An evaluation of Cloninger's typology of alcohol abuse

Sannibale, Claudia and Hall, Wayne (1998) An evaluation of Cloninger's typology of alcohol abuse. Addiction, 93 8: 1241-1249.


Author Sannibale, Claudia
Hall, Wayne
Title An evaluation of Cloninger's typology of alcohol abuse
Journal name Addiction   Check publisher's open access policy
ISSN 1360-0443
0965-2140
Publication date 1998-08
Sub-type Article (original research)
DOI 10.1046/j.1360-0443.1998.938124112.x
Volume 93
Issue 8
Start page 1241
End page 1249
Total pages 9
Place of publication Abingdon, England
Publisher Blackwell
Language eng
Subject 11 Medical and Health Sciences
1117 Public Health and Health Services
Formatted abstract Aims.
To evaluate Cloninger's typology of alcoholism using the Alcohol Symptom Scale (Gilligan et al., 1987).

Participants.
A sample of 300 Australian men and women with a life-time diagnosis of DSM-III-R alcohol abuse/dependence.

Measures.

The Alcohol Dependence Scale, the Short Alcoholism Screening Test, the Composite International Diagnostic Interview (CIDI) Substance Abuse Module, the Brief Symptom Inventory, the CIDI core modules, the Family History
Questionnaire and the Sensation Seeking Scale.

Findings.

The Alcohol Symptom Scale classified only 18% of the sample into either type I or type 2. There was mixed support for the hypothesized differences between type 1 and type 2 problem drinkers in pattern of alcohol abuse, gender, personality characteristics and familial aggregation of alcohol abuse. More women than men were classified as type 1 (19% vs. 6%) but, contrary to expectations, similar numbers were classified as type 2 problem drinkers (7% vs. 4%). As predicted, type 2 problem drinkers had more symptoms of antisocial personality disorder, more social consequences of drinking and higher sensation-seeking scores than type I problem drinkers.

Conclusions.
Cloninger's typology failed to classify two types of problem drinkers and it did not predict gender differences in symptoms of alcohol dependence, family history or personality. Schuckit, Irwin & Mahler's (1990) hypothesis that type 2 problem drinkers are more likely to have primary ASPD was supported.
Keyword Substance Abuse
Psychiatry
Cross-fostering Analysis
Type-2 Alcoholics
Sensation Seeking
Adopted-children
Family History
Ii Alcoholism
Platelet Mao
Age
Men
Questionnaire
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Population Health Publications
 
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Created: Mon, 13 Aug 2007, 10:33:27 EST