Perfectionism and self-medication as mediators of the links between parenting styles and drinking outcomes

Abstract

ObjectivePerfectionism reflects unreasonably high expectations for oneself that are rarely obtainable leading to negative affect. The self-medication model suggests that alcohol consumption is negatively reinforced and subsequently escalated due to reductions in negative affect when drinking (Hersh & Hussong, 2009). Wang (2010) found that parents directly influence perfectionism levels. Parents have also been found to indirectly influence alcohol-related problems (Patock-Peckham & Morgan-Lopez, 2006, 2009). The current study sought to examine the indirect effects of parenting on alcohol-related problems and alcohol use quantity/frequency through perfectionism dimensions, (i.e. order, discrepancy, and high standards) depression, and self-medication motives for drinking. We hypothesized that more critical parenting and perfectionism discrepancy would be associated with heavier drinking by increasing depressive symptoms and promoting drinking for negative reinforcement. MethodA structural equation model with 419 university volunteers was utilized to test our mediational hypotheses. ResultsThe analyses identified an indirect link between maternal authoritarian parenting and alcohol-related problems operating through perfectionism discrepancy. Higher levels of maternal authoritarian parenting were associated with greater perfectionism discrepancy which contributed to higher levels of depression, and in turn, stronger self-medication motives, as well as more alcohol-related problems. ConclusionsMaternal authoritarian parenting style is directly linked to perfectionism discrepancy along the self-medication pathway to alcohol-related problems. Our results suggest that the reduction of perfectionism discrepancy may be a good therapeutic target for depression as well as inform the development of parent or individual based prevention efforts to reduce risk for alcohol-related problems.