Skip to main content

Vulnerability to Alcoholism in Women

Genetic and Cultural Factors

  • Chapter
Recent Developments in Alcoholism

Part of the book series: Recent Developments in Alcoholism ((RDIA,volume 12))

Abstract

The etiology of alcoholism in women is no longer a question of nature or nurture. Most observers would agree that alcoholism, both male and female, is mediated by genetic factors. The question is how much of the variance is explained by genetic factors and to what degree is this genetically mediated disorder moderated by personal characteristics of the woman. Among the most salient personal characteristics moderating the genetic vulnerability may be factors such as age, ethnicity, and presence of psychiatric comorbidity. Cultural factors and familial environmental factors are most likely predictors as well. Therefore, the chapter will discuss the genetic epidemiology of alcoholism in women.

Genetic heterogeneity will be discussed and evidence presented that suggests the existence of two forms of alcoholism in women: one more environmentally determined and one more influenced by genetic mediation. Evidence for the existence of a genetic diathesis in women will be presented, noting extant literature involving twin and adoption designs. Suggestions for what might be transmitted from generation to generation (e.g., neurobiological factors, temperament) with special reference to preadolescent and adolescent girls will also be discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Hill SY: Etiology, in McCrady B and Frankenstein W (eds.): Annual Review of Addiction Research and Treatment, vol. 3. New York, Pergamon Press, 1994, pp 127–148.

    Google Scholar 

  2. Kessler RC, McGonagle KA, Zhao S, et al: Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Arch Gen Psychiatry 51:8–19, 1994.

    PubMed  CAS  Google Scholar 

  3. Rounsaville BJ, Dolinsky ZS, Babor TF, et al: Psychopathology as a predictor of treatment outcome in alcoholics. Arch Gen Psychiatry 44:505–513, 1987.

    PubMed  CAS  Google Scholar 

  4. Schuckit MA, Winokur G: A short-term follow-up of women alcoholics. Dis Nerv Syst 33:572–578, 1972.

    Google Scholar 

  5. Murray RM, Clifford CA, Gurling HMD: Twin and adoption studies: How good is the evidence for a genetic role? in Galanter M (ed): Recent Developments in Alcoholism, vol. 1. New York, Plenum Press, 1983, pp 25–48.

    Google Scholar 

  6. Peele S: Implications and limitations of genetic models of alcoholism and other addictions. Gen Stud Alcohol 47:63–73, 1986.

    CAS  Google Scholar 

  7. Wilsnack RW, Wilsnack SC, Klassen AD: Women’s drinking and drinking problems: Patterns from a 1981 national survey. Am J Public Health 74:1231–1238, 1984.

    Article  PubMed  CAS  Google Scholar 

  8. Robins LN, HeIzer J, Weissman MN, et al: Lifetime prevalence of specific psychiatric disorders in three sites. Arch Gen Psychiatry 41:949–958, 1984.

    PubMed  CAS  Google Scholar 

  9. Cloninger CR, Bohman M, Sigvardsson S: Inheritance of alcohol abuse: Cross-fostering analysis of adopted men. Arch Gen Psychiatry 38:861–868, 1981.

    PubMed  CAS  Google Scholar 

  10. Hill SY: Absence of paternal sociopathy in the etiology of severe alcoholism: Is there a type III alcoholism? J Stud Alcohol 53:161–169, 1992.

    PubMed  CAS  Google Scholar 

  11. Glenn SW, Nixon SJ: Applications of Cloninger’s subtypes in a female alcoholic sample. Alcohol Clin Exp Res 15:851–857, 1991.

    PubMed  CAS  Google Scholar 

  12. Lex BW, Sholar JW, Bower T, et al: Putative type II alcoholism characteristics in female third DUI offenders in Massachusetts: A pilot study. Alcohol 8:283–287, 1991.

    PubMed  CAS  Google Scholar 

  13. Cloninger CR, Christiansen KO, Reich T, et al: Implications of sex differences in the prevalences of antisocial personality, alcoholism, and criminality for familial transmission. Arch Gen Psychiatry 35:941–951, 1978.

    PubMed  CAS  Google Scholar 

  14. Gilligan SB, Reich T, Cloninger CR: Etiologic heterogeneity in alcoholism. Genet Epidemiol 4:395–414, 1987.

    Article  PubMed  CAS  Google Scholar 

  15. Aston CE, Hill SY: Segregation analysis of alcoholism in families ascertained through a pair of male alcoholics. Am J Hum Genet 46:879–887, 1990.

    PubMed  CAS  Google Scholar 

  16. Merikangas KR, Leckman JF, Prusoff BA, et al: Familial transmission of depression and alcoholism. Arch Gen Psychiatry 42:367–372, 1985.

    PubMed  CAS  Google Scholar 

  17. Goodwin DW, Schulsinger F, Hermansen L, et al: Alcohol problems in adoptees raised apart from alcoholic biological parents. Arch Gen Psychiatry 28:238–243, 1973.

    PubMed  CAS  Google Scholar 

  18. Hill SY, Smith TR: Evidence for genetic mediation of alcoholism in women. J Subst Abuse 3:159–174, 1991.

    PubMed  CAS  Google Scholar 

  19. Hill SY: Genetic vulnerability to alcoholism in women, in Gomberg E, Nirenberg TD (eds): Women and Substance Abuse. Norwood, NJ, Ablex Publishing, 1993, pp 42–61.

    Google Scholar 

  20. Bohman M, Sigvardsson S, Cloninger CR: Maternal inheritance of alcohol abuse: Cross-fostering analysis of adopted women. Arch Gen Psychiatry 38:965–969, 1981.

    PubMed  CAS  Google Scholar 

  21. Goodwin DW, Schulsinger F, Knop J, et al: Alcoholism and depression in adopted-out daughters of alcoholics. Arch Gen Psychiatry 34:751–755, 1977.

    PubMed  CAS  Google Scholar 

  22. Cadoret RJ, O’Gorman TW, Troughton E, et al: Alcoholism and antisocial personality: Inter-relationships, genetic and environmental factors. Arch Gen Psychiatry 42:161–167, 1985.

    PubMed  CAS  Google Scholar 

  23. Heath AC, Jardine R, Martin NG: Interactive effects of genotype and social environment on alcohol consumption in female twins. J Stud Alcohol 50:38–48, 1989.

    PubMed  CAS  Google Scholar 

  24. Gurling HMD, Murray RM, Clifford CA: Investigations into the genetics of alcohol dependence and into its effects on brain function, in Gedda L, Parisi P, Nance, WE (eds): Twin Research 3: Epidemiologicaland Clinical Studies. New York, AlanR. Liss, 1981, pp 77–87.

    Google Scholar 

  25. McGue M, Pickens RW, Svikis DS: Sex and age effects on the inheritance of alcohol problems: A twin study. J Abnorm Psychol 101:3–17, 1992.

    Article  PubMed  CAS  Google Scholar 

  26. Pickens RW, Svikis DS, McGue M, et al: Heterogeneity in the inheritance of alcoholism: A study of male and female twins. Arch Gen Psychiatry 48:19–28, 1991.

    PubMed  CAS  Google Scholar 

  27. Pickens RW, Svikis DS: The twin method in the study of vulnerability to drug abuse, in Biological Vulnerability to Drug Abuse, Research Monograph vol. 89, 1988, pp 41–51.

    CAS  Google Scholar 

  28. Kendler KS, Heath AC, Neale MC, et al: A population-based twin study of alcoholism in women. JAMA 268:1877–1882, 1992.

    Article  PubMed  CAS  Google Scholar 

  29. Hill SY: Familial risk for alcoholism in women: Is P300 a marker? ProcAm College Neuropharmacol 39, 1993.

    Google Scholar 

  30. Hill SY: A vulnerability model for alcoholism in women. Focus on Women: J Addict Health 2:68–91, 1981.

    Google Scholar 

  31. Hill SY: Biological consequences of alcoholism and alcohol-related problems among women, in Alcohol and Health Monograph No. 4, Special Population Issues. (DHHS Pub. No. [ADM] 82-1193), Rockville, Maryland, US Department of Health and Human Services, National Institute on Alcohol Abuse and Alcoholism, 1982.

    Google Scholar 

  32. Hill SY: Addiction liability of Tryon rats: Independent transmission of morphine and alcohol consumption. Pharmacol Biochem Behav 9:107–110, 1978.

    Article  PubMed  CAS  Google Scholar 

  33. Frezza M, di Padova C, Pozzato G, et al: High blood alcohol levels in women. The role of decreased gastric alcohol dehydrogenase activity and first-pass metabolism. N Engl J Med 322:95–99, 1990.

    Article  PubMed  CAS  Google Scholar 

  34. Hill SY, Steinhauer SR, Zubin J, et al: Event-related potentials as markers for alcoholism risk in high density families. Alcohol Clin Exp Res 12:545–554, 1988.

    PubMed  CAS  Google Scholar 

  35. Hill SY, Steinhauer SR: Event-related potentials in women at risk for alcoholism. Alcohol 10:349–354, 1993.

    Article  PubMed  CAS  Google Scholar 

  36. Hill SY, Steinhauer SR, Park J, et al: Event-related potential characteristics in children of alcoholics from high density families. Alcohol Clin Exp Res 14:6–16, 1990. (Reprinted in Annu Rev Addict Res Treat 1:177–192, 1992.)

    PubMed  CAS  Google Scholar 

  37. Hill SY, Steinhauer SR: Assessment of prepubertal and postpubertal boys and girls at risk for developing alcoholism with P300 from a visual discrimination task. J Stud Alcohol 54:350–358, 1993.

    PubMed  CAS  Google Scholar 

  38. Steinhauer SR, Hill SY: Auditory event-related potentials in children at high risk for alcoholism. J Stud Alcohol 54:408–421, 1993.

    PubMed  CAS  Google Scholar 

  39. Hill SY, Steinhauer SR, Zubin J: Cardiac responsivity in individuals at high risk for alcoholism. J Stud Alcohol 53:378–388, 1992.

    PubMed  CAS  Google Scholar 

  40. Hill SY, Armstrong J, Steinhauer SR, et al: Static ataxia as a psychobiological marker for alcoholism. Alcohol Clin Exp Res 4:345–348, 1987.

    Google Scholar 

  41. Hill SY, Steinhauer SR: Postural sway in children from pedigrees exhibiting a high density of alcoholism. Biol Psychiatry 33:313–325, 1993.

    Article  PubMed  CAS  Google Scholar 

  42. Sutton S, Braren M, John ER, et al: Evoked potential correlates of stimulus uncertainty. Science 150:1187–1 188, 1965.

    PubMed  CAS  Google Scholar 

  43. Donchin E: Event-related potentials: A tool in the study of human in formation processing, in Begleiter H (ed): Evoked Brain Potentials and Behavior. New York, Plenum Press, 1979, pp 13–88.

    Google Scholar 

  44. Bock F: Pupillary dilation and vertex evoked potential similarity in monozygotic and dizygotic twins and siblings. Unpublished doctoral dissertation, City University of New York, 1976.

    Google Scholar 

  45. Surwillo WW: Cortical evoked potentials in monozygotic twins and unrelated subjects: Comparisons of exogenous and endogenous components. Behav Genet 10:201–209, 1980.

    Article  PubMed  CAS  Google Scholar 

  46. Polich J, Burns T: P300 from identical twins. Neuropsychologia 25:299–304, 1987.

    Article  PubMed  CAS  Google Scholar 

  47. Aston CE, Hill SY: A segregation analysis of the P300 component of the event-related potential. Am J Hum Genet 47(Suppl):A127, 1990.

    Google Scholar 

  48. Rogers TD, Deary I: The P300 component of the auditory event-related potential in monozygotic and dizygotic twins. Acta Psychiatr Scand 83:412–416, 1991.

    PubMed  CAS  Google Scholar 

  49. Aston C, Hill SY: Segregation analysis of alcoholism in families ascertained through a pair of male alcoholics. Am J Hum Genet 47:A127, 1990.

    Google Scholar 

  50. Begleiter H, Porjesz B, Bihari B, et al: Event-related brain potentials in boys at risk for alcoholism. Science 225:1493–1496, 1984.

    PubMed  CAS  Google Scholar 

  51. Whipple S, Parker ES, Noble EP: An atypical neurocognitive profile in alcoholic fathers and their sons. J Stud Alcohol 49:240–244, 1988.

    PubMed  CAS  Google Scholar 

  52. Berman SM, Whipple SC, Fitch RJ, et al: P300 in young boys as a predictor of adolescent substance use. Alcohol 10:69–76, 1993.

    Article  PubMed  CAS  Google Scholar 

  53. Polich J, Bloom FE: Event-related brain potentials in individuals at high and low risk for developing alcoholism: Failure to replicate. Alcohol Clin Exp Res 12:368–373, 1988.

    PubMed  CAS  Google Scholar 

  54. Aston CE, Hill SY: Segregation analysis of alcoholism in families ascertained through a pair of male alcoholics. Am J Hum Genet 46:879–887, 1990.

    PubMed  CAS  Google Scholar 

  55. Steinhauer SR, Hill SY, Zubin J: Event-related potentials in alcoholics and their first-degree relatives. Alcohol 4:307–314, 1987.

    Article  PubMed  CAS  Google Scholar 

  56. Hill SY, Powell BJ: Cocaine and morphine self-administration: Effects of differential reading. Pharmacol Biochem Behav 5:701–704, 1976.

    Article  PubMed  CAS  Google Scholar 

  57. Krech D, Rosenzweig MR, Bennett EL: Effects of environmental complexity and training on brain chemistry. J Comp Physiol Psychol 53:509–519, 1960.

    PubMed  CAS  Google Scholar 

  58. Zuckerman M: Sensation seeking and the endogenous deficit theory of drug abuse. National Institute on Drug Abuse, Research Monograph Series No. 74, 1986, pp 59–70.

    Google Scholar 

  59. Christiansen BA, Smith GT, Roehling PV, et al: Using alcohol expectancies to predict adolescent drinking behavior after one year. J Consult Clin Psychol 57:93–99, 1989.

    PubMed  CAS  Google Scholar 

  60. Miller PM, Smith GT, Goldman MS: Emergence of alcohol expectancies in childhood: A possible critical period. J Stud Alcohol 51:343–349, 1990.

    PubMed  CAS  Google Scholar 

  61. Johnson RC, Nagoshi CT, Danko GP, et al: Familial transmission of alcohol use norms and expectancies and reported alcohol use. Alcohol Clin Exp Res 14:216–220, 1990.

    PubMed  CAS  Google Scholar 

  62. Child IL, Barry H, Bacon MK: A cross-cultural study of drinking: III. Sex differences. Q J Stud Alcohol 3:49–61, 1965.

    Google Scholar 

  63. Heath DB: Women and alcohol: Cross-cultural perspectives. J Subst Abuse 3:175–185, 1991.

    Article  PubMed  CAS  Google Scholar 

  64. Levav I, Kohn R, Dohrenwend BP, et al: An epidemiological study of mental disorders in a 10-year cohort of young adults in Israel. Psychol Med 23:691–707, 1993.

    Article  PubMed  CAS  Google Scholar 

  65. Helzer JE, Canino GJ, Yeh EK, et al: Alcoholism—North America and Asia: A comparison of population surveys with the diagnostic interview schedule. Arch Gen Psychiatry 47:313–319, 1990.

    PubMed  CAS  Google Scholar 

  66. Namkoong K, Lee HY, Lee MH, et al: Cross-cultural study of alcoholism: Comparison between Kangwha, Korea and Yanbian, China. Yonsei Med J 32:319–325, 1991.

    PubMed  CAS  Google Scholar 

  67. Brown GL, Albaugh BJ, Robin RW, et al: Alcoholism and substance abuse among selected Southern Cheyenne Indians. Cult Med Psychiatry 16:531–542, 1993.

    CAS  Google Scholar 

  68. Weibel-Orlando J: Women and alcohol: Special populations and cross-cultural variations, in Women and Alcohol: Health Related Issues. Rockville, MD, National Institute on Alcohol Abuse and Alcoholism, 1986, pp 161–

    Google Scholar 

  69. Hwu HG, Yeh EK, Yeh YL: Risk factors of alcoholism in Taiwan Chinese: An epidemiological approach. Acta Psychiatr Scand 82:295–298, 1990.

    PubMed  CAS  Google Scholar 

  70. Kawakami N, Haratani T, Hemmi T, et al: Prevalence and demographic correlates of alcohol-related problems in Japanese employees. Soc Psychiatry Psychiatr Epidemiol 27:198–202, 1992.

    Article  PubMed  CAS  Google Scholar 

  71. Edwards G, Chandler J, Hensman C, et al: Drinking in a London suburb: II. Correlates of trouble with drinking among men. Q J Stud Alcohol [Suppl] 6:94–119, 1972.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2002 Kluwer Academic Publishers

About this chapter

Cite this chapter

Hill, S.Y. (2002). Vulnerability to Alcoholism in Women. In: Galanter, M., et al. Recent Developments in Alcoholism. Recent Developments in Alcoholism, vol 12. Springer, Boston, MA. https://doi.org/10.1007/0-306-47138-8_2

Download citation

  • DOI: https://doi.org/10.1007/0-306-47138-8_2

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-306-44921-5

  • Online ISBN: 978-0-306-47138-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics