Abstract
Findings from data originating in individualist Western cultures, such as the US, generally confirm a significant relation between parental rejection and substance use. However, little is known about individuals raised in patriarchal, collectivist, and predominantly religious non-Western societies. To build on prior research, we drew from Interpersonal Acceptance-Rejection Theory (IPARTheory) to examine relations among parental (maternal and paternal) rejection, psychological maladjustment, and substance use disorder (SUD) in a sample of 960 young adult men in Pakistan. We used MANCOVAs and discriminant function analysis to compare 480 young men diagnosed with SUD with 480 young men without SUD on their memories of parental acceptance and rejection in childhood and on their current level of self-reported psychological maladjustment via the Parental Acceptance-Rejection Questionnaire (PARQ) and Personality Assessment Questionnaire (PAQ). Results showed that remembered paternal (but not maternal) rejection, and rejection-related psychological maladjustment were significantly associated with SUD, F(3, 953) = 1140.39, p < 0.001, λ = 0.218, η2 = 0.782. These two predictors distinguished men with SUD from men with lifelong abstinence with 97.3% accuracy. These results highlight the importance in Pakistan of memories of paternal (versus maternal) rejection, along with the specific form of psychological maladjustment known to be transculturally associated with parental rejection in the etiology of substance abuse.
Highlights
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Little is known about the relation between parental rejection and substance abuse outside of Western cultures.
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This study examined that relation in a patriarchal, collectivist, and predominantly Muslim culture.
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Fathers’ rejection and psychological maladjustment distinguished with 97.3% accuracy substance abusing men from men with lifelong abstinence.
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References
Akhter, N. & Munir, A. (2014). Respect, rights & rank: a dream of Eve’s daughter (from past to present, in the light of renowned religions). Journal of Applied Environmental Biological Science, 4(8S), 7–12. http://www.academia.edu/download/44023398/J._Appl._Environ._Biol._Sci._48S7-12_2014.pdf.
Ali, M., Abbasi, B. H., Ahmad, N., Fazal, H., Khan, J., & Ali, S. S. (2020). Over-the-counter medicines in Pakistan: misuse and overuse. The Lancet, 395(10218), 116 https://doi.org/10.1016/S0140-6736(19)32999-X.
Ali, S., Khaleque, A., & Rohner, R. P. (2015a). Influence of perceived teacher acceptance and parental acceptance on youth’s psychological adjustment and school conduct: a cross-cultural meta-analysis. Cross-Cultural Research, 49(2), 204–224. https://doi.org/10.1177/1069397114552769.
Ali, S., Khaleque, A., & Rohner, R. P. (2015b). Pancultural gender differences in the relation between perceived parental acceptance and psychological adjustment of children and adult offspring: A meta-analytic review of worldwide research. Journal of Cross-Cultural Psychology, 46(8), 1059–1080. https://doi.org/10.1177/0022022115597754.
Ali, S., Khatun, N., Khaleque, A., & Rohner, R. P. (2019). They love me not: a meta-analysis of relations between parental undifferentiated rejection and offspring’s psychological maladjustment. Journal of Cross-Cultural Psychology, 50(2), 185–199. https://doi.org/10.1177/0022022118815599.
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596.
Arteaga, I., Chen, C.-C., & Reynolds, A. J. (2010). Childhood predictors of adult substance abuse. Children and Youth Services Review, 32(8), 1108–1120. https://doi.org/10.1016/j.childyouth.2010.04.025.
Banaag C.G. (2016) Street children: stories of adversity and resilience. In: S. Malhotra, P. Santosh (Eds.) Child and adolescent psychiatry (pp. 141–159). Springer. https://doi.org/10.1007/978-81-322-3619-1_9.
Bares, C. B., Maes, H. H., & Kendler, K. S. (2017). Familial and special twin influences on cigarette use initiation. Twin Research and Human Genetics, 20(2), 137–146.
Bertrand, K., Richer, I., Brunelle, N., Beaudoin, I., Lemieux, A., & Ménard, J. M. (2013). Substance abuse treatment for adolescents: How are family factors related to substance use change? Journal of Psychoactive Drugs, 45(1), 28–38. https://doi.org/10.1080/02791072.2013.763560.
Brodaty, H., Pond, D., Kemp, N. M., Luscombe, G., Harding, L., Berman, K., & Huppert, F. A. (2002). The GPCOG: a new screening test for dementia designed for general practice. Journal of the American Geriatrics Society, 50(3), 530–534. https://doi.org/10.1046/j.1532-5415.2002.50122.x.
Brook, J. S., Pahl, K., Brook, D. W., & Morojele, N. K. (2015). Risk and protective factors for substance use and abuse (pp 2279-2305). In N. el-Guebaly, G. Carà, M. Galanter, & A.M. Baldacchino (Eds.), Textbook of addiction treatment: international perspectives (pp. 2279–2305). Springer.
Caliendo, C., Senese, V. P., & Cantone, D. (2017). Parental rejection, addiction and current fathering: A comparative study. Rivista de Psicologia Clinica, 1, 59–69. https://doi.org/10.14645/RPC.2017.1.537.
Campo, A. T., & Rohner, R. P. (1992). Relationships between perceived parental acceptance-rejection, psychological adjustment, and substance abuse among young adults. Child Abuse & Neglect, 16(3), 429–440. https://doi.org/10.1016/0145-2134(92)90052-S.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Erlbaum Associates.
Cheng, A. W., Rizkallah, S., & Narizhnaya, M. (2020). Individualism vs. collectivism. In The Wiley encyclopedia of personality and individual differences: clinical, applied, and cross‐cultural research, pp. 287–297. https://doi.org/10.1002/9781118970843.ch313.
Cho, J., Bello, M. S., Christie, N. C., Monterosso, J. R., & Leventhal, A. M. (2021). Adolescent emotional disorder symptoms and transdiagnostic vulnerabilities as predictors of young adult substance use during the COVID-19 pandemic: mediation by substance-related coping behaviors. Cognitive Behaviour Therapy, 50(4), 276–294. https://doi.org/10.1080/16506073.2021.1882552.
Courtney, K. E., Mejia, M. H., & Jacobus, J. (2017). Longitudinal studies on the etiology of cannabis use disorder: a review. Current Addiction Reports, 4(2), 43–52. https://doi.org/10.1007/s40429-017-0133-3.
Credit Suisse (2017). Global wealth report. https://www.credit-suisse.com/media/assets/corporate/docs/about-us/research/publications/global-wealth-report-2017-en.pdf.
Economic Adviser’s Wing, Finance Division, Government of Pakistan (2017). Pakistan economic survey 2016–17. http://www.finance.gov.pk/survey/chapters_17/Pakistan_ES_2016_17_pdf.pdf.
Fatima, H., Qadir, T. F., Hussain, S. A., & Menezes, R. G. (2017). Pakistan steps up to remove “honour” from honour killing. The Lancet Global Health, 5(2), e145 https://doi.org/10.1016/S2214-109X(16)30359-X.
Goodman, R. (2017). Contemporary trauma theory and trauma-informed care in substance use disorders: A conceptual model for integrating coping and resilience. Advances in Social Work, 18(1), 186–201. https://doi.org/10.18060/21312.
Gossop, M., Darke, S., Griffiths, P., Hando, J., Powis, B., Hall, W., & Strang, J. (1995). The Severity of Dependence Scale (SDS): psychometric properties of the SDS in English and Australian samples of heroin, cocaine and amphetamine users. Addiction, 90(5), 607–614. https://doi.org/10.1046/j.1360-0443.1995.9056072.x.
Harkness, S., & Super, C. M. (2020). Why understanding culture is essential for supporting children and families. Applied Developmental Science, 25(1), 14–25. https://doi.org/10.1080/10888691.2020.1789354.
Hayes, A. F. (2022). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. Guilford Press.
Hoffman, J. P. (2015). Parenting and delinquency. In M. D. Krohn, & J. Lane (Eds.), The handbook of juvenile delinquency and juvenile justice (pp. 161–180). Wiley Blackwell.
Holden, G. W. & Ashraf, R. (2016) Children’s right to safety: the problem of corporal punishment in Pakistan. In S. Deb (Ed.) Child safety, welfare and well-being (pp. 59–74). Springer. https://doi.org/10.1007/978-81-322-2425-9_5. .
Kellam, S. G., Branch, J. D., Agrawal, K. C., & Ensminger, M. E. (1975). Mental health and going to school: The Woodlawn program of assessment, early intervention, and evaluation. University of Chicago Press.
Kellam, S. G., Brown, C. H., Rubin, B. R., & Ensminger, M. E. (1983). Paths leading to teenage psychiatric symptoms and substance use: developmental epidemiological studies in Woodlawn. In S.B. Guze, F.J. Earls, & J.E. Barrett (Eds.), Childhood Psychopathology and Development (pp. 17–51). Raven.
Khaleque, A. (2013). Perceived parental warmth, and children’s psychological adjustment, and personality dispositions: a meta-analysis. Journal of child and Family studies, 22(2), 297–306. https://doi.org/10.1007/s10826-012-9579-z.
Khaleque, A. (2015). Perceived parental neglect, and children’s psychological maladjustment, and negative personality dispositions: a meta-analysis of multi-cultural studies. Journal of Child and Family Studies, 24(5), 1419–1428. https://doi.org/10.1007/s10826-014-9948-x.
Khaleque, A. (2017). Perceived parental hostility and aggression, and children’s psychological maladjustment, and negative personality dispositions: a meta-analysis. Journal of child and family studies, 26(4), 977–988. https://doi.org/10.1007/s10826-016-0637-9.
Khaleque, A., & Rohner, R. P. (2002a). Perceived parental acceptance‐rejection and psychological adjustment: a meta‐analysis of cross‐cultural and intracultural studies. Journal of Marriage and Family, 64(1), 54–64. https://doi.org/10.1111/j.1741-3737.2002.00054.x.
Khaleque, A., & Rohner, R. P. (2002b). Reliability of measures assessing the pancultural association between perceived parental acceptance-rejection and psychological adjustment: a meta-analysis of cross-cultural and intracultural studies. Journal of Cross-cultural Psychology, 33(1), 87–99. https://doi.org/10.1177/0022022102033001006.
Khaleque, A., & Rohner, R. P. (2012a). Pancultural associations between perceived parental acceptance and psychological adjustment of children and adults: a meta-analytic review of worldwide research. Journal of cross-cultural Psychology, 43(5), 784–800. https://doi.org/10.1177/0022022111406120.
Khaleque, A., & Rohner, R. P. (2012b). Transnational relations between perceived parental acceptance and personality dispositions of children and adults: a meta-analytic review. Personality and Social Psychology Review, 16(2), 103–115. https://doi.org/10.1177/1088868311418986.
Khan, M. M. (1994). Summarized Sahih Al-Bukhari. Darussalam.
Krohn, M. D., Larroulet, P., Thornberry, T. P., & Loughran, T. A. (2019). The effect of childhood conduct problems on early onset substance use: an examination of the mediating and moderating roles of parenting styles. Journal of Drug Issues, 49(1), 139–162. https://doi.org/10.1177/0022042618811784.
Leza, L., Siria, S., López-Goñi, J. J., & Fernandez-Montalvo, J. (2021). Adverse childhood experiences (ACEs) and substance use disorder (SUD): a scoping review. In Drug and alcohol dependence, 108563. https://doi.org/10.1016/j.drugalcdep.2021.108563.
Mak, H. W., & Iacovou, M. (2019). Dimensions of the parent–child relationship: effects on substance use in adolescence and adulthood. Substance Use & Misuse, 54(5), 724–736. https://doi.org/10.1080/10826084.2018.1536718.
Malik, F., Butt, M. M., Kausar, R., Najam, N., & Rasool, F. (2014). Parental acceptance and power/prestige as predictors of psychological adjustment among Pakistani adolescents. Cross-Cultural Research, 48(3), 278–5. https://doi.org/10.1177/1069397114528676.
Morewitz, S. J. (2016). Runaway and homeless youth: new research and clinical perspectives. Springer.
Murthi, K., & Hammell, K. W. (2021). ‘Choice’in occupational therapy theory: a critique from the situation of patriarchy in India. Scandinavian Journal of Occupational Therapy, 28(1), 1–12. https://doi.org/10.1080/13629395.2020.1729627.
Rohner, R. P. (2005). Parental acceptance-rejection questionnaire: test manual. In R. P. Rohner & A. Khaleque (Eds.), Handbook for the study of parental acceptance and rejection (pp. 43–106). Rohner Research Publications.
Rohner, R. P. (2021). Introduction to interpersonal acceptance-rejection theory (IPARTheory) and evidence. Online Readings in Psychology and Culture, 6(1). https://doi.org/10.9707/2307-0919.1055.
Rohner R.P., Ali S. (2016a). Parental Acceptance-Rejection Questionnaire (PARQ). In: V. Zeigler-Hill, T. Shackelford (Eds.), Encyclopedia of personality and individual differences. Springer. https://doi.org/10.1007/978-3-319-28099-8_56-1.
Rohner, R. P., & Britner, P. A. (2002). Worldwide mental health correlates of parental acceptance-rejection: Review of cross-cultural and intracultural evidence. Cross-Cultural Research, 36(1), 16–47. https://doi.org/10.1177/106939710203600102.
Rohner, R. P., & Khaleque, A. (2003). Reliability and validity of the parental control scale: a meta-analysis of cross-cultural and intracultural studies. Journal of Cross-Cultural Psychology, 34(6), 643–649. https://doi.org/10.1177/0022022103255650.
Rohner, R. P., & Khaleque, A. (2005). Handbook for the study of parental acceptance and rejection (4th ed.). Rohner Research Publications.
Rohner, R. P., & Khaleque, A. (2010). Testing central postulates of parental acceptance‐rejection theory (PARTheory): a meta‐analysis of cross‐cultural studies. Journal of Family Theory & Review, 2(1), 73–87. https://doi.org/10.1111/j.1756-2589.2010.00040.x.
Sarkar, S., Tom, A., & Mandal, P. (2021). Barriers and facilitators to substance use disorder treatment in low-and middle-income countries: a qualitative review synthesis. Substance Use & Misuse, 56(7), 1062–1073. https://doi.org/10.1080/10826084.2021.1908359.
Sitnick, S. L., Shaw, D. S., & Hyde, L. W. (2014). Precursors of adolescent substance use from early childhood and early adolescence: Testing a developmental cascade model. Development and Psychopathology, 26(1), 125–140. https://doi.org/10.1017/S0954579413000539.
Super, C. M., & Harkness, S. (1986). The developmental niche: a conceptualization at the interface of child and culture. International Journal of Behavioral Development, 9(4), 545–569. https://doi.org/10.1177/016502548600900409.
Smith, D. E. (2015). South Asian politics and religion. Princeton University Press.
Swendsen, J., Conway, K. P., Degenhardt, L., Dierker, L., Glantz, M., Jin, R., & Kessler, R. C. (2009). Sociodemographic risk factors for alcohol and drug dependence: the 10–year follow-up of the National Comorbidity Survey. Addiction, 104(8), 1346–1355. https://doi.org/10.1111/j.1360-0443.2009.02622.x.
Triandis, H. C., Bontempo, R., Villareal, M. J., Asai, M., & Lucca, N. (1988). Individualism and collectivism: Cross-cultural perspectives on self-ingroup relationships. Journal of Personality and Social Psychology, 54(2), 323–338. https://doi.org/10.1037/0022-3514.54.2.323.
United Nations Office on Drugs and Crime. (2013). Drug use in Pakistan 2013. Ministry of Interior and Narcotics Control, Narcotics Control Division, Government of Pakistan. https://www.unodc.org/documents/pakistan//Survey_Report_Final_2013.pdf.
Watts, J. R., O’Sullivan, D., Panlilio, C., & Daniels, A. D. (2020). Childhood emotional abuse and maladaptive coping in adults seeking treatment for substance use disorder. Journal of Addictions & Offender Counseling, 41(1), 18–34. https://doi.org/10.1002/jaoc.12073.
Windle, M., Haardörfer, R., Getachew, B., Shah, J., Payne, J., Pillai, D., & Berg, C. J. (2018). A multivariate analysis of adverse childhood experiences and health behaviors and outcomes among college students. Journal of American College Health, 66(4), 246–251. https://doi.org/10.1080/07448481.2018.1431892.
Yaqub, F. (2013). Pakistan’s drug problem. The Lancet, 381(9884), 2153–2154. https://doi.org/10.1016/S0140-6736(13)61426-9.
Yeung, W. J. J., Desai, S., & Jones, G. W. (2018). Families in southeast and South Asia. Annual Review of Sociology, 44, 469–495. https://doi.org/10.1146/annurev-soc-073117-041124.
Zucker, R. A., Donovan, J. E., Masten, A. S., Mattson, M. E., & Moss, H. B. (2008). Early developmental processes and the continuity of risk for underage drinking and problem drinking. Pediatrics, 121, 252–272. https://doi.org/10.1542/peds.2007-2243B.
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Ryan J. Watson acknowledges funding from NIDA, grant K01DA047918.
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Butt, M.M., Watson, R.J., Rohner, R.P. et al. Memories of Parental Rejection in Childhood and Current Psychological Maladjustment Predict Substance Abuse in a Collectivist Religious Country. J Child Fam Stud 31, 2608–2617 (2022). https://doi.org/10.1007/s10826-022-02323-z
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DOI: https://doi.org/10.1007/s10826-022-02323-z