“…We hypothesized the presence of the following: (1) significant associations between IA and genetic polymorphisms in MAO-A (ie, MAOA-H genotype), 5-HTTPR (ie, S/S genotype), DRD4 (ie, 4R/4R genotype), and DAT1 (ie, 9-repeat genotype) genes, based on previous studies that have underlined the key role of these genes in the biochemistry of addiction disorder [ 45 , 72 , 73 ], including IA [ 36 , 41 , 74 , 75 ]; (2) significant differences in the quality of family functioning of young adults and psychological profiles (ie, depression and anxiety problems, avoidant personality problems) between youths with IA and the control group, as suggested by previous studies that have shown significant association between IA both with a poor quality of family functioning [ 49 , 50 ] and with psychopathological symptoms, especially in the areas of depression and anxiety symptoms [ 76 , 77 ] and traits of avoidant personality disorder [ 78 ]; (3) a mediation role played by the psychological profile of young adults on the relationship between family functioning and IA, based on studies that have shown a predictive effect of the quality of family functioning on the psychopathological profile of young adults [ 57 , 58 ] that, in turn, has been suggested to be a significant predictor of IA [ 70 ]; and (4) the moderator role played by MAO-A, 5-HTTPR, DRD4, and DAT1 genotypes on the relationship between family functioning and IA, as suggested by recent evidence that has underlined that individual genotype play an important role in moderating individual sensitivity to environmental events [ 79 , 80 ] and to the development of psychopathology related to addiction [ 48 ].…”