2009)
Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II.
J. Saunders (1993)
Psychopathy and impulsivity reconsidered
N. Poythress (2011)
Psychopathy and DSM-IV Psychopathology.
T. Widiger (2006)
College student protective strategies and drinking consequences.
S. L. Benton (2004)
Substance-related disorders among juvenile offenders: what role do psychopathic traits play?
E. Kimonis (2012)
Mplus Statistical Modeling Software: Release 7.0; Los Angeles, CA: Muthén & Muthén
L K Muthén (2012)
Heavy Episodic Drinking in College Students: Associations With Features of Psychopathy and Antisocial Personality Disorder
Patrick D Sylvers (2011)
Impulsivity and response modulation deficits in psychopathy: evidence from the ERN and N1.
Allan J Heritage (2013)
Development of the Protective Behavioral Strategies Survey.
M. Martens (2005)
Protective behavioral strategies when drinking alcohol and their relationship to negative alcohol-related consequences in college students.
M. Martens (2004)
Ethics in research with human participants
B. Sales (2000)
Psychopathy and DSM - IV psychopathol
TA Widiger (2006)
Daily use of protective behavioral strategies and alcohol-related outcomes among college students.
M. Pearson (2013)
Alcohol and drug abuse-dependence disorders in psychopathic and nonpsychopathic criminal offenders.
S. S. Smith (1990)
The Efficacy of a Standalone Protective Behavioral Strategies Intervention for Students Accessing Mental Health Services
Joseph W. LaBrie (2015)
Trends in alcohol use, related problems and experience of prevention efforts among US college students 1993–2001: Results from the 2001 Harvard School of Public Health College Alcohol Study
H Wechsler (2002)
Sensation seeking, impulsivity, and psychopathic personality.
R. Blackburn (1969)
Testing measurement invariance of the protective behavioral strategies scale in college men and women.
H. Treloar (2014)
Does treatment really make psychopaths worse? A review of the evidence.
Karen D'Silva (2004)
Secondary Psychopathy, but not Primary Psychopathy, is Associated with Risky Decision-Making in Noninstitutionalized Young Adults.
A. Dean (2013)
Antisocial personality disorder.
A. M. Cooper (1993)
Mplus Statistical Modeling Software: Release
LK Muthén (2012)
Development and preliminary validation of a self-report measure of psychopathic personality traits in noncriminal population
SO Lilienfeld (1996)
Do protective behavioral strategies mediate the relationship between drinking motives and alcohol use in college students?
M. Martens (2007)
Preventing alcohol abuse in college students: A harm-reduction approach.
G. Marlatt (1995)
Drinking less and drinking smarter: direct and indirect protective strategies in young adults.
Kelly S DeMartini (2013)
Use of alcohol protective behavioral strategies among college students: a critical review.
M. Pearson (2013)
Alcohol Problems among Adolescents: Current Directions in Prevention Research
R. Chapman (1996)
Treating criminal psychopaths in a therapeutic community program
J. Ogloff (1990)
AUDIT - The alcohol use disorders identification test: guidelines for use in primary care.
T. Babor (2001)
Understanding the role of impulsivity and externalizing psychopathology in alcohol abuse: application of the UPPS impulsive behavior scale.
S. Whiteside (2003)
Measuring alcohol-related protective behavioral strategies among college students: further examination of the Protective Behavioral Strategies Scale.
M. Martens (2007)
Back to the Future: Cleckley as a Guide to the Next Generation of Psychopathy Research.
C. J. Patrick (2006)
Fitting in and standing out: increasing the use of alcohol protective behavioral strategies with a deviance regulation intervention.
R. Dvorak (2015)
The Relative Performance of Full Information Maximum Likelihood Estimation for Missing Data in Structural Equation Models
C. Enders (2001)
Assessing psychopathic attributes in a noninstitutionalized population.
M. R. Levenson (1995)
Trends in College Binge Drinking During a Period of Increased Prevention Efforts: Findings from 4 Harvard School of Public Health College Alcohol Study Surveys: 1993–2001
H. Wechsler (2002)
Psychopathy, Treatment Involvement, and Subsequent Violence Among Civil Psychiatric Patients
J. Skeem (2002)
Data reporting and student statistics
A research scale for the assessment of psychopathy in criminal populations
R. Hare (1980)
Machiavellianism and psychopathy.
J. McHoskey (1998)
The alcohol use disorders identification test: Guidelines for use in primary care
T F Babor (2001)
Development and preliminary validation of a self-report measure of psychopathic personality traits in noncriminal populations.
S. Lilienfeld (1996)
Antisocial personality disor
SA DeBrito (2009)
Introduction to statistical mediation
DP MacKinnon (2008)
Alcohol use and alcohol-related consequences: associations with emotion regulation difficulties
R. Dvorak (2014)
Correlates of AUDIT Risk Status for Male and Female College Students
Kelly S DeMartini (2009)
Use of protective behavioral strategies and reduced alcohol risk: examining the moderating effects of mental health, gender, and race.
Shannon R Kenney (2013)
The PCL-R Assessment of Psychopathy: Development, Structural Properties, and New Directions.
R. Hare (2006)
The adequacy of response rates to online and paper surveys: what can be done?
D. Nulty (2008)
Treatment Guidelines for Clients with Antisocial Personality Disorder
Gregory T. Hatchett (2015)
Comparing Response Rates from Web and Mail Surveys: A Meta-Analysis
Tse-Hua Shih (2008)
Psychopathy and Substance Use
J. F. Hemphill (1994)
The Psychopathy Checklist—Revised (PCL-R)
S. Hart (1992)
Influence of antisocial and psychopathic traits on decision-making biases in alcoholics.
R. Miranda (2009)
The myth of the psychopathic personality.
B. Karpman (1948)
R. Hare (2011)
The antisocial personality.
C. R. Cloninger (1978)
Disinhibitory trait profile and its relation to Cluster B personality disorder features and substance use problems
J. Taylor (2006)
A road paved with safe intentions: Increasing intentions to use alcohol protective behavioral strategies via Deviance Regulation Theory.
R. Dvorak (2016)
Determining effective follow-up of e-mail surveys
MJ Kittleson (1997)
The alcohol use disorders identification test: Guidelines for use in primary care, 2nd ed
TF Babor (2001)
The efficacy of single-component brief motivational interventions among at-risk college drinkers.
M. Martens (2013)
Concurrent validity of the Alcohol Use Disorders Identification Test (AUDIT) and AUDIT zones in defining levels of severity among out-patients with alcohol dependence in the COMBINE study.
D. Donovan (2006)
Personality and disinhibitory psychopathology: alcoholism and antisocial personality disorder.
K. Sher (1994)
Risk Anything! Secondary, Rather Than Primary Psychopathy, Is Associated With Diverse Risk-Taking in Evolutionarily Relevant Domains
Minna Lyons (2015)
Introduction to Statistical Mediation Analysis
D. MacKinnon (2008)
This paper is referenced by
Les corrélats des traits de personnalité psychopathiques dans un échantillon d’étudiants universitaires en Tunisie
F. Fekih-Romdhane (2020)
Application Strategy of Big Data in College Student Association Activities
R. Liu (2020)
Existential well-being predicts psychopathy traits in Tunisian college students
F. Fekih-Romdhane (2020)
Alcohol Pathology and the Triarchic Model of Psychopathy: The Role of Protective Behavioral Strategies and Impulsivity
Matthew Kramer (2018)
Protective Behavioral Strategies Moderate the Association between Narcissistic Traits and Alcohol Pathology in College Student Drinkers
Matthew P Kramer (2019)