Metacognitive style, attachment dimension and risk for alcohol abuse in Italian adolescents

Carlo Lai, Laura Pierro, Edvaldo Begotaraj, Alessia Marani, Daniela Sambucini, Gaia Romana Pellicano


Binge Drinking (BD) is a current phenomenon that has a strong health and
economic impact worldwide, estimated 2.5 million cases of death in the
population between 15 and 29 years. Previous studies highlighted the role of
metacognition and insecure attachment in the development of psychopathological
disorders. The study aims to verify if there is a correlation between the presence of
metacognitive beliefs and an insecure attachment style with the risk for alcohol
abuse. The sample is 206 students between 14-17 years. Each student completed
the following questionnaires: The Metacognition Questionnaire - 30 (MCQ-30),
Inventory of Parent Attachment (IPPA - Parent), Inventory of Peer Attachment
(IPPA - Peer), Alcohol Use Disorders Identification Test (AUDIT - 10).
The main result of the present study is that the “at risk for alcohol abuse” group
shows a significant difference in the negative beliefs about uncontrollability and
danger subscale (MCQ – 30), the Parent Trust, the Parent Communication and the
Parent Alienation subscales (IPPA – Parent) compared to “not at risk for alcohol
abuse” group. This result highlights that adolescents with a metacognitive style
based on negative metacognitions may be more likely to develop BD.
Furthermore, a correlation between the alcohol abuse risk and an insecure
attachment style towards parents emerges. The present study suggests the need for interventions focused on metacognition or family interventions focused on
communication in adolescents at risk.


Binge Drinking; Attachment style; Metacognition.

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