Online citations, reference lists, and bibliographies.
← 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

Cite This
Download PDF
Analyze on Scholarcy
Share
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)
10.1016/0191-8869(80)90033-1
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)
10.15288/JSAD.2011.72.678
Alcohol use and problem severity: associations with dual systems of self-control.
R. Dvorak (2011)
10.1037/a0014503
Disinhibitory psychopathology and delay discounting in alcohol dependence: personality and cognitive correlates.
Lyuba Bobova (2009)
10.1111/J.1360-0443.1993.TB02093.X
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)
10.1016/J.AVB.2011.02.003
Psychopathy and impulsivity reconsidered
N. Poythress (2011)
Psychopathy and DSM-IV Psychopathology.
T. Widiger (2006)
10.15288/JSA.2004.65.115
College student protective strategies and drinking consequences.
S. L. Benton (2004)
10.1037/a0028047
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)
10.1080/07448481.2010.511363
Heavy Episodic Drinking in College Students: Associations With Features of Psychopathy and Antisocial Personality Disorder
Patrick D Sylvers (2011)
10.1037/a0030039
Impulsivity and response modulation deficits in psychopathy: evidence from the ERN and N1.
Allan J Heritage (2013)
10.15288/JSA.2005.66.698
Development of the Protective Behavioral Strategies Survey.
M. Martens (2005)
10.1037/0893-164X.18.4.390
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)
10.1037/a0032516
Daily use of protective behavioral strategies and alcohol-related outcomes among college students.
M. Pearson (2013)
10.1037/0021-843x.99.4.430
Alcohol and drug abuse-dependence disorders in psychopathic and nonpsychopathic criminal offenders.
S. S. Smith (1990)
10.1007/s11121-015-0549-8
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)
10.1037/H0028301
Sensation seeking, impulsivity, and psychopathic personality.
R. Blackburn (1969)
10.1037/a0034471
Testing measurement invariance of the protective behavioral strategies scale in college men and women.
H. Treloar (2014)
10.1521/PEDI.18.2.163.32775
Does treatment really make psychopaths worse? A review of the evidence.
Karen D'Silva (2004)
10.1016/J.PAID.2012.09.009
Secondary Psychopathy, but not Primary Psychopathy, is Associated with Risky Decision-Making in Noninstitutionalized Young Adults.
A. Dean (2013)
10.4135/9781412964500.n32
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)
10.15288/JSAD.2007.68.106
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)
10.1037/a0030475
Drinking less and drinking smarter: direct and indirect protective strategies in young adults.
Kelly S DeMartini (2013)
10.1016/j.cpr.2013.08.006
Use of alcohol protective behavioral strategies among college students: a critical review.
M. Pearson (2013)
10.15288/jsa.1996.57.217
Alcohol Problems among Adolescents: Current Directions in Prevention Research
R. Chapman (1996)
10.1002/BSL.2370080210
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)
10.1037/1064-1297.11.3.210
Understanding the role of impulsivity and externalizing psychopathology in alcohol abuse: application of the UPPS impulsive behavior scale.
S. Whiteside (2003)
10.1037/0893-164X.21.3.307
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)
10.1037/a0038902
Fitting in and standing out: increasing the use of alcohol protective behavioral strategies with a deviance regulation intervention.
R. Dvorak (2015)
10.1207/S15328007SEM0803_5
The Relative Performance of Full Information Maximum Likelihood Estimation for Missing Data in Structural Equation Models
C. Enders (2001)
10.1037/0022-3514.68.1.151
Assessing psychopathic attributes in a noninstitutionalized population.
M. R. Levenson (1995)
10.1080/07448480209595713
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)
10.1023/A:1020993916404
Psychopathy, Treatment Involvement, and Subsequent Violence Among Civil Psychiatric Patients
J. Skeem (2002)
Data reporting and student statistics
(2016)
10.1016/0191-8869(80)90028-8
A research scale for the assessment of psychopathy in criminal populations
R. Hare (1980)
10.1037/0022-3514.74.1.192
Machiavellianism and psychopathy.
J. McHoskey (1998)
The alcohol use disorders identification test: Guidelines for use in primary care
T F Babor (2001)
10.1207/S15327752JPA6603_3
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)
10.3109/00952990.2013.877920
Alcohol use and alcohol-related consequences: associations with emotion regulation difficulties
R. Dvorak (2014)
10.1080/07448480903295342
Correlates of AUDIT Risk Status for Male and Female College Students
Kelly S DeMartini (2009)
10.1037/a0033262
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)
10.1080/02602930701293231
The adequacy of response rates to online and paper surveys: what can be done?
D. Nulty (2008)
10.17744/MEHC.37.1.52G325W385556315
Treatment Guidelines for Clients with Antisocial Personality Disorder
Gregory T. Hatchett (2015)
10.1177/1525822X08317085
Comparing Response Rates from Web and Mail Surveys: A Meta-Analysis
Tse-Hua Shih (2008)
10.1521/PEDI.1994.8.3.169
Psychopathy and Substance Use
J. F. Hemphill (1994)
10.1007/978-1-4757-9101-3_4
The Psychopathy Checklist—Revised (PCL-R)
S. Hart (1992)
10.1111/j.1530-0277.2009.00901.x
Influence of antisocial and psychopathic traits on decision-making biases in alcoholics.
R. Miranda (2009)
10.1176/AJP.104.9.523
The myth of the psychopathic personality.
B. Karpman (1948)
10.1037/T01167-000
Psychopathy Checklist—Revised
R. Hare (2011)
The antisocial personality.
C. R. Cloninger (1978)
10.1002/PER.585
Disinhibitory trait profile and its relation to Cluster B personality disorder features and substance use problems
J. Taylor (2006)
10.1037/hea0000327
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)
10.1037/a0032235
The efficacy of single-component brief motivational interventions among at-risk college drinkers.
M. Martens (2013)
10.1111/J.1360-0443.2006.01606.X
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)
10.1037/0021-843x.103.1.92
Personality and disinhibitory psychopathology: alcoholism and antisocial personality disorder.
K. Sher (1994)
10.1037/EBS0000039
Risk Anything! Secondary, Rather Than Primary Psychopathy, Is Associated With Diverse Risk-Taking in Evolutionarily Relevant Domains
Minna Lyons (2015)
10.4324/9780203809556
Introduction to Statistical Mediation Analysis
D. MacKinnon (2008)



This paper is referenced by
Semantic Scholar Logo Some data provided by SemanticScholar