Associations between HEXACO personality traits, substance use disorders, and behavioral addictions: a systematic review and meta-analysis

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-07-12 DOI:10.1016/j.addbeh.2025.108433

Farangis Sharifibastan , Ståle Pallesen , Katharina Teresa Enehaug Morken , Petter Haave , Eilin Kristine Erevik

{"title":"Associations between HEXACO personality traits, substance use disorders, and behavioral addictions: a systematic review and meta-analysis","authors":"Farangis Sharifibastan , Ståle Pallesen , Katharina Teresa Enehaug Morken , Petter Haave , Eilin Kristine Erevik","doi":"10.1016/j.addbeh.2025.108433","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>This study presents the first systematic review and meta-analysis examining the associations between the HEXACO personality traits, substance use disorders (SUDs), and behavioral addictions.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted on the databases APA PsycINFO (Ovid), Medline (Ovid), ProQuest, Web of Science, CINAHL, and Wiley Online Library, with a supplementary search on Google Scholar. Studies were included if they were empirical, published in peer-reviewed journals or as dissertations, investigated the association between HEXACO personality traits, SUDs, and behavioral addictions, and reported zero-order correlations or sufficient data for such calculations. Case studies and qualitative studies were excluded. Two reviewers independently screened studies, extracted data, and assessed risk of bias using the Newcastle-Ottawa Scale. Random effects models were used to estimate pooled effect sizes for behavioral addictions. For SUD analyses, fixed effects model was applied as only two studies were available per trait.</div></div><div><h3>Results</h3><div>Nineteen studies with a total of 9,478 participants were included. Meta-analytic results showed statistically significant inverse associations between behavioral addictions and honesty-humility (−0.339, 95 % CI = −0.433, −0.237), extraversion (−0.197, 95 % CI = −0.321, −0.066), agreeableness (−0.336, 95 % CI = −0.478, −0.177), conscientiousness (−0.317, 95 % CI = −0.410, −0.218), and openness to experience (−0.201, 95 % CI = −0.322, −0.073), while emotionality showed a statistically significant positive association (0.212, 95 % CI = 0.094, 0.324). For SUDs, analyses demonstrated statistically significant inverse associations with honesty-humility (−0.226, 95 % CI = −0.298, −0.150) and conscientiousness (−0.157, 95 % CI = −0.232, −0.081), while other traits showed non-significant associations. Significant heterogeneity was observed across studies. Meta-regressions showed that gender and age moderated the relationship between agreeableness and behavioral addictions, while gender also moderated the relationship between extraversion and behavioral addictions.</div></div><div><h3>Conclusions</h3><div>This meta-analysis provides strong empirical evidence for an association between HEXACO personality traits and addictions. The findings suggest that incorporating HEXACO trait assessments may be beneficial in planning and targeting interventions for individuals with addictions, but that the population in question also should be taken into account.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"170 ","pages":"Article 108433"},"PeriodicalIF":3.6000,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Addictive behaviors","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0306460325001947","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background

This study presents the first systematic review and meta-analysis examining the associations between the HEXACO personality traits, substance use disorders (SUDs), and behavioral addictions.

Methods

A comprehensive search was conducted on the databases APA PsycINFO (Ovid), Medline (Ovid), ProQuest, Web of Science, CINAHL, and Wiley Online Library, with a supplementary search on Google Scholar. Studies were included if they were empirical, published in peer-reviewed journals or as dissertations, investigated the association between HEXACO personality traits, SUDs, and behavioral addictions, and reported zero-order correlations or sufficient data for such calculations. Case studies and qualitative studies were excluded. Two reviewers independently screened studies, extracted data, and assessed risk of bias using the Newcastle-Ottawa Scale. Random effects models were used to estimate pooled effect sizes for behavioral addictions. For SUD analyses, fixed effects model was applied as only two studies were available per trait.

Results

Nineteen studies with a total of 9,478 participants were included. Meta-analytic results showed statistically significant inverse associations between behavioral addictions and honesty-humility (−0.339, 95 % CI = −0.433, −0.237), extraversion (−0.197, 95 % CI = −0.321, −0.066), agreeableness (−0.336, 95 % CI = −0.478, −0.177), conscientiousness (−0.317, 95 % CI = −0.410, −0.218), and openness to experience (−0.201, 95 % CI = −0.322, −0.073), while emotionality showed a statistically significant positive association (0.212, 95 % CI = 0.094, 0.324). For SUDs, analyses demonstrated statistically significant inverse associations with honesty-humility (−0.226, 95 % CI = −0.298, −0.150) and conscientiousness (−0.157, 95 % CI = −0.232, −0.081), while other traits showed non-significant associations. Significant heterogeneity was observed across studies. Meta-regressions showed that gender and age moderated the relationship between agreeableness and behavioral addictions, while gender also moderated the relationship between extraversion and behavioral addictions.

Conclusions

This meta-analysis provides strong empirical evidence for an association between HEXACO personality traits and addictions. The findings suggest that incorporating HEXACO trait assessments may be beneficial in planning and targeting interventions for individuals with addictions, but that the population in question also should be taken into account.

查看原文本刊更多论文

HEXACO人格特征、物质使用障碍和行为成瘾之间的关系：一项系统综述和荟萃分析

本研究首次对HEXACO人格特征、物质使用障碍（SUDs）和行为成瘾之间的关系进行了系统回顾和荟萃分析。方法综合检索APA PsycINFO （Ovid）、Medline （Ovid）、ProQuest、Web of Science、CINAHL、Wiley Online Library数据库，并辅以谷歌Scholar数据库。如果研究是实证性的，发表在同行评审的期刊上或作为论文，调查了HEXACO人格特征、SUDs和行为成瘾之间的关系，并报告了零级相关性或足够的数据来进行此类计算，则将其纳入。排除了案例研究和定性研究。两位审稿人独立筛选研究，提取数据，并使用纽卡斯尔-渥太华量表评估偏倚风险。随机效应模型用于估计行为成瘾的综合效应大小。对于SUD分析，由于每个性状只有两个研究可用，因此采用固定效应模型。结果纳入19项研究，共9478名受试者。meta分析结果显示，行为成瘾与诚实谦卑（- 0.339,95% CI = - 0.433, - 0.237）、外向性（- 0.197,95% CI = - 0.321, - 0.066）、亲和性（- 0.336,95% CI = - 0.478, - 0.177）、责任心（- 0.317,95% CI = - 0.410, - 0.218）、经验开放性（- 0.201,95% CI = - 0.322, - 0.073）呈统计学显著负相关，而情绪性呈统计学显著正相关（0.212,95% CI = 0.094, 0.324）。对于sud，分析显示与诚实-谦卑（- 0.226,95% CI = - 0.298, - 0.150）和责任心（- 0.157,95% CI = - 0.232, - 0.081）呈统计学显著负相关，而其他特征则显示不显著相关。研究中观察到显著的异质性。元回归结果显示，性别和年龄调节了亲和性与行为成瘾的关系，性别也调节了外向性与行为成瘾的关系。结论本荟萃分析为HEXACO人格特质与成瘾之间的关联提供了强有力的经验证据。研究结果表明，结合HEXACO特征评估可能有利于计划和针对成瘾个体的干预措施，但也应考虑到相关人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.