The Intergenerational Patterns of Addictive Behaviors Among Selected Filipino Families: A Case Study
Hannah Jamille M. Jugo | Mariedhanne Louise O. Lanceta | Charina Mae M. Manalo
Abstract:
This study uncovered the intergenerational patterns of addictive behaviors that run in two chosen families. Background of the two families was described, the factors that predisposed them to addictive behaviors were identified, the intergenerational pattern of their addictive behaviors was determined, and then, the two families were compared and contrasted in terms of the etiology and patterns of their addictive behaviors.
The study used a qualitative research method, particularly the collective case study design, which allowed the researchers to delve into multiple cases in order to gain broader perspectives about the intergenerational patterns of addictive behaviors.
Research participants were selected based on the following criteria: extended family with three generations -- from grandparents to grandchildren -- and engaged with addictive behaviors for at least a year. The researchers used a checklist to identify the qualified participants through a door-to-door pre-survey.
The researchers crafted a semi-structured interview guide that helped in uncovering the intergenerational patterns of addictive behaviors. Within-case and cross-case thematic analyses were done to analyze the gathered data.
Findings revealed that there were existing patterns of predisposing and perpetuating factors of the two families’ addictive behaviors. Social Factors (SF) of varying kinds predisposed both cases’ addictive behaviors. While the common perpetuating factors of the families’ behaviors were different manifestations of Positively Reinforcing Factors (PRF), only Family A exhibited Defiance (D). These findings were supported by the Family Systems Theory, Social Cognitive Theory, and Biopsychosocial model.
The researchers recommended that these data be used to help and encourage the authorities to partner with local government units in order to share knowledge and implement preventive measures against addiction among Filipino families in the country.
References:
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
- Baumeister, R. F., & Bushman, B. J. (2017). Social Psychology and Human Nature 4th
- Edition. 20 Channel Center Street Boston, MA 02210 USA : Cengage Learning.
- Creswell, J. W. (2013). Qualitative Inquiry & Research Design Third Edition. Thousand Oaks, California: SAGE Publications Inc.
- Feist, J., Feist, J. F. & Roberts, T. A. (2013). Theories of Personality 8th Ed. New York, NY. McGraw-Hill.
- Gladding, S. T., (2013). Counseling: A Comprehensive Profession 7th Ed. New Jersey. Pearson Education, Inc.
- Rathus, S. A. (2016). PSYCH 4th Ed. Boston: MA. Cengage Learning.
- Shelby, C.L. (2016). The Culture of Addiction. In: Addiction. Palgrave Macmillan, London. Journal Articles:
- Abasi, I., & Mohammadkhani, P. (2016). Family risk factors among women with addiction related problems: an integrative review. International Journal High Risk Behavior Addict. doi:10.5812/i/hrba.27071.
- Adams R., Jones, A., Lefman, S., Sheppard, L. (2014). Utilizing a collective case study system theory mixed methods approach: A rural health example. BMC Medical Research Methodology. Doi: https://doi.org/10.1186/1471-2288-14-94.
- Benegas-Segarra A., Palmier J., Sinson F., & Swahn M. (2013). Alcohol marketing and drunkenness among students in the Philippines: findings from the nationally representative Global School-based Student Health Survey. BMC Public Health (13), p. 1159. doi: [10.1186/1471-2458-13-1159]. Retrieved October 24, 2018, from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3890547/.
- Cash, H., Rae, C., Steel, A., & Winkler, A. (2012). Internet Addiction: A Brief Summary of Research and Practice. Curr Psychiatry Rev, 8(4), 292-298. doi:10.2174/157340012803520513.
- David L, "Social Learning Theory (Bandura)," in Learning Theories, June 19, 2015. https://www.learning-theories.com/social-learning-theory-bandura.html.
- Deleuze, J., Rochat, L., Romo, L., Linden, M. V., Achab, S., Thorens, G., Billieux, J. (2015). Prevalence and characteristics of addictive behaviors in a community sample: A latent class analysis. Addictive Behaviors Reports, 1, 49-56. doi:10.1016/j.abrep.2015.04.001.
- Etikan, I., Musa, S. A., & Alkassim, R. S. (2016). Comparison of Convenience Sampling and Purposive Sampling. American Journal of Theoretical and Applied Statistics.
- Everitt, B. J. (2014). Neural and psychological mechanisms underlying compulsive drug seeking habit and drub memories: Indications for novel treatments of addiction. European Journal of Neuroscience, 40, 2163-2168.
- Gentles, S. J., Charles, C., Ploeg, J., & McKibbon, K. (2018). Http://www.historystudies.net/dergi//birinci-dunya-savasinda-bir-asayis-sorunu-sebinkarahisar-ermeni-isyani20181092a4a8f.pdf,10(7), 241-264. doi:10.9737/hist.2018.658
- Giffiths, M. D., Kuss, D.J., & Demetrovics, Z. (2014). Chapter 6 - Social Networking Addiction: An Overview of Preliminary Findings. Behavioral addictions: Criteria, Evidence, and Treatment. New York: Elsevier Inc.Retrieved from DOI: 10.1016/B978-0-12-407724- 9.00006-9
- Ghosh, A., Malhotra, S., Basu, D. (2014). Oppositional defiant disorder (ODD), the forerunner of alcohol dependence: A controlled study. Asian Journal of Psychiatry. Doi: 10.1016/j.ajp.2014.03.006.
- Heale R, Twycross A. (2017). What is a case study? Evidence-Based Nursing 2018; 21:7-8. Hirao, K. (2014). Comparison of Feelings of Inferiority among University Students with
- Autotelic, Average, and Nonautotelic Personalities. North American Journal of Medical
- Jamshed, S. (2014). Qualitative research method-interviewing and observation. Journal of basic and clinical pharmacy, 5(4), 87-8.
- King, S. M., Keyes, M., Winters, K. C., McGue, M., & Iacono, W. G. (2017). Genetic and Environmental Origins of Gambling Behaviors from Ages 18-25: A Longitudinal Twin Study. Psychology of Addictive Behaviors, 31.
- Kuss, D. (2013). Internet gaming addiction: Current perspectives. Psychol Res BehavManag, 6, 125-137. doi:10.2147/PRBM.S39476.
- Muller, K. W., Wolfling, K., & Dreier, M. (2013). Risks of Developing Internet Addictive Behaviors: Scope and Extent of Internet Sites Used. International Journal of Child and Adolescent Health, 6.
- Nazeer, A., Greydanus, D., & Calles, J. (2013). Development of Internet Addictive Behaviors: Potential Pathophysiologic Mechanisms. International Journal of Child and Adolescent Health, 6.
- Nogueira et. al. (2018) Cigarette smoke directly impairs skeletal muscle function through capillary regression and altered myofiber calcium kinetics in mice. The Journal of Physiology. DOI: 10.1113/JP275888. Retrieved March 7, 2019 from https://www.google.com/amp/s/medicalexpress.com/news/2018-05-cigarette-muscles- body.amp
- O’Leary, D. (2014). 5 Ways You Are Physiologically Predisposed for Addiction. Retrieved August 20, 2018 from https://www.rehabs.com/5-ways-you-can-be-physiologicallypredisposed-for-addiction/ https://pubs.niaaa.nih.gov/publications/arh312/111-118.pdf.
- Palinkas, L. A., Ph.D, Horwitz, S. M., Ph.D, Green, C. A., Ph. D, M.P.H., Wisdom, J. P., Ph. D, M.P.H., Duan, N., Ph. D, & Hoagwood, K., Ph.D. (2015). Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research. Administration and Policy in Mental Health and Mental Health Services Research, 42(5), 533-544. doi:10.1007/s10488-013-0528-y
- Paterson, B. L. (2016). Within-Case Analysis. Encyclopedia of Case Study Research. doi:10.4135/9781412957397.n357.
- Samuel, I. S., Zahid, M., & Saleem, S. (2014). The Development of the Role Identification Scale for Adult Children of Alcoholic Fathers. Pakistan Journal of Social and Clinical Psychology, 12.
- Wu, C. S., Wong, H. T., Yu, K. F., Fok, K. W., Yeung, S. M., Lam, C. H., & Liu, K. M. (2016). Parenting Approaches, Family Functionality, and Internet Addiction among Hong Kong Adolescents. BMC Pediatrics. doi:10.1186/s12887-016-0666-y.
- Yau, Y. H., & Potenza, M. N. (2015). Gambling Disorder and Other Behavioral Addictions: Recognition and Treatment. Harv Rev Psychiatry.doi:10.1097/HRP.0000000000000051.
- 5 Factors That Contribute To Drug Addiction. (2016, Nov 29). Retrieved 2018 from https://anaheimlighthouse.com/blog/5-factors-that-contribute-to-drug-addiction/.
- 8 Common Behavioral Addictions. (2016). Retrieved August 27, 2018 from Everyday Health: https://www.everydayhealth.com/addiction-pictures/the-8-most- surprisingaddictions.aspx#09.
- Addiction.com: Find Drug & Alcohol Addiction Treatment. Process addiction |Definition. Retrieved September 27, 2018, from http://www.addiction.com/a-z/process-addiction/.
- Addiction: Why It’s a Family Affair. (nd). Retrieved August 27, 2018 from https://skywoodrecovery.com/addiction-why-its-a-family-affair/.
- Addictive Behaviors l Definition. (2018, April 30). Retrieved September 27, 2018 from https://www.addiction.com/a-z/addictive-behavior/.
- Addiction Center. (2019, January 29). Addiction vs. Dependence. Retrieved March 8, 2019 from https://www.addictioncenter.com/addiction/addiction-vs-dependence/
- American Addiction Center. (2014). Addiction as a Coping Mechanism and Healthy Alternatives. Retrieved March 8, 2019 from https://americanaddictioncenters.org/sobriety-guide/coping-mechanism
- American Addiction Center. (2018). Behavioral Addictions. Retrieved August 27, 2018 from https://americanaddictioncenters.org/behavioral-addictions/.
- Baqutayan, Shadiya. (2015). Stress and Coping Mechanisms: A Historical Overview. Mediterranean Journal of Social Sciences. 6. 10.5901/mjss.2015.v6n2s1p479.
- Begun, A. (2017, October 8). Ch. 1: Social Context and Physical Environment. Retrieved March 11, 2019 from https://ohiostate.pressbooks.pub/swk3805module6/chapter/ch-1-social-context-and-physical-environment/
- Bennett, C. (2013, April 24). Boredom - a very real road to addiction. Retrieved March 8, 2019, from https://www.psychologytoday.com/us/blog/heartache-hope/201304/boredom-very-real-road-addiction
- Cambridge Academic Content Dictionary. (n.d). Defiance. Retrieved March 7, 2019 from https://www.google.com/amp/s/dictionary.cambridge.org/us/amp/english/defiance
- Cambridge Academic Content Dictionary. (n.d). Self-discipline. Retrieved March 7, 2019 from https://www.google.com/amp/s/dictionary.cambridge.org/us/amp/english/sellf-discipline
- Camlin, T., Psy.D. (2017, April 14). The Relationship Between Emotions and Addiction, pt. 6: Happiness. Retrieved March 8, 2019 from https://www.practicalrecovery.com/prblog/people-use-drugs-relationship-emotions- addiction-pt-6-happiness/
- Cherry, K. (2019, January 10). How the Need to Belong Influences Human Behavior and Motivation Retrieved March 8, 2019, from http://www.verywellmind.com/what-is-the- need-to-belong-2795393
- Cherry, K. (2018). Positive Reinforcement and Operant Conditioning. Retrieved March 7, 2019 from: https://www.veryewllmind.com/what-is-positive-reinforcement-2795412
- Clear, J. (2018, November 13). The 3 R's of Habit Change: How To Start New Habits That Actually Stick. Retrieved March 8, 2019, from https://jamesclear.com/three-steps-habit- change
- Chobdee, J., MPH. (2014). Physical Wellness. Retrieved September 16, 2018 from https://wellness.ucr.edu/physical_wellness.html.
- Coffey, B. (2016). Four Behaviors Central to Drug and Alcohol Addiction. Retrieved March 7, 2019 from: https://www.google.com/amp/s/www.aquilarecovery.com/blog/four- behaviors-central-to-drug-and-alcohol-addiction%3fhs_amp=true
- Cooper, T., PH.D., Epner, K., PH.D., Misra, A., PH.D., & Horvath, G., PH.D. (n.d.). Definition Of Addiction. Retrieved September 14, 2018, from https://www.mentalhelp.net/articles/definition-of-addiction/.
- Cooper, G. Ph.D., Epner, A. Ph.D., Hovart, T. Ph.D., Misra, K. Ph.D. (2015). Social Learning Theory and Addiction. Retrieved March 7, 2019 from: https://www.mentalhelp.net/articles/social-learning-theory-and-addiction/
- Different Types of Addictive Behaviors. (2017). Retrieved August 27, 2018 from https://beginningstreatment.com/different-types-of-addictive-behaviors/.
- Etiology. (nd). Retrieved September 27, 2018 from Merriam-Webster: https://www.merriam-webster.com/dictionary/etiology.
- Familial. (nd). Retrieved September 27, 2018 from Merriam-Webster: https://www.merriam-webster.com/dictionary/familial.
- Family History and Genetics. (nd). Retrieved August 20, 2018 from National Council on Alcoholism and Drug Dependence, Inc: https://www.ncadd.org/about-addiction/familyhistory-and-genetics.
- Genes and Addiction. Retrieved August 20, 2018 from Genetic Science Learning Center https://learn.genetics.utah.edu/content/addiction/genes/.
- Genetics & Drug Abuse: Nature vs. Nurture. (2016). Retrieved August 20, 2018, from https://americanaddictioncenters.org/adult-addiction-treatment-programs/nature-vsnurture/.
- Genetics Home Reference. (2018). What does it mean to have a genetic predisposition to a disease? Retrieved September28, 2018 from https://ghr.nlm.nih.gov/primer/mutationsanddisorders/predisposition.
- Genetics of Alcoholism - Hereditary Factors of Alcohol Addiction. (2018, February 14). Retrieved August 20, 2018, from https://www.addictioncenter.com/alcohol/genetics-ofalcoholism/.
- Goel, A. (2016, December 13). The world needs to wake up and call Rodrigo Duterte’s brutal war on drug addicts what it is: Genocide. Retrieved October 24, 2018 from https://qz.com/859674/president-rodrigo-dutertes-brutal-war-on-drug-addicts-in-the-philippines-is-a-genocide/.
- Hartney, E., PhD. (2018). An Overview of Behavioral Addiction. Retrieved August 27, 2018 from https://www.verywellmind.com/addictive-behaviors-4157291.
- Hays, J. (2015). Families in the Philippines: Godparents, Kinship Structure and Blood Feuds. Retrieved October 25, 2018 from http://factsanddetails.com/southeast-asia/Philippines/sub5_6c/entry-3874.html?fbclid=IwAR35yg43z2BthSRPXQZCvTHHb2Rb3AIHeEvDbMHsrF5kxsfDrlvnchuOvro#.
- Horvarth, T., Misra, K., Epner, A. K., & Cooper, A. M. (n.d.). Addiction And Sociological Influences: Culture And Ethnicity. Retrieved March 8, 2019, from https://www.mentalhelp.net/articles/addiction-and-sociological-influences-culture-and-ethnicity/
- Healthy Sense of Self. (2018, August 22). The Powerful Brain Science of Addiction & How to Overcome It. Retrieved March 8, 2019 from https://healthysenseofself.com/science-of- addiction/
- Hierarchy of Filipino Family Structure | Culture and Values. (2017, December 05). Retrieved September 6, 2018, from https://www.hierarchystructure.com/filipino-family-hierarchy/.
- Is Alcoholism Hereditary or Genetic? (n.d.). Retrieved August 20, 2018, from https://americanaddictioncenters.org/alcoholism-treatment/symptoms-andsigns/hereditary-or-genetic/.
- Iqbal J. (2013). Content Validity. Retrieved October 25, 2018, from: https://www.slideshare.net/JavedIqbal15/content-validity
- Kerr, Michael E. (2017). One Family’s Story: A Primer on Bowen Theory. Retrieved August 30, 2018 from The Bowen Center for the Study of the Family: http://www.thebowencenter.org/theory.
- Lacramioara, R., Pintea, S., & Kállay, É. (2016). Do Irrational Beliefs, Job/family Satisfaction and Emotional Distress Have Anything to Do with Playing Online Games? Exploring Potential Determinants of Online Gaming. Cognitie, Creier, Comportament, 20.
- Lakhan, S.E. (2013). The Biopsychosocial Model of Health and Illness. Retrieved September 16, 2018 from https://cnx.org/contents/noPgSxe9@2/The-Biopsychosocial-Model-ofHealth-and-Illness.
- LaMorte, W. W., MD, PhD, MPH. (2018, August 2019). The Social Cognitive Theory. Retrieved March 8, 2019 from http://sphweb.bumc.bu.edu/otlt/MPH-Modules/SB/BehavioralChangeTheories/BehavioralChangeTheories5.html
- Lee, B. (2017). What Is Family Communication? Retrieved September 16, 2018 from https://www.livestrong.com/article/172058-the-definition-of-family-dynamics/.
- Legg, T.J., PhD. (2016). Risk Factors for Addiction. Retrieved September 28, 2016 from https://www.healthline.com/health/addiction/risk-factors.
- MacLaren, E. Ph.D. (2018). Understanding Tolerance, Dependence and Addiction. Retrieved March 7, 2019 from: https://www.drugsabiuse.com/addiction/
- Marc. (2016, December 26). Addiction as habit formation — Part 2: the details. Retrieved March 8, 2019 from https://www.memoirsofanaddictedbrain.com/connect/addiction-as-habit-formation-part-2-the-details/
- Mateo, J. (2018, February 3). Philippines still world's social media capital - study. Retrieved September 16 2018, from https://www.philstar.com/headlines/2018/02/03/1784052/philippines-still-worldssocial-media-capital-study.
- Muggah, R. (2017, January 5). Duterte's drug war in the Philippines is out of control, he needs to be stopped. Retrieved October 24, 2018 from https://www.theguardian.com/global-development-professionals-network/2017/jan/05/rodrigo-dutertes-drug-war-in-the-philippines-is-out-of-control-he-needs-to-be-stopped\.
- Nauert R. Ph.D. (2018). Defiance, Not Hyperactivity, Linked to Drug Dependence. Retrieved March 7, 2019 from: https://psychcentral.com/news/2012/08/02/defiance-not-hyperactivity-linked-to-drug-dependence/42570.html
- Nicotine dependence. (2018, March 09). Retrieved March 8, 2019, from https://www.mayoclinic.org/diseases-conditions/nicotine-dependence/symptoms-causes/syc-20351584
- Nugent, P. M. S. (2013). Etiology. Retrieved September 28, 2018 from https://psychologydictionary.org/etiology/.
- PapersOwl.com. (2017, December 5). DIFFERENT TYPES OF CASE STUDY. Retrieved October 18, 2018, from: https://papersowl.com/blog/types-of-case-study.
- Pare, M. H. (2018). Cross Case Analysis. Retrieved November 7, 2018 from https://www.mariehelenepare.com/courses/method-courses/cross-case-analysis/.
- Penelle, O. (2018, April 30). Stress and Addiction. Retrieved March 8, 2019, from https://www.addictioncenter.com/community/stress-and-addiction/
- Pillai R. (2014). What do we mean by Structured, Semi-structured and Unstructured questionnaire? Retrieved October 18, 2018, from: https://www.researchgate.net/post/What_do_we_mean_by_Structured_Semi-structured_and_Unstructured_questionnaire.
- PsycholoGenie. (2018). General Overview of Biopsychosocial Model. Retrieved August 27, 2018 from https://psychologenie.com/general-overview-of-biopsychosocial-model.
- Riley, M. (2014). Does Coffee Actually Give You Energy? Here’s the Scientific Truth. Retrieved March 7, 2019 from: https://www.bustle.com/articles/21847-does-coffee-actually-give-you-energy-heres-the-truth
- Siqueira, L. M. (2017, January 01). Nicotine and Tobacco as Substances of Abuse in Children and Adolescents. Retrieved March 8, 2019, from https://pediatrics.aappublications.org/content/139/1/e20163436
- Spalding University Library. (2018, October 9). What are Qualitative Methods?.Retrieved October 18, 2018, from: http://library.spalding.edu/c.php?g=461133&p=3152999.
- Substance Addiction and Abuse. (nd). Retrieved September 28, 2018 from http://www.treatment4addiction.com/addiction/drug/substance/.
- T, B. (2018, February 20). What Are the Potential Impacts Parental Alcoholism Has on Children? Retrieved August 20, 2018, from https://www.verywellmind.com/the-effects-ofparental-alcoholism-on-children-67233.
- Talbot, D. (2015). The importance of qualitative research and the problem of mass data gathering. Retrieved August 30, 2018 from https://www.linkedin.com/pulse/importance-qualitative-research-problem-mass-datagathering-talbot.
- Tarantino, H. (2015, July 27). Inpathy Bulletin. What are non-substance-use addictions? - InSight Bulletin. Retrieved September 27, 2018, from http://inpathybulletin.com/what-are-non-substance-use-addictions/.
- The Five Most Important Signs of Addiction To Know. (2016, December 23). Retrieved March 8, 2019 from https://www.serenityatsummit.com/drug-addiction/five-important-signs-drug-addiction-know/
- The main branches of psychology, and what they entail. (2017, September 15). Retrieved 2018 from https://www.sacap.edu.za/blog/psychology/types-of-psychology/.
- The Manila Times. (2016). Laguna Population Reaches 3-M Mark. Retrieved August 28, 2016 from https://www.manilatimes.net/laguna-population-reaches-3-m-mark/26580/.
- The Social Ecological Model. (n.d.). Retrieved March 8, 2019, from http://www.wcsap.org/prevention/concepts/social-ecological-model
- Universite de Montreal. (2012). Childhood defiance correlated with drug dependence. ScienceDaily. Retrieved March 11, 2019 from www.sciencedaily.com/releases/2012/08/120801112607.html
- VanBuren, J. Ph.D. (n.d.). Modelling. Encyclopedia of Mental Disorders. Retrieved March 7, 2019 from: http://www.minddisorders.com/Kau-Nu/Modeling
- Williams, S., PhD (2015). Does addiction run in the family? Genes and the home environment. Retrieved August 27, 2018 from https://www.mentalhelp.net/articles/does-addictionrun-in-the-family-genes-and-the-home-environment/.
- Williams, S. (2015, December 15). What Happens To Children Of Alcoholic Parents? Retrieved August 20, 2018, from https://www.mentalhelp.net/articles/what-happens-to-childrenof-alcoholic-parents/.
- Zelfox. (2017). Why Majority of Drug Users In The Philippines Are Teenagers. Retrieved August 20, 2018 from https://blog.politicsmeanspolitics.com/why-majority-of-drug-users-inphilippines-is-youth-57f323707e2d.