Typology of parents with alcohol consumption: insights from cluster analysis on psychopathology and parenting experiences

Autor

Słowa kluczowe:

alcohol, parental competence, parental burnout, psychopathology

Abstrakt

Background:
Studies have highlighted the negative impact of parental drinking on offspring, but the perception of drinking parents about their parenting role remains poorly explored. This study assessed the parental sense of competence among individuals with alcohol consumption and examined the relationship with parental guilt, burnout, and psychopathological symptoms.

Participants and procedure:

The sample was composed of 759 individuals who had at least one child aged below 18 living at home. Participants answered questionnaires measuring alcohol consumption, parental sense of competence, parental burnout and guilt, and psychopathological symptoms (anxiety, depression and post-traumatic stress disorder, PTSD).

Results:
An analysis comparing participants having low/no alcohol consumption with those having higher consumption showed that parents of the latter group had lower scores of perceived parental competence, higher scores of parental guilt and burnout, and higher levels of anxiety, depression, and PTSD symptoms. A cluster analysis was performed in the subsample with higher alcohol consumption. This identified a cluster (“High”) with participants scoring well above the mean in psychopathology, while another cluster (“Low”) included individuals scoring below the mean. The “High” cluster, compared to the “Low” cluster, exhibited lower scores in sense of competence, higher burnout and guilt, and higher alcohol use, with large effect sizes.

Conclusions:
In conclusion, parents with higher alcohol consumption perceived themselves as less competent and experienced more significant mental health challenges. However, among those parents, cluster analysis identified one group with higher psychopathology and negative parenting experiences coexisting with another group having lower psychopathology and more positive parenting experiences, suggesting a contrasted typology in parents with higher alcohol consumption.

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Bibliografia

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). APA Publishing.

Amersfoort, L. M., & Friesen, M. D. (2022). Space for you and your baby: Participant perceptions of community-based postnatal parenting support and adjustment to parenthood. New Zealand Journal of Psychology, 51, 43–52.

Ashbaugh, A. R., Houle-Johnson, S., Herbert, C., El-Hage, W., & Brunet, A. (2016). Psychometric validation of the English and French versions of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5). PLoS One, 11, e0161645. https:// doi.org/10.1371/journal.pone.0161645.

Borsari, B., Yalch, M. M., Pedrelli, P., Radomski, S., Bachrach, R. L., & Read, J. P. (2018). Associations among trauma, depression, and alcohol use profiles and treatment motivation and engagement in college students. Journal of American College Health, 66, 644– 654. https://doi.org/10.1080/07448481.2018.1446438.

Bosk, E. A., Anthony, W. L., Folk, J. B., & Williams-Butler, A. (2021). All in the family: Parental substance misuse, harsh parenting, and youth substance misuse among juvenile justice-involved youth. Addictive Behaviors, 119, 106888. https://doi.org/10.1016/ j.addbeh.2021.106888.

Bush, K., Kivlahan, D. R., McDonell, M. B., Fihn, S. D., Bradley, K. A., & for the Ambulatory Care Quality Improvement Project (ACQUIP) (1998). The AUDIT Alcohol Consumption Questions (AUDIT-C): an effective brief screening test for problem drinking. Archives of Internal Medicine, 158, 1789–1795. https://doi.org/10.1001/archinte.158.16.1789.

Carballeira, Y., Dumont, P., Borgacci, S., Rentsch, D., de Tonnac, N., Archinard, M., & Andreoli, A. (2007). Criterion validity of the French version of Patient Health Questionnaire (PHQ) in a hospital department of internal medicine. Psychology and Psychotherapy: Theory, Research and Practice, 80, 69–77. https://doi.org/10.1348/147608306X103641.

Cavicchioli, M., Ramella, P., Simone, G., Vassena, G., Movalli, M., & Maffei, C. (2020). Emotional difficulties among individuals with alcohol use disorder: The mediating role of psychological mechanisms linked to mindfulness. Journal of Substance Use, 25, 561–568. https://doi.org/10.1080/14659891. 2020.1745310.

Choquette, E. M., Ordaz, D. L., Melioli, T., Delage, B., Chabrol, H., Rodgers, R., & Thompson, J. K. (2018). Food and alcohol disturbance (FAD) in the U.S. and France: Nationality and gender effects and relations to drive for thinness and alcohol use. Eating Behaviors, 31, 113–119. https://doi.org/10.1016/ j.eatbeh.2018.09.002.

Cioffi, C. C., Browning O’Hagan, A. M., Halvorson, S., & DeGarmo, D. S. (2023). A randomized controlled trial to improve fathering among fathers with substance use disorders: Fathering in recovery intervention. Journal of Family Psychology, 37, 1303– 1314. https://doi.org/10.1037/fam0001134.

Cook, M., Pennay, A., MacLean, S., Dwyer, R., Mugavin, J., & Callinan, S. (2022). Parents’ management of alcohol in the context of discourses of ‘competent’ parenting: a qualitative analysis. Sociology of Health & Illness, 44, 1009–1026. https:// doi.org/10.1111/1467-9566.13475.

Corbin, W. R., Farmer, N. M., & Nolen-Hoekesma, S. (2013). Relations among stress, coping strategies, coping motives, alcohol consumption and related problems: a mediated moderation model. Addictive Behaviors, 38, 1912–1919. https://doi.org/10.1016/ j.addbeh.2012.12.005.

Cusack, S. E., Bountress, K. E., Sheerin, C. M., Spit for Science Work Group, Dick, D. M., & Amstadter, A. B. (2023). The longitudinal buffering effects of resilience on alcohol use outcomes. Psychological Trauma: Theory, Research, Practice, and Policy, 15, 1000–1011. https://doi.org/10.1037/tra0001156.

Denis, A., Callahan, S., & Bouvard, M. (2015). Evaluation of the French version of the Multidimensional Scale of Perceived Social Support during the postpartum period. Maternal and Child Health Journal, 19, 1245–1251. https://doi.org/10.1007/s10995-014- 1630-9.

Doron, J., Trouillet, R., Maneveau, A., Ninot, G., & Neveu, D. (2015). Coping profiles, perceived stress and health-related behaviors: a cluster analysis approach. Health Promotion International, 30, 88–100. https://doi.org/10.1093/heapro/dau090.

Dragan, M. (2020). Adverse experiences, emotional regulation difficulties and psychopathology in a sample of young women: Model of associations and results of cluster and discriminant function analysis. European Journal of Trauma & Dissociation, 4, 100091. https://doi.org/10.1016/j.ejtd.2018. 12.001.

Durtschi, J. A., Soloski, K. L., & Kimmes, J. (2017). The dyadic effects of supportive coparenting and parental stress on relationship quality across the transition to parenthood. Journal of Marital and Family Therapy, 43, 308–321. https://doi.org/ 10.1111/jmft.12194.

Finan, L. J., Simpson, E., Schulz, J., & McCauley Ohannessian, C. (2018). Parental problem drinking and emerging adult problem behavior: The moderating role of parental support. Journal of Child & Family Studies, 27, 1175–1185. https://doi.org/10.1007/ s10826-017-0953-8.

Folkman, S. (2020). Stress: Appraisal and coping. In M. D. Gellman (Ed.), Encyclopedia of behavioral medicine (pp. 2177–2179). Springer. https://doi.org/ 10.1007/978-3-030-39903-0_215.

Gache, P., Michaud, P., Landry, U., Accietto, C., Arfaoui, S., Wenger, O., & Daeppen, J. B. (2005). The Alcohol Use Disorders Identification Test (AUDIT) as a screening tool for excessive drinking in primary care: Reliability and validity of a French version. Alcoholism: Clinical and Experimental Research, 29, 2001–2007. https://doi.org/10.1097/01. alc.0000187034.58955.64.

Gémes, K., Forsell, Y., Janszky, I., László, K. D., Lundin, A., Ponce De Leon, A., Mukamal, K. J., & Moller, J. (2019). Moderate alcohol consumption and depression – a longitudinal population-based study in Sweden. Acta Psychiatrica Scandinavica, 139, 526–535. https://doi.org/10.1111/acps.13034.

Gilmore, L., & Cuskelly, M. (2009). Factor structure of the Parenting Sense of Competence scale using a normative sample. Child: Care, Health and Development, 35, 48–55. https://doi.org/10.1111/ j.1365-2214.2008.00867.x.

Graham, K., Bernards, S., Karriker‐Jaffe, K. J., Kuntsche, S., Laslett, A., Gmel, G., Callinan, S., Stanesby, O., Wells, S., Karriker-Jaffe, K. J., & Laslett, A. M. (2020). Do gender differences in the relationship between living with children and alcohol consumption vary by societal gender inequality? Drug & Alcohol Review, 39, 671–683. https://doi. org/10.1111/dar.13096.

Gross, J. J. (2015). Emotion regulation: Current status and future prospects. Psychological Inquiry, 26, 1–26. https://doi.org/10.1080/1047840X.2014.940781.

Hagerman, C. J., Ferrer, R. A., Klein, W. M. P., & Persky, S. (2020). Association of parental guilt with harmful versus healthful eating and feeding from a virtual reality buffet. Health Psychology, 39, 199– 208. https://doi.org/10.1037/hea0000831.

Hawn, S. E., Kurtz, E. D., Brown, E., Brown, R. C., Berenz, E. C., McDonald, S., Pickett, T., Kmett Danielson, C., & Amstadter, A. (2018). A cluster-analytic approach to determining drinking motives and personality typologies: Trauma group differences and respective relations to PTSD and problematic alcohol use. Psychology of Addictive Behaviors, 32, 528–539. https://doi.org/10.1037/adb0000382.

Homel, J., & Warren, D. (2019). The relationship between parent drinking and adolescent drinking: Differences for mothers and fathers and boys and girls. Substance Use & Misuse, 54, 661–669. https:// doi.org/10.1080/10826084.2018.1531429.

Hubert, S., & Aujoulat, I. (2018). Parental burnout: When exhausted mothers open up. Frontiers in Psychology, 9, 1021. https://doi.org/10.3389/fpsyg. 2018.01021.

Jääskeläinen, M., Holmila, M., Notkola, I. L., & Raitasalo, K. (2016). A typology of families with parental alcohol or drug abuse. Addiction Research & Theory, 24, 288–299. https://doi.org/10.3109/ 16066359.2015.1127358.

Johnson, E., Fellowes, R., Cant, K., & Hunt, S. (2022). Self-assured and sober: The relationship between maternal parenting sense of competence, stress, and alcohol use. Frontiers in Global Women’s Health, 2, 778183. https://doi.org/10.3389/fgwh.2021.778183.

Keller, P. S., Michlitsch, H., & Rawn, K. P. (2022). Retrospective reports of parental problem drinking and parent reactions to child negative emotions: Implications for emotion regulation in the transition to adulthood. Emerging Adulthood, 10, 620– 631. https://doi.org/10.1177/21676968211024401.

Keller, P. S., Widiger, T. A., & El-Sheikh, M. (2023). Parental problem drinking and maladaptive personality features in children: The role of marital conflict. Child Psychiatry & Human Development, 54, 1336– 1346. https://doi.org/10.1007/s10578-022-01340-9.

Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: a new depression diagnostic and severity measure. Psychiatric Annals, 32, 509–515. https://doi.org/10.1046/ j.1525-1497.2001.016009606.x.

Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613. https://doi.org/10.1046/j.1525-1497.2001. 016009606.x.

Kuntsche, S., Knibbe, R. A., & Gmel, G. (2012). Parents’ alcohol use: Gender differences in the impact of household and family chores. European Journal of Public Health, 22, 894–899. https://doi. org/10.1093/eurpub/ckr145.

Lannoy, S., Mange, J., Leconte, P., Ritz, L., Gierski, F., Maurage, P., & Beaunieux, H. (2020). Distinct psychological profiles among college students with substance use: a cluster analytic approach. Addictive Behaviors, 109, 106477. https://doi.org/10.1016/ j.addbeh.2020.106477.

Latendresse, S. J., Rose, R. J., Viken, R. J., Pulkkinen, L., Kaprio, J., & Dick, D. M. (2008). Parenting mechanisms in links between parents’ and adolescents’ alcohol use behaviors. Alcoholism: Clinical and Experimental Research, 32, 322–330. https://doi.org/ 10.1111/j.1530-0277.2007.00583.x.

Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer Publishing Company.

Lipari, R. N., & Van Horn, S. L. (2017). Children living with parents who have a substance use disorder. The CBHSQ Report. Center for Behavioral Health Statistics and Quality.

Little, R. J. A. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83, 1198–1202. https://doi.org/10.1080/01621459.1988. 10478722.

Mehrizi, S. H. A. A., Amani, O., Feyzabadi, A. M., & Kolae, Z. E. B. (2023). Emotion regulation, negative self-evaluation, and social anxiety symptoms: The mediating role of depressive symptoms. Current Psychology, 42, 21541–21551. https://doi.org/ 10.1007/s12144-022-03225-5.

Micoulaud-Franchi, J. A., Lagarde, S., Barkate, G., Dufournet, B., Besancon, C., Trébuchon-Da Fonseca, A., Gavaret, M., Bartolomei, F., Bonini, F., & McGonigal, A. (2016). Rapid detection of generalized anxiety disorder and major depression in epilepsy: Validation of the GAD-7 as a complementary tool to the NDDI-E in a French sample. Epilepsy & Behavior, 57, 211–216. https://doi. org/10.1016/j.yebeh.2016.02.015.

Mikolajczak, M., Raes, M. E., Avalosse, H., & Roskam, I. (2018). Exhausted parents: Sociodemographic, child-related, parent-related, parenting and family-functioning correlates of parental burnout. Journal of Child and Family Studies, 27, 602–614. https://doi.org/10.1007/s10826-017-0892-4.

Milan, L., Hamonniere, T., & Varescon, I. (2023). Guilt in alcohol use: a systematic review. Addictive Behaviors, 137, 107531. https://doi.org/10.1016/j.addbeh.2022.107531.

Milan, L., & Varescon, I. (2022). Self-stigma in alcohol use disorder: Involvement of guilt and shame in the progressive model. Stigma and Health, 9, 294– 302. https://doi.org/10.1037/sah0000424.

Murphy, J. G., Yurasek, A. M., Dennhardt, A. A., Skidmore, J. R., McDevitt-Murphy, M. E., MacKillop, J., & Martens, M. P. (2013). Symptoms of depression and PTSD are associated with elevated alcohol demand. Drug and Alcohol Dependence, 127, 129–136. https://doi.org/10.1016/j.drugalcdep.2012.06.022.

National Institute on Alcohol Abuse and Alcoholism (2023). Understanding alcohol use disorder. Retrieved from https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/understandingalcohol-use-disorder.

Neppl, T. K., Diggs, O. N., & Cleveland, M. J. (2020). The intergenerational transmission of harsh parenting, substance use, and emotional distress: Impact on the third-generation child. Psychology of Addictive Behaviors, 34, 852–863. https://doi.org/ 10.1037/adb0000551.

Ohan, J. L., Leung, D. W., & Johnston, C. (2000). The Parenting Sense of Competence scale: Evidence of a stable factor structure and validity. Canadian Journal of Behavioural Science, 32, 251–261. https://doi.org/10.1037/h0087122.

Oro, V., Goldsmith, H. H., & Lemery-Chalfant, K. (2021). Elucidating the links between mother and father alcohol use disorder and adolescent externalizing psychopathology: a test of transmission specificity within competing factor structures and genetic and environmental liabilities. Behavior Genetics, 51, 512–527. https://doi.org/10.1007/ s10519-021-10072-w.

Rodgers, B., Korten, A. E., Jorm, A. F., Jacomb, P. A., Christensen, H., & Henderson, A. S. (2000). Non-linear relationships in associations of depression and anxiety with alcohol use. Psychological Medicine, 30, 421–432. https://doi.org/10.1017/s0033291799001865.

Roskam, I., Brianda, M. E., & Mikolajczak, M. (2018). A step forward in the conceptualization and mea- surement of parental burnout: The Parental Burnout Assessment (PBA). Frontiers in Psychology, 9, 758. https://doi.org/10.3389/fpsyg.2018.00758.

Roskam, I., & Mikolajczak, M. (2021). The slippery slope of parental exhaustion: a process model of parental burnout. Journal of Applied Developmental Psychology, 77, 101354. https://doi.org/10.1016/ j.appdev.2021.101354.

Sánchez-Rodríguez, R., Orsini, É., Laflaquière, E., Callahan, S., & Séjourné, N. (2019). Depression, anxiety, and guilt in mothers with burnout of preschool and school-aged children: Insight from a cluster analysis. Journal of Affective Disorders, 259, 244– 250. https://doi.org/10.1016/j.jad.2019.08.031.

Senn, M., Stadelmann, C., Forster, F., Nussbeck, F. W., & Bodenmann, G. (2023). Parental stress mediates the effects of parental risk factors on dysfunctional parenting in first-time parents: a dyadic longitudinal study. Journal of Social and Personal Relationships, 40, 4335–4358. https://doi.org/ 10.1177/02654075231165340.

Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166, 1092–1097. https://doi.org/10.1001/ archinte.166.10.1092.

Stellern, J., Xiao, K. B., Grennell, E., Sanches, M., Gowin, J. L., & Sloan, M. E. (2023). Emotion regulation in substance use disorders: a systematic review and meta‐analysis. Addiction, 118, 30–47. https://doi.org/10.1111/add.16001.

Sternberg, A., Pandika, D., Elam, K. K., & Chassin, L. (2018). The relation of parent alcohol disorder to young adult drinking outcomes mediated by parenting: Effects of developmentally limited versus persistent parent alcohol disorder. Drug and Alcohol Dependence, 188, 224–231. https://doi.org/ 10.1016/j.drugalcdep.2018.03.027.

Su, J., Kuo, S. I. C., Aliev, F., Guy, M. C., Derlan, C. L., Edenberg, H. J., Nurnberger Jr, J. I., Kramer, J. R., Bucholz, K. K., Salvatore, J. E., & Dick, D. M. (2018). Influence of parental alcohol dependence symptoms and parenting on adolescent risky drinking and conduct problems: a family systems perspective. Alcoholism: Clinical and Experimental Research, 42, 1783–1794. https://doi.org/10.1111/ acer.13827.

Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics. Pearson Education.

Trudelle, D., & Montambault, E. (2005). Le sentiment de compétence parentale chez des parents d’enfants d’âge préscolaire [Parental competence perceptions among parents of preschool children]. Service Social, 43, 47–62. https://doi.org/10.7202/ 706656ar.

van Eldik, W. M., Prinzie, P., Deković, M., & de Haan, A. D. (2017). Longitudinal associations between marital stress and externalizing behavior: Does parental sense of competence mediate processes? Journal of Family Psychology, 31, 420–430. https://doi.org/10.1037/fam0000282.

Wahlström, J., Magnusson, C., Låftman, S. B., & Svensson, J. (2023). Parents’ drinking, childhood hangover? Parental alcohol use, subjective health complaints and perceived stress among Swedish adolescents aged 10-18 years. BMC Public Health, 23, 1–10. https://doi.org/10.1186/s12889-023-15097-w.

Wemm, S. E., Ernestus, S. M., Glanton Holzhauer, C., Vaysman, R., Wulfert, E., & Israel, A. C. (2018). Internalizing risk factors for college students’ alcohol use: a combined person-and variable-centered approach. Substance Use & Misuse, 53, 629–640. https://doi.org/10.1080/10826084.2017.1355385.

World Health Organization (2022). Alcohol. Retrieved from https://www.who.int/news-room/fact-sheets/ detail/alcohol.

Zaso, M. J., Eiden, R. D., Leonard, K. E., Colder, C. R., & Livingston, J. A. (2023). Parent alcohol use and problems in children’s alcohol-related learning and subsequent alcohol use. Substance Use & Misuse, 58, 1829–1838. https://doi.org/10.1080/108260 84.2023.2256837.

Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. (1990). Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 55, 610–617. https://doi.org/10.1080/00223891.1990. 9674095.

Opublikowane

2025-08-12

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Cier-Dehez, C., Raynal, P., & Séjourné, N. (2025). Typology of parents with alcohol consumption: insights from cluster analysis on psychopathology and parenting experiences. Health Psychology Report, 13(3), 284–297. Pobrano z https://czasopisma.bg.ug.edu.pl/index.php/HPR/article/view/12552

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