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Leggat G, Kuntsche E, Kuntsche S, Atkins P, Laslett AM. Substance misuse by birth parents: Outcomes for children and young people placed into out-of-home-care. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2024; 132:104544. [PMID: 39180949 DOI: 10.1016/j.drugpo.2024.104544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Revised: 07/18/2024] [Accepted: 07/26/2024] [Indexed: 08/27/2024]
Abstract
BACKGROUND There is inconsistent evidence regarding the effect of birth parent substance use on developmental outcomes for children placed into out-of-home-care (OOHC). OBJECTIVE This study aims to examine how parental substance use affects outcomes of Australian children in out-of-home care, adjusting for key demographic, social and system factors. PARTICIPANTS AND SETTING Four waves of survey data were collected for children and young people who agreed to participate in the Pathways of Care Longitudinal Study (POCLS) between 2011 and 2018. The study sample included 1,506 children and young people (792 with a history of parental substance misuse) aged 9 months to 17 years who participated in at least one wave of the POCLS and had linked administrative data from the Department of Communities and Justice (DCJ), NSW, Australia. METHODS Multilevel longitudinal models were used to analyse the relationship of child developmental outcomes (physical health, socio-emotional wellbeing, and verbal and non-verbal cognitive ability) with parental substance misuse in their child protection history. Each model included adjustments for child demographics, family socio-economic status, child protection system factors and the unbalanced panel. RESULTS Children in OOHC with a history of parental substance misuse were more likely to be in the typical range for verbal cognitive development compared to those in OOHC without this history. In addition, younger (9 months to 5 years) children with a record of parental substance misuse exhibited significantly more typical fine and gross motor skill development than those without this history. CONCLUSIONS Concerns that children in OOHC with a history of parental substance misuse may be more affected with regards to early-stage physical development, and later verbal cognitive development than those without this history in OOHC, may not be justified.
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Affiliation(s)
- Geoffrey Leggat
- Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Australia
| | - Emmanuel Kuntsche
- Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Australia
| | - Sandra Kuntsche
- Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Australia; Bouverie Centre, School of Psychology and Public Health, La Trobe University, Melbourne, Australia
| | - Prue Atkins
- Social Work and Social Policy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia
| | - Anne-Marie Laslett
- Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Australia; Care Economy Research Institute, La Trobe University, Australia.
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Kerr DCR, Owen LD, Henry KL, Capaldi DM, Tiberio SS, Bailey JA. Prospective Intergenerational Associations between Parents' and Children's Illicit Substance Use During Adolescence. Subst Use Misuse 2024; 59:1828-1832. [PMID: 39077814 PMCID: PMC11460374 DOI: 10.1080/10826084.2024.2383606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/31/2024]
Abstract
OBJECTIVE Intergenerational studies have identified relations between adolescents' and their future offspring's cannabis and alcohol use, but rarely have examined the association for other illicit drug use. Given the low prevalence of such use in community populations, we pooled data from three prospective intergenerational studies to test this link. METHOD Participants were 1,060 children of 937 parents who had been repeatedly assessed since early adolescence. Children and parents reported on their use of cocaine, stimulants, hallucinogens, sedatives/tranquilizers, and opiates/narcotics from ages 10 to 18 years. Intergenerational similarities in any versus no use of these drugs were formally modeled using logistic regression. Patterns also were descriptively analyzed. RESULTS Parent illicit substance use was associated with significantly higher odds of child use (adjusted odds ratio [95% confidence interval] = 2.682 [1.328-5.416], p = 0.006). However, intergenerational continuity was modest; 87% of children whose parent used illicit drugs in adolescence did not use such drugs, and 77% of parents of children who used illicit drugs had not themselves used these drugs during adolescence. CONCLUSIONS The use of illicit substances by parents during their teenage years poses a risk for their offspring's similar behaviors. However, the discontinuity of these behaviors across generations implies children are largely resilient to or protected from this risk, and conversely that other aspects of parents' and children's experiences or characteristics may be more powerful risks for children's illicit drug use than this transgenerational influence.
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Affiliation(s)
| | - Lee D Owen
- Oregon Social Learning Center, Eugene, OR, USA
| | - Kimberly L Henry
- Department of Psychology, Colorado State University, Fort Collins, CO, USA
| | | | | | - Jennifer A Bailey
- Social Development Research Group, School of Social Work, University of Washington, Seattle, WA, USA
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Waddell JT, Sternberg A, Eisenberg N, Chassin L. Longitudinal Relations Among Parental Substance Use Disorder and Adolescent Drinking Behavior: The Role of Temperament, Negative Urgency, and Maternal Parenting. J Youth Adolesc 2024; 53:833-848. [PMID: 37864729 PMCID: PMC11232500 DOI: 10.1007/s10964-023-01886-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Accepted: 10/10/2023] [Indexed: 10/23/2023]
Abstract
Research suggests that parental substance use disorder is associated with adolescent drinking indirectly through negative urgency, a form of impulsivity that is particularly associated with high-risk drinking. Moreover, childhood mechanisms of risk may play a role in this developmental chain such that childhood temperament and parenting may be mechanisms through which parental substance use disorder is associated with adolescent negative urgency and drinking behavior. Therefore, the current study tested whether parental substance use disorder was indirectly associated with adolescent drinking frequency through childhood temperament (i.e., "dysregulated irritability") and adolescent negative urgency, and whether relations differed by levels of maternal support and consistency of discipline. Data come from a multigenerational, longitudinal study of familial substance use disorder (N = 276, Mage in childhood = 6.28 (SD = 1.16), Mage in adolescence = 15.86 (SD = 1.56), 45.3% female). Findings indicated that parental substance use disorder indirectly predicted adolescent drinking through both childhood dysregulated irritability and adolescent negative urgency (mediated pathways). This indirect relation was stronger at higher vs. lower levels of maternal support but did not vary by maternal consistency of discipline. Parental substance use disorder also indirectly predicted adolescent drinking separately through childhood dysregulated irritability and negative urgency. Findings thus suggest that childhood dysregulated irritability may be an early marker of risk toward high-risk personality traits and behavior in adolescence that are associated with having a parental history of substance use disorder. Findings also suggest that increased maternal support may only be helpful in buffering risk for those with low levels of dysregulated irritability. Prevention efforts focused on childhood emotion regulation and emotion-based action may be useful in preventing adolescent risk behavior.
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Affiliation(s)
- Jack T Waddell
- Department of Psychology, Arizona State University, Tempe, AZ, 85287-1104, USA.
| | | | - Nancy Eisenberg
- Department of Psychology, Arizona State University, Tempe, AZ, 85287-1104, USA
| | - Laurie Chassin
- Department of Psychology, Arizona State University, Tempe, AZ, 85287-1104, USA
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Margherio SM, Pedersen SL, Wang FL, Kennedy TM, Walther CAP, Gnagy EM, Pelham WE, Molina BSG. The role of perceived parent drinking motives on alcohol use among adolescents with and without childhood attention-deficit/hyperactivity disorder. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2024:2024-50440-001. [PMID: 38300537 PMCID: PMC11291706 DOI: 10.1037/adb0000991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2024]
Abstract
OBJECTIVE Parent history of alcohol-related problems and antisocial behaviors contribute to adolescent alcohol use and are associated with offspring attention-deficit/hyperactivity disorder (ADHD). Youth with ADHD may be susceptible to intergenerational transmission of alcohol-related cognitions, which may model drinking motives that enhance risk for adolescent alcohol use. We examined whether childhood ADHD and parent history of alcohol use disorder, with or without antisociality, were associated with adolescents' perceptions of their parents' drinking motives and whether these perceptions predicted their alcohol use behaviors. METHOD Adolescents (N = 199; 56% with ADHD; Mage = 15.73) completed the Drinking Motives Questionnaire regarding perceptions of their parents' drinking motives. Participants subsequently reported their past-year alcohol use behaviors (Mage = 16.95). Parents reported their history of alcohol-related problems and antisocial symptoms. Covariates included adolescent gender (7% girls), race (9% self-identified Black), and parental education and marital status. RESULTS Perceived parent drinking motives were highest for social and lowest for conformity motives, consistent with adult self-reports in the literature. Parent alcohol use and antisociality history predicted perceptions of parent drinking motives, and child ADHD only predicted perceptions of parent social drinking motives. Perceived parent drinking motives predicted adolescent alcohol use, but only among youth without ADHD. CONCLUSION Findings reflect the potential importance of assessing adolescent perceptions of parent drinking motives for adolescents without ADHD and a possible need for supporting parents in communicating about their own alcohol use. Future research should consider alternative strategies (e.g., assessing implicit cognitions) for studying the link between alcohol-related cognitions and behaviors for adolescents with ADHD. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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Ross AJ, Russotti J, Toth SL, Cicchetti D, Handley ED. The relative effects of parental alcohol use disorder and maltreatment on offspring alcohol use: Unique pathways of risk. Dev Psychopathol 2023:1-12. [PMID: 37905543 DOI: 10.1017/s0954579423001347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2023]
Abstract
Childhood adversity represents a robust risk factor for the development of harmful substance use. Although a range of empirical studies have examined the consequences of multiple forms of adversity (i.e., childhood maltreatment, parental alcohol use disorder [AUD]), there is a dearth of information on the relative effects of each form of adversity when considered simultaneously. The current study utilizes structural equation modeling to investigate three unique and amplifying pathways from parental AUD and maltreatment exposure to offspring alcohol use as emerging adults: (1) childhood externalizing symptomatology, (2) internalizing symptomatology, and (3) affiliation with substance-using peers and siblings. Participants (N = 422) were drawn from a longitudinal follow-up study of emerging adults who participated in a research summer camp program as children. Wave 1 of the study included 674 school-aged children with and without maltreatment histories. Results indicated that chronic maltreatment, over and above the effect of parent AUD, was uniquely associated with greater childhood conduct problems and depressive symptomatology. Mother alcohol dependence was uniquely associated with greater affiliation with substance-using peers and siblings, which in turn predicted greater alcohol use as emerging adults. Results support peer and sibling affiliation as a key mechanism in the intergenerational transmission of substance use between mothers and offspring.
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Affiliation(s)
- Andrew J Ross
- Mt. Hope Family Center, University of Rochester, Rochester, NY, USA
| | - Justin Russotti
- Mt. Hope Family Center, University of Rochester, Rochester, NY, USA
| | - Sheree L Toth
- Mt. Hope Family Center, University of Rochester, Rochester, NY, USA
| | - Dante Cicchetti
- Institute of Child Development, University of Minnesota, Minneapolis, MN, USA
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Trager BM, Sell NM, Hultgren BA, Turrisi R, Morgan RM, LaBrie JW. A Comparison of Parents' and Students' Reports of General and Alcohol-Specific Parenting Behaviors Across the Four Years of College. J Stud Alcohol Drugs 2023; 84:235-244. [PMID: 36971719 PMCID: PMC10212691 DOI: 10.15288/jsad.22-00002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2022] [Accepted: 08/25/2022] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE Whether college students' reports of their parents' behaviors are as reliable a predictor of student drinking as their parents' own reports remains an open question and a point of contention in the literature. To address this, the current study examined concordance between college student and mother/father reports of the same parenting behaviors relevant to parent-based college drinking interventions (relationship quality, monitoring, and permissiveness), and the extent to which student and parental reports differed in their relation to college drinking and consequences. METHOD The sample consisted of 1,429 students and 1,761 parents recruited from three large public universities in the United States (814 mother-daughter, 563 mother-son, 233 father-daughter, and 151 father-son dyads). Students and their parents were each invited to complete four surveys over the course of the students' first 4 years of college (one survey per year). RESULTS Paired samples t tests revealed that parental reports of parenting constructs were typically more conservative than student reports. Intraclass correlations revealed moderate associations between parental and student reports on relationship quality, general monitoring, and permissiveness. The associations between parenting constructs and drinking and consequences were also consistent when using parental and student reports of permissiveness. Results were generally consistent for all four types of dyads, and at each of the four time points. CONCLUSIONS Taken together, these findings provide additional support for the use of student reports of parental behaviors as a valid proxy of parents' actual reports and as a reliable predictor of college student drinking and consequences.
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Affiliation(s)
- Bradley M Trager
- Department of Psychological Science, Loyola Marymount University, Los Angeles, California
| | - Nichole M Sell
- Department of Psychology, Wilkes University, Wilkes-Barre, Pennsylvania
| | - Brittney A Hultgren
- Center for the Study of Health and Risk Behaviors, University of Washington, Seattle, Washington
| | - Rob Turrisi
- Department of Biobehavioral Health, The Pennsylvania State University, University Park, Pennsylvania
| | - Reed M Morgan
- Department of Psychological Science, Loyola Marymount University, Los Angeles, California
| | - Joseph W LaBrie
- Department of Psychological Science, Loyola Marymount University, Los Angeles, California
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Rosmarin DH, Pirutinsky S, Kaufman CC, Harris SK, Sneider JT, Silveri MM. Religious affiliation protects against alcohol/substance use initiation: A prospective study among healthy adolescents. J Adolesc 2023; 95:372-381. [PMID: 36345114 PMCID: PMC9908826 DOI: 10.1002/jad.12119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 08/31/2022] [Accepted: 10/10/2022] [Indexed: 11/11/2022]
Abstract
BACKGROUND A substantial volume of the literature suggests that religious factors buffer against alcohol/substance use among adults, but research among adolescents is sparse. Further, few studies in this area have been prospective, and therefore it is unclear how religion may impact less alcohol/substance use among adolescents. METHOD We prospectively evaluated effects of religious affiliation on initiation of alcohol/substance use in a sample of 81 psychiatrically healthy 13-14-year-olds from New England, over a 3-year period (from November 2015 to January 2019). Known risk factors were also evaluated including anxiety, depression, and impulsivity; family history of mental illness and alcohol/substance misuse; and volume of brain regions implicated in adolescent alcohol/substance misuse (assessed by Magnetic Resonance Imaging). RESULTS Religiously affiliated adolescents were significantly less likely to initiate use of alcohol/substances (hazard ratio [HR] = 0.38). The addition of family history of alcohol/substance misuse to the model increased the predictive value of religious affiliation (HR = 0.34). Other risk factors did not diminish nor increase observed effects. CONCLUSIONS These findings support and extend the current research by suggesting that religious affiliation protects against initiation of alcohol/substance use during early adolescence, particularly in individuals with elevated risk.
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Affiliation(s)
- David H. Rosmarin
- Department of Psychiatry, Harvard Medical School
- Spirituality and Mental Health Program, McLean Hospital
| | | | - Caroline C. Kaufman
- Department of Psychiatry, Harvard Medical School
- Spirituality and Mental Health Program, McLean Hospital
| | - Sion K. Harris
- Department of Pediatrics, Harvard Medical School
- Center for Adolescent Behavioral Health Research, Boston Children’s Hospital
| | - Jennifer T. Sneider
- Department of Psychiatry, Harvard Medical School
- Neurodevelopmental Laboratory on Addictions and Mental Health, McLean Hospital
| | - Marisa M. Silveri
- Department of Psychiatry, Harvard Medical School
- Neurodevelopmental Laboratory on Addictions and Mental Health, McLean Hospital
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Chau SL, Wu Y, Wang MP, Ho SY. Interactive Video-Based Passive Drinking and Forced Drinking Education to Reduce Intention to Drink in Adolescents: A Pre-Post Intervention Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:332. [PMID: 36612654 PMCID: PMC9820002 DOI: 10.3390/ijerph20010332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 12/19/2022] [Accepted: 12/22/2022] [Indexed: 06/17/2023]
Abstract
Passive and forced drinking harm was prevalent but less recognized in Chinese adolescents. We educated adolescents on such harm to reduce their intention to drink. Students (n = 1244) from seven secondary schools in Hong Kong participated in a video-based health talk on passive and forced drinking harm. Paired t-test was used to assess their change in knowledge of passive and forced drinking, and health and social harm of drinking after, the health talk. McNemar's chi-squared test and adjusted multivariable logistic regression (AOR) were used to assess their change in intention to drink and intention to quit. Students were less likely to drink (OR 0.29, 95% CI 0.19-0.42) and more likely to quit drinking (OR 3.50, 1.10-14.6) after the health talk. Increased knowledge of passive drinking was associated with less intention to drink (AOR 0.93, 0.90-0.97), increased knowledge of health harm (adjusted b 0.06, 0.05-0.08), and social harm of drinking (adjusted b 0.12, 0.10-0.16). Similar associations were observed in forced drinking (intention to drink: AOR 0.87, 0.79-0.96; health harm: adjusted b 0.16, 0.12-0.19; social harm: adjusted b 0.36, 0.28-0.43). We showed preliminary evidence that the health talk on passive and forced drinking reduced the intention to drink in adolescents.
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Affiliation(s)
- Siu Long Chau
- School of Nursing, The University of Hong Kong, Hong Kong, China
| | - Yongda Wu
- School of Nursing, The University of Hong Kong, Hong Kong, China
| | - Man Ping Wang
- School of Nursing, The University of Hong Kong, Hong Kong, China
| | - Sai Yin Ho
- School of Public Health, The University of Hong Kong, Hong Kong, China
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Guimarães MO, Guimarães GDL, Silva JWRD, Souza KKBD, Vieira-Andrade RG, Ferreira RC, Zarzar PMPDA. Does religiosity impact binge drinking among early adolescents? A cross-sectional study in a city in Southeastern Brazil. CIENCIA & SAUDE COLETIVA 2022; 27:3669-3678. [PMID: 36000653 DOI: 10.1590/1413-81232022279.03162022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 05/16/2022] [Indexed: 11/22/2022] Open
Abstract
This study evaluated the association between religiosity and binge drinking in early adolescence. A cross-sectional study was conducted with adolescents aged 10-13 from Belo Horizonte, Brazil. Stratified random sampling was performed considering the administrative district and school year. Adolescents filled an AUDIT-C form, containing questions about religiosity and binge drinking by parents and their best friends. Adolescents' caregivers answered a form regarding socioeconomic issues. Descriptive analysis, univariate, and multivariate logistic regression were performed. A total of 650 adolescents participated in the study. The frequency of binge drinking was 13.7%. In the adjusted model, religiosity was not associated with binge drinking. The covariates associated were the age of 12-13 years (OR: 1.94; CI95%: 1.06-3.56; p=0.030), maternal binge drinking (OR: 3.12; CI95%: 1.76-5.52; p<0.001) best friend binge drinking (OR: 6.01; CI95%: 3.40-10.62; p<0.001) and nonnuclear family (OR: 1.80; CI95%: 1.01-3.23; p=0.045). The findings revealed that, for binge drinking, the main factors that influenced this decision were the best friend and maternal binge drinking and family structure, although the adolescents claimed to be religious.
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Affiliation(s)
- Mariana Oliveira Guimarães
- Departamento de Saúde Bucal da Criança e do Adolescente, Faculdade de Odontologia, Universidade Federal de Minas Gerais (UFMG). R. Prof. Moacir Gomes de Freitas 688, Pampulha. 31270-901 Belo Horizonte MG Brasil.
| | | | | | | | - Raquel Gonçalves Vieira-Andrade
- Departamento de Saúde Bucal da Criança e do Adolescente, Faculdade de Odontologia, Universidade Federal de Minas Gerais (UFMG). R. Prof. Moacir Gomes de Freitas 688, Pampulha. 31270-901 Belo Horizonte MG Brasil.
| | - Raquel Conceição Ferreira
- Departamento de Odontologia Social e Preventiva, Faculdade de Odontologia, UFMG. Belo Horizonte MG Brasil
| | - Patrícia Maria Pereira de Araújo Zarzar
- Departamento de Saúde Bucal da Criança e do Adolescente, Faculdade de Odontologia, Universidade Federal de Minas Gerais (UFMG). R. Prof. Moacir Gomes de Freitas 688, Pampulha. 31270-901 Belo Horizonte MG Brasil.
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Yoon Y. Time Dimension of Childhood Adversities and Externalizing Behavior Among Children of Teen Mothers: Sensitive Period Hypothesis vs. Accumulation Hypothesis. CHILD MALTREATMENT 2022; 27:389-399. [PMID: 33371724 DOI: 10.1177/1077559520984249] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Childhood adversities are associated with compromised behavioral health later in life. However, less attention has been paid to how time contributes to the damaging effects of adversity exposure. In addition, the differential impact of childhood maltreatment and household dysfunction has been understudied. The current study tested (a) the sensitive period hypothesis regarding timing of childhood adversity on externalizing behavior, (b) the accumulation hypothesis regarding the associations between the duration of childhood adversity and externalizing behavior, and (c) the domain-specific impact of childhood adversity on externalizing behavior. Data came from the Young Women and Child Development Study (N = 240). Childhood adversity was measured at seven periods (age range: 5.5-16), which were used to test the sensitive period hypothesis. Childhood adversity at each time period was summed across seven time periods to test the accumulation measure representing the duration of childhood adversity. Least angle and multiple regression analyses were conducted. Results supported the sensitive period hypothesis-the effect of childhood adversity was the most prominent at age 11.5, whereas the accumulation of childhood adversity time periods was not a significant predictor of later externalizing behavior. Probing childhood adversity by subdomains revealed maltreatment primarily accounted for externalizing behavior (p < .05). Findings suggest intervention efforts for children of teen mothers during early adolescence to prevent externalizing behavior in later adolescence. Unpacking childhood adversity may illuminate key areas of vulnerability to externalizing behavior.
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Affiliation(s)
- Yoewon Yoon
- Suzanne Dworak-Peck School of Social Work, 5116University of Southern California, Los Angeles, CA, USA
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Intervention impact on alcohol use, alcohol harms, and a combination of both: A latent class, secondary analysis of results from a randomized controlled trial. Drug Alcohol Depend 2021; 227:108944. [PMID: 34507060 DOI: 10.1016/j.drugalcdep.2021.108944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 06/10/2021] [Accepted: 06/17/2021] [Indexed: 11/21/2022]
Abstract
BACKGROUND Alcohol use and alcohol-related harm (ARH) among adolescents places a substantial burden on health, and public services more generally. To date, attempts to intervene at a universal level have yielded results varying from iatrogenic to null, although some skill-enhancing universal interventions have successfully impacted drinking behaviors. One such intervention is SHAHRP. The present study is a secondary analysis of data from the STAMPP Trial, providing new, and more nuanced findings. METHODS A total of 13,914 adolescents (41.7% female) participated in this cRCT where schools were randomly assigned to a control or intervention group. Growth mixture modelling was used to identify trajectory classes from baseline through third follow-up (+33 months) of adolescents on heavy episodic drinking (HED) and ARH. Extracted classes were related to school intervention participation using multinomial logistic regression. RESULTS Five trajectory classes of the HED and ARH composite were identified: Low (62%), Late Onset (16%), Early Onset (13%), Delayed Onset (7%), and Unstable (3%). The intervention was most strongly related to Late Onset (OR = 0.50, 95%CI [0.25, 1.01]) and Delayed Onset (OR = 0.55, 95%CI [0.26, 1.16]), although not statistically significant. With classes constructed with ARH only, the Delayed Onset class was significantly related to the intervention (OR = 0.60, 95%CI [0.43, 0.84]). CONCLUSIONS These results support those previously reported on the STAMPP Trial and provide a more nuanced insight into the effects of the intervention.
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12
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Ladis B, Trucco EM, Huang H, Thomlison B, Fava NM. Longitudinal Effects of Peer, School, and Parenting Contexts on Substance Use Initiation in Middle Adolescence. JOURNAL OF EVIDENCE-BASED SOCIAL WORK (2019) 2021; 18:566-584. [PMID: 34096482 PMCID: PMC8649054 DOI: 10.1080/26408066.2021.1932660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Purpose: Preventing substance use initiation (SUI) can reduce negative consequences associated with adult substance use disorder. The role of involvement with deviant peers, school connectedness, and parenting quality on SUI was investigated among a community sample (N = 387).Method: PROCESS tested whether three parenting quality factors (Parental Knowledge and Affective Relationships, Parental Control, and Parental Communication and Involvement) served as moderators of two different mediation pathways (involvement with deviant peers and school connectedness) on three SUI outcomes (alcohol, cigarettes, and marijuana).Results: Involvement with deviant peers mediated the relation between school connectedness and substance use. Low school connectedness predicted high deviant peer affiliation, which, in turn, predicted high SUI. School connectedness did not mediate involvement with deviant peers and substance use. Parenting quality factors were not significant moderators.Conclusion: Supporting adolescents who lack strong school connections may help prevent involvement with deviant peers, which, in turn, may prevent SUI.
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Affiliation(s)
- Barry Ladis
- Robert Stempel College of Public Health & Social Work, Florida International University, Miami, United States
| | - Elisa M Trucco
- Department of Psychology, Florida International University, Miami, United States
- Center for Children and Families, Florida International University, Miami, United States
- Department of Psychiatry, University of Michigan, United States
| | - Hui Huang
- Robert Stempel College of Public Health & Social Work, Florida International University, Miami, United States
| | - Barbara Thomlison
- Robert Stempel College of Public Health & Social Work, Florida International University, Miami, United States
| | - Nicole M Fava
- Robert Stempel College of Public Health & Social Work, Florida International University, Miami, United States
- Center for Children and Families, Florida International University, Miami, United States
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Oro V, Goldsmith HH, Lemery-Chalfant K. Elucidating the Links Between Mother and Father Alcohol Use Disorder and Adolescent Externalizing Psychopathology: A Test of Transmission Specificity Within Competing Factor Structures and Genetic and Environmental Liabilities. Behav Genet 2021; 51:512-527. [PMID: 34189652 PMCID: PMC8601653 DOI: 10.1007/s10519-021-10072-w] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 06/10/2021] [Indexed: 12/12/2022]
Abstract
Parental alcohol use disorder (AUD) is a substantiated risk factor for adolescent externalizing psychopathology; however, the level of specificity at which risk from parental AUD is transmitted to adolescent offspring should be interrogated further. The current study modeled competing factor structures of psychopathology in a sample of 502 adolescent twin pairs (Mage = 13.24 years) and tested associations with mother and father AUD. The bifactor model exhibited the best fit to the data when contrasted with correlated factors and general factor models. Paternal AUD predicted the externalizing and internalizing correlated factors, the adolescent P-factor but not the residual externalizing and internalizing factors, and the general factor. No significant associations with maternal AUD were noted. Lastly, the latent factors of adolescent psychopathology were all moderately heritable (h2 = 0.44-0.59) and influenced by the nonshared environment. Shared genetic factors primarily explained externalizing and internalizing covariance. Findings suggest that efforts to mitigate risk in offspring of fathers exhibiting AUD require broader approaches that address the full range of adolescent symptomology.
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Affiliation(s)
- Veronica Oro
- Department of Psychology, Arizona State University, P.O. Box 871104, Tempe, AZ, 85287, USA.
| | - H Hill Goldsmith
- Waisman Center and Department of Psychology, University of Wisconsin-Madison, Madison, WI, USA
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Bosk EA, Anthony WL, Folk JB, Williams-Butler A. All in the family: parental substance misuse, harsh parenting, and youth substance misuse among juvenile justice-involved youth. Addict Behav 2021; 119:106888. [PMID: 33798920 PMCID: PMC10032473 DOI: 10.1016/j.addbeh.2021.106888] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Revised: 02/14/2021] [Accepted: 02/21/2021] [Indexed: 01/28/2023]
Abstract
PURPOSE Research consistently connects parental and youth substance misuse, yet less is known about the mechanisms driving this association among justice-involved youth. We examine whether harsh parenting is an explanatory mechanism for the association between parental substance use and parental mental health and youth substance use disorder in a sample of justice-involved youth. METHODS Data were drawn from the Northwestern Juvenile Project, a large-scale longitudinal survey of mental health and substance misuse in a representative sample of youth in juvenile detention. Harsh parenting, child maltreatment, youth alcohol and cannabis use disorder, and parental substance misuse and mental health were assessed among 1,825 detained youth (35.95% female) at baseline, three-year follow-up, and four-year follow-up. RESULTS At baseline, over 80% of youth used alcohol and/or cannabis; at the four-year follow-up, 16.35% and 19.69% of the youth were diagnosed with alcohol and cannabis use disorder, respectively. More than 20% of youth reported their parent misused substances and 6.11% reported a parent had a severe mental health need. Black youth experienced significantly fewer types of harsh parenting compared to White youth. Multivariate path analyses revealed harsh parenting mediated the association between parental substance misuse and mental health on youth alcohol and cannabis use disorder. Harsh parenting that does not rise to the level of child maltreatment mediated the association between parental substance misuse and mental health on youth alcohol use disorder; in contrast, child maltreatment did not mediate these associations. Multigroup analyses revealed the effect of harsh parenting on youth alcohol and cannabis use disorder did not vary across sex or race-ethnic subgroups. CONCLUSIONS Harsh parenting represents one mechanism for the intergenerational continuity of alcohol and cannabis misuse and should be regularly assessed for and addressed in juvenile justice settings.
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Cox MJ, Janssen T, Gabrielli J, Jackson KM. Profiles of Parenting in the Digital Age: Associations With Adolescent Alcohol and Marijuana Use. J Stud Alcohol Drugs 2021; 82:460-469. [PMID: 34343077 PMCID: PMC8356790 DOI: 10.15288/jsad.2021.82.460] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Accepted: 01/25/2021] [Indexed: 12/10/2023] Open
Abstract
OBJECTIVE This study assessed parental communication and behavior related to children's Internet and social media usage to delineate profiles of parenting regarding these newer forms of media and associated those profiles with youth alcohol and marijuana use. METHOD Using data from 748 adolescents (mean age = 15.8, 52% female, 25% non-White) and their parents, latent class analysis was performed to identify classes based on items concerning device ownership, monitoring, and communication of online activities. The associations between class membership and ever use of alcohol and marijuana were then tested, controlling for screen time, general parenting, substance availability, and deviance. RESULTS We identified five classes: high media parenting (23%), low media parenting (20%), moderate media parenting with limited device access (11%), moderate media parenting with high device access (25%), and low monitoring but high communication about online activities (21%). Probability of class membership was differentially associated with contemporaneous and 1-year prospective alcohol and marijuana use. The low-device-access class had the highest percentage of abstainers at both time points. The lowest rate of abstaining was associated with membership in the high-device-access class but moderate levels of monitoring. Membership in the low media parenting class was associated with use of both substances. CONCLUSIONS This study provides a novel exploration of media parenting, an important construct in the context of increased access to personalized media devices that allow for streaming of mature media content related to substance use.
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Affiliation(s)
- Melissa J. Cox
- Department of Health Education & Promotion, East Carolina University, Greenville, North Carolina
| | - Tim Janssen
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island
| | - Joy Gabrielli
- Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida
| | - Kristina M. Jackson
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island
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Grummitt L, Kelly E, Barrett E, Keyes K, Newton N. Targets for intervention to prevent substance use in young people exposed to childhood adversity: A systematic review. PLoS One 2021; 16:e0252815. [PMID: 34097711 PMCID: PMC8183991 DOI: 10.1371/journal.pone.0252815] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Accepted: 05/21/2021] [Indexed: 12/14/2022] Open
Abstract
Background and aims Childhood adversity is a strong, and concerningly prevalent, risk factor for the later development of substance misuse. Yet despite substantial accumulating evidence for causal mechanisms, there has been little attempt to synthesize the strength of the evidence. Importantly, these mechanisms may be amenable to intervention, providing targets for substance use prevention among those exposed to childhood adversity. The present review aimed to systematically identify mediating and moderating mechanisms operating between childhood adversity and substance use. Methods A systematic review was conducted. Electronic databases (PubMed, MEDLINE, PsycINFO, Web of Science and CINAHL) were searched from 1998 to 2020 for modifiable mediators and moderators of the relationship between childhood adversity and substance use in people aged 10–24. Data was qualitatively synthesised, using a socio-ecological perspective to group mediators/moderators into individual, interpersonal, community, and public policy/cultural levels of behaviour. Results After screening against eligibility criteria, 50 studies were included in the current review. The mediators at the individual level of behaviour showing the largest and most consistent effect sizes included externalising behaviour, anger, coping motives for substance use, and post-traumatic stress symptoms. Among individual-level moderators, religiosity, future orientation and depressive symptoms all attenuated the relationship between childhood adversity and substance use. At the interpersonal level, peer relationships and mother-child relationships mediated the effect of adversity on substance use. Moderators included family cohesion and relationship quality. Community factors were less commonly studied, though school mobility and educational achievement mediated 14% and 28% of the total effect of childhood adversity on substance use respectively. No mediators or moderators were identified for public policy/culture. Conclusions A substantial proportion of the relationship between childhood adversity and substance use in youth is mediated through individual, interpersonal and community factors. Coupled with the knowledge that existing, evidence-based programs effectively address many of the identified mediators and moderators, this review advances knowledge on optimal targets to prevent substance misuse among those exposed to childhood adversity.
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Affiliation(s)
- Lucinda Grummitt
- NHMRC Centre of Research Excellence PREMISE, The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, The University of Sydney, Sydney, Australia
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, United States of America
- * E-mail:
| | - Erin Kelly
- NHMRC Centre of Research Excellence PREMISE, The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, The University of Sydney, Sydney, Australia
| | - Emma Barrett
- NHMRC Centre of Research Excellence PREMISE, The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, The University of Sydney, Sydney, Australia
| | - Katherine Keyes
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, United States of America
| | - Nicola Newton
- NHMRC Centre of Research Excellence PREMISE, The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, The University of Sydney, Sydney, Australia
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Smit K, Voogt C, Otten R, Kleinjan M, Kuntsche E. Alcohol expectancies change in early to middle adolescence as a function of the exposure to parental alcohol use. Drug Alcohol Depend 2020; 211:107938. [PMID: 32222262 DOI: 10.1016/j.drugalcdep.2020.107938] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2019] [Revised: 01/16/2020] [Accepted: 02/19/2020] [Indexed: 01/02/2023]
Abstract
INTRODUCTION The subjective effects of alcohol, i.e., alcohol expectancies (AE), are important predictors of alcohol use. This three-year longitudinal study examined: 1) the development of enhancement, social, coping, and conformity AE from age 10-16; 2) the association between parental alcohol use exposure and positive AE among adolescents and between exposure and changes in AE over the six month period and 3) the moderating effect of gender on the association between exposure and change in AE. METHODS A longitudinal study followed adolescents between 10-13-years old at baseline (N = 755; 45.6 % boys) in six months intervals for three years, resulting in seven measurements. RESULTS Adolescents most strongly endorsed enhancement AE. Social and coping AE dimensions positively increased over time. The estimated Multilevel Model of Change revealed that exposure to either fathers 'or mothers' alcohol use predicted an increase in social AE six months later (B = .129, SE = .032). Exposure to fathers' drinking predicted an increase in enhancement AE for boys (B = .075, SE = .031) but not for girls (B=-0.045, SE = .030). No associations between parental exposure and other AE dimensions were found. CONCLUSION The results add to previous studies in showing that the association between parental drinking behavior and offspring AE develops within short periods. Prevention should, therefore, include explicit guidelines for parents with respect to how their drinking behavior affect their offspring.
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Affiliation(s)
- Koen Smit
- Centre for Alcohol Policy Research, La Trobe University, NR1 building, Melbourne, VIC 3086, Australia; Behavioural Science Institute, Radboud University, Nijmegen, P.O. Box 9104, 6500 HE Nijmegen, the Netherlands; Trimbos Institute, Netherlands Institute of Mental Health and Addiction, P.O. Box 725, 3500 AS Utrecht, the Netherlands.
| | - Carmen Voogt
- Behavioural Science Institute, Radboud University, Nijmegen, P.O. Box 9104, 6500 HE Nijmegen, the Netherlands; Trimbos Institute, Netherlands Institute of Mental Health and Addiction, P.O. Box 725, 3500 AS Utrecht, the Netherlands
| | - Roy Otten
- Behavioural Science Institute, Radboud University, Nijmegen, P.O. Box 9104, 6500 HE Nijmegen, the Netherlands; Pluryn, Research & Development, P.O. Box 53, 6500 AB Nijmegen, the Netherlands; REACH Institute, Arizona State University, Phoenix, USA
| | - Marloes Kleinjan
- Trimbos Institute, Netherlands Institute of Mental Health and Addiction, P.O. Box 725, 3500 AS Utrecht, the Netherlands; Utrecht University, Interdisciplinary Social Sciences, Youth Studies, P.O. Box 80140, 3508 TC Utrecht, The Netherlands
| | - Emmanuel Kuntsche
- Centre for Alcohol Policy Research, La Trobe University, NR1 building, Melbourne, VIC 3086, Australia; Behavioural Science Institute, Radboud University, Nijmegen, P.O. Box 9104, 6500 HE Nijmegen, the Netherlands
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Sternberg A, Hill ML, Suk HW, Meier M, Chassin L. Exploring Cannabis-Specific Parenting as a Mechanism of the Intergenerational Transmission of Cannabis Use and Cannabis Use Disorder. J Stud Alcohol Drugs 2020. [PMID: 30807272 DOI: 10.15288/jsad.2019.80.32] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE Parental cannabis use disorder (CUD) is a known risk factor in the development of adolescent cannabis use. One potential mechanism is parenting behaviors. This study considered cannabis-specific parenting strategies as a mechanism of the relation between parental CUD and adolescent cannabis use. METHOD Pathways were examined using multilevel longitudinal mediation models (N = 363, mean age = 16.3 years) comparing adolescent offspring of parents who never used cannabis, parents who used cannabis without CUD, and parents with CUD. RESULTS Parental cannabis use history did not significantly predict parental sharing of negative experiences with cannabis or parental strategies to prevent cannabis use. Cannabis-specific strategies did not successfully deter adolescent use. Parental sharing of negative experiences with cannabis use in fact predicted increased adolescent cannabis use. CONCLUSIONS Cannabis-specific parenting did not reduce adolescent cannabis use, and sharing negative experiences was detrimental. Future studies should consider alternative mechanisms underlying the intergenerational transmission of cannabis use.
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Affiliation(s)
- Ariel Sternberg
- Department of Psychology, Arizona State University, Tempe, Arizona
| | - Melanie L Hill
- Department of Psychology, Arizona State University, Tempe, Arizona
| | - Hye Won Suk
- Department of Psychology, Sogang University, Seoul, Korea
| | - Madeline Meier
- Department of Psychology, Arizona State University, Tempe, Arizona
| | - Laurie Chassin
- Department of Psychology, Arizona State University, Tempe, Arizona
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Transition from nonuse to use of alcohol or binge drinking among adolescents: Secondary analysis of a randomized controlled trial. Addict Behav 2020; 102:106159. [PMID: 31775065 DOI: 10.1016/j.addbeh.2019.106159] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2018] [Revised: 09/27/2019] [Accepted: 10/06/2019] [Indexed: 01/22/2023]
Abstract
OBJECTIVE The objective of this study was to evaluate the predictors of the transition from nonuse of alcohol to the first use of alcohol and the first episode of binge drinking. METHODS Data were drawn from a randomized controlled trial conducted with seventh- and eighth-grade students from 72 public schools over a 21-month period in six cities in Brazil. A total of 3298 students who reported that they had never consumed alcoholic beverages and had never engaged in binge drinking at baseline were included in this study. The two binary outcomes were tested concomitantly via structural equation modeling. Maximum likelihood estimates for logistic regression models were performed to evaluate how baseline data regarding risk factors, such as sociodemographic characteristics (socioeconomic status, gender, and age), school experiences (violence and perception of academic performance), and social variables (family and friends), affected the initiation of alcohol use and binge drinking at 9- and 21-month follow-up assessments. RESULTS Older age, the perpetration of violent behaviors at baseline and the absence of the father living with the adolescent were predictors of both alcohol use initiation and binge drinking initiation. The #Tamojunto program showed iatrogenic effect for first alcohol use. CONCLUSIONS The results indicate the need to develop and implement effective alcohol prevention programs that consider the main characteristics in the prediction model for alcohol consumption and binge drinking, including early intervention for aggressive behaviors at school and parental alcohol use.
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Waddell JT, Blake AJ, Sternberg A, Ruof A, Chassin L. Effects of Observable Parent Alcohol Consequences and Parent Alcohol Disorder on Adolescent Alcohol Expectancies. Alcohol Clin Exp Res 2020; 44:973-982. [PMID: 32105357 DOI: 10.1111/acer.14298] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2019] [Accepted: 01/23/2020] [Indexed: 12/31/2022]
Abstract
BACKGROUND Parental drinking and parent alcohol use disorder (AUD) are known predictors of adolescent positive alcohol expectancies, but their link to negative expectancies is unclear. Research suggests that parent drinking may indirectly predict adolescent expectancies through exposure to parental drinking events. However, exposure to parent negative alcohol consequences may be more relevant to adolescents' expectancies. The present study tested the mediating effect of parent observable negative alcohol consequences in the association between parent AUD and adolescent expectancies. METHODS This study used parent and adolescent data from the Adult and Family Development Project. A total of 581 adolescents reported on their alcohol expectancies across 2 waves of data, and their parents reported on potentially observable alcohol-related negative consequences during the first wave. Past-year and lifetime parent AUD were assessed with diagnostic interviews across 6 waves of data. RESULTS Mothers' observable consequences mediated the effect of her past-year AUD on adolescent negative expectancies in adolescence, but this effect did not hold at a 1.5-year follow-up. Mothers' lifetime AUD was the only prospective predictor of later adolescent negative expectancies. No father drinking variables predicted expectancies, and all models were invariant across child biological sex. Finally, older adolescent age prospectively predicted higher positive expectancies, whereas the adolescents' own drinking predicted lower negative expectancies. CONCLUSIONS These findings, in line with other recent studies, suggest that exposure to mothers' negative experiences with alcohol may counterintuitively normalize negative alcohol effects. This may paradoxically increase risk for adolescents rather than buffering the effects of a family history of parental AUD.
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Affiliation(s)
- Jack T Waddell
- Department of Psychology, Arizona State University, Tempe, Arizona
| | - Austin J Blake
- Department of Psychology, Arizona State University, Tempe, Arizona
| | - Ariel Sternberg
- Department of Psychology, Arizona State University, Tempe, Arizona
| | - Ariana Ruof
- Department of Psychology, Arizona State University, Tempe, Arizona
| | - Laurie Chassin
- Department of Psychology, Arizona State University, Tempe, Arizona
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Predicting latent classes of drug use among adolescents through parental alcohol use and parental style: a longitudinal study. Soc Psychiatry Psychiatr Epidemiol 2019; 54:455-467. [PMID: 30542961 DOI: 10.1007/s00127-018-1645-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Accepted: 12/03/2018] [Indexed: 10/27/2022]
Abstract
PURPOSE The present study examined the roles of parental alcohol use and parental style as predictors of adolescent patterns of drug use. METHODS 6391 students in the 7th and 8th grades at 72 Brazilian public schools participated in a three-wave randomized controlled trial to evaluate a school drug-use prevention program. Patterns of drug use were identified through two latent class analyses using measures of the adolescents' past-year drug use. Multinomial logistic regression analyses examined whether parental alcohol use and parenting style at baseline predicted patterns of drug use in waves 2 and 3 of the study after controlling for sociodemographic covariates. RESULTS In each of the two waves, three latent classes of drug use were identified among the students, defining three different groups of individuals: (1) abstainers/low users, (2) alcohol users/binge drinkers, and (3) polydrug users. First, parenting style (especially monitoring) was the strongest predictor for the prevention of polydrug use among adolescents. Second, occasional alcohol use by parents can act as a central predictor for adolescent alcohol use and binge drinking. Above all, maternal episodes of drunkenness were involved in the predictive models for both drug use classes in both waves. CONCLUSION Parental alcohol use and parenting style seem to be important predictors of adolescent's likelihood of belonging to different latent classes of drug use. This conclusion may point to the importance of considering the inclusion of parenting skills and parental alcohol use within the scope of adolescents' preventive interventions.
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Cicchetti D, Handley ED. Child maltreatment and the development of substance use and disorder. Neurobiol Stress 2019; 10:100144. [PMID: 30937350 PMCID: PMC6430405 DOI: 10.1016/j.ynstr.2018.100144] [Citation(s) in RCA: 76] [Impact Index Per Article: 15.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2018] [Revised: 12/02/2018] [Accepted: 12/26/2018] [Indexed: 11/23/2022] Open
Abstract
Children who experience maltreatment are at well-documented risk for the development of problematic substance use and disorder in adolescence and beyond. This review applies a developmental psychopathology framework to discuss the complex multilevel probabilistic pathways from child maltreatment to substance use and substance use disorder (SUD). We begin with an overview of the myriad vulnerabilities associated with child maltreatment, including the development of substance use and SUD. Prominent pathways that may potentiate liability for SUD are discussed. Specifically, we highlight the robust empirical support for the prominent externalizing pathway of risk, and also discuss the state of the research regarding the internalizing pathway. Consistent with the developmental psychopathology perspective, we then review biological processes such as neuroendrocrine mechanisms, allostatic load, and neurobiological pathways that may underlie child maltreatment risk, as well as discuss broader contextual issues. Elucidating the processes underlying the development of substance use and disorder among children exposed to this form of early adversity is paramount for not only informing developmental theories, but also designing effective prevention and intervention programs. Thus, implications for preventive interventions are provided. Finally, critical next steps for research within the area of child maltreatment and the developmental psychopathology of substance use and SUD are proffered.
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Affiliation(s)
- Dante Cicchetti
- Institute of Child Development, University of Minnesota, USA
- Mt. Hope Family Center, University of Rochester, USA
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Smit K, Otten R, Voogt C, Kleinjan M, Engels R, Kuntsche E. Exposure to drinking mediates the association between parental alcohol use and preteen alcohol use. Addict Behav 2018; 87:244-250. [PMID: 30096655 DOI: 10.1016/j.addbeh.2018.07.026] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2018] [Revised: 07/05/2018] [Accepted: 07/31/2018] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The aim of the present study was to test the link between exposure to parental alcohol use (i.e., preteens seeing their parents drinking) and preteen's alcohol use. Specifically, this study aimed to (a) replicate the association between parental alcohol use and preteen alcohol use and (b) test whether alcohol use exposure mediated this association. METHOD Families were recruited from five regions in the Netherlands from 104 schools that agreed to participate. Preteens (N = 755, Mage = 11.27, SD = 0.56, 45.8% boys) and their mothers (N = 755) participated in the study. Preteens reported lifetime alcohol use and parental alcohol use exposure. Mothers reported on alcohol use for both parents. Structural Equation Modelling was used to assess direct and mediated paths between parental alcohol use, preteen's exposure to alcohol use and preteen alcohol use in one model. RESULTS Unexpectedly, father's alcohol use was negatively associated (β = -0.121, p = .012) and mother's alcohol use was not associated (β = 0.056, p = .215) with preteen's alcohol use. A positive indirect effect emerged through alcohol use exposure, showing that exposure to father's alcohol use mediated the association between parent's and preteen's alcohol use (β = 0.064, p = .001). This effect was absent for mother's alcohol use (β = 0.026, p = .264). Gender differences were non-significant. CONCLUSIONS Parental alcohol exposure positively mediated the association of parental alcohol use with preteen's alcohol use. These effects were found for both boys and girls and were most robust for father's drinking. The findings might provide clues for preventive action, for example, by emphasizing that exposure should be restricted to prevent preteen's alcohol use.
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Affiliation(s)
- Koen Smit
- Radboud University, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands; Trimbos Institute, Netherlands Institute of Mental Health and Addiction, P.O. Box 725, 3500 AS Utrecht, The Netherlands.
| | - Roy Otten
- Radboud University, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands; Pluryn, Research & Development, P.O. Box 53, 6500 AB Nijmegen, The Netherlands; REACH Institute, Arizona State University, Phoenix, USA.
| | - Carmen Voogt
- Radboud University, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands; Trimbos Institute, Netherlands Institute of Mental Health and Addiction, P.O. Box 725, 3500 AS Utrecht, The Netherlands.
| | - Marloes Kleinjan
- Trimbos Institute, Netherlands Institute of Mental Health and Addiction, P.O. Box 725, 3500 AS Utrecht, The Netherlands; Utrecht University, Department of General Social Sciences, P.O. Box 80140, 3508 TC Utrecht, The Netherlands.
| | - Rutger Engels
- Erasmus School of Social and Behavioural Sciences, Erasmus University, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands.
| | - Emmanuel Kuntsche
- Radboud University, P.O. Box 9104, 6500 HE Nijmegen, The Netherlands; Centre for Alcohol Policy Research, La Trobe University, 215 Franklin Street, Melbourne, VIC 3000, Australia.
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Olson JS, Crosnoe R. The Interplay of Peer, Parent, and Adolescent Drinking. SOCIAL SCIENCE QUARTERLY 2018; 99:1349-1362. [PMID: 30636817 PMCID: PMC6326588 DOI: 10.1111/ssqu.12497] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
OBJECTIVE To explore variability in the link between peer and adolescent drinking by parental drinking. Stress and differential susceptibility perspectives led to hypotheses that adolescents with drinking parents would be more reactive to peer drinking but also to peer abstention. METHODS Using data from the National Longitudinal Study of Adolescent to Adult Health, regressions estimated whether the association between peer alcohol use and increased drinking among adolescents was moderated by parental drinking. A regions of significance test identified the level of peer drinking that predicted adolescent drinking in the context of parental drinking. RESULTS Adolescents with binge-drinking parents were more likely to increase drinking at every level of peer drinking, supporting the stress perspective; such adolescents did not accrue benefits from abstaining peers, going against the differential susceptibility perspective. CONCLUSIONS Far from monolithic, peer influences on adolescent risky behaviors may require family environments and genetic predispositions conducive to those behaviors.
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Affiliation(s)
- Julie Skalamera Olson
- Direct all correspondence to: Julie Skalamera Olson, Population Research Center, University of Texas at Austin, 305 East 23 Street, G1800, Austin, TX 78712-1699,
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Cox MJ, Janssen T, Lopez-Vergara H, Barnett NP, Jackson KM. Parental drinking as context for parental socialization of adolescent alcohol use. J Adolesc 2018; 69:22-32. [PMID: 30219736 PMCID: PMC6289894 DOI: 10.1016/j.adolescence.2018.08.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Revised: 08/02/2018] [Accepted: 08/31/2018] [Indexed: 01/13/2023]
Abstract
INTRODUCTION While alcohol-specific parenting practices have demonstrated unique effects on adolescent substance use, their efficacy in the context of parental drinking levels has not been studied. This study assessed the influence of three alcohol-specific parenting practices (rules, punishment, communication) on adolescent alcohol use, and the degree to which those associations varied by parents' own drinking. METHODS We conducted logistic regression analyses among US adolescents (N = 1023; 52% female; 12% Hispanic; 76% Caucasian, 5% Black, 8% mixed race, 11% other race/ethnicity; mean age at enrollment = 12.2 years) to examine the relationship between alcohol-specific parenting practices and the odds of ever having experienced two drinking milestones, having a full drink of alcohol and a heavy drinking episode, and whether parental drinking levels moderated those associations. RESULTS Strict rules for drinking, higher levels of cautionary communication messages, and punishment for drinking were associated with lower odds of alcohol use. Witnessing parent drinking increased the risk for both alcohol outcomes. Furthermore, parental drinking modified the influence of parental cautionary messages on alcohol use such that the effect was particularly salient for those youth who witnessed and whose parents reported higher levels of alcohol use. CONCLUSIONS Family-based preventive interventions should include skills training in alcohol-specific parenting practices with emphasis on reducing parental alcohol use particularly when children are present.
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Affiliation(s)
- Melissa J Cox
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-4, Providence, RI, 02912, USA.
| | - Tim Janssen
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-4, Providence, RI, 02912, USA
| | - Hector Lopez-Vergara
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-4, Providence, RI, 02912, USA
| | - Nancy P Barnett
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-4, Providence, RI, 02912, USA
| | - Kristina M Jackson
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-4, Providence, RI, 02912, USA
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Brittner MR, Pugh B, Soren K, Richter L, Stockwell MS. Frequency of Parent-Adolescent Alcohol-Specific Communication and Adolescent Perceptions of Alcohol. Clin Pediatr (Phila) 2018; 57:1332-1339. [PMID: 29871501 DOI: 10.1177/0009922818779220] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
To better understand the optimal frequency of parent-adolescent alcohol-specific communication, we conducted a secondary analysis of the National Center on Addiction and Substance Abuse Culture of High School Survey, a 2010 nationally representative online survey of 1000 high school students. Logistic regression models assessed the relationship between alcohol-specific communication and adolescent perceptions ( binge drinking is very dangerous, drinking is cool, and getting drunk is very dangerous), adjusting for grade, sex, race, personal and peer alcohol use, and parental monitoring. Among adolescents reporting personal and peer alcohol use, a dose-response relationship existed between frequency of alcohol-specific communication and thinking binge drinking is very dangerous (often [adjusted odds ratio [AOR] = 7.98; 95% confidence interval [CI] = 2.98-21.36], sometimes (AOR = 6.08; 95% CI = 2.36-15.69), rarely (AOR = 5.27; 95% CI = 1.95-14.26) vs never), and was also associated with decreased perceptions that drinking is cool (often [AOR = 0.22; 95% CI = 0.08-0.66), rarely vs never [AOR = 0.17; 95% CI = 0.06-0.51]); the inverse was true for never-drinkers without peer use.
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Affiliation(s)
- Mindy R Brittner
- 1 NewYork-Presbyterian Hospital, New York, NY, USA.,2 College of Physicians and Surgeons, Columbia University, New York, NY, USA
| | - Brandie Pugh
- 3 The National Center on Addiction and Substance Abuse, New York, NY, USA
| | - Karen Soren
- 1 NewYork-Presbyterian Hospital, New York, NY, USA.,2 College of Physicians and Surgeons, Columbia University, New York, NY, USA
| | - Linda Richter
- 3 The National Center on Addiction and Substance Abuse, New York, NY, USA
| | - Melissa S Stockwell
- 1 NewYork-Presbyterian Hospital, New York, NY, USA.,2 College of Physicians and Surgeons, Columbia University, New York, NY, USA.,4 Mailman School of Public Health, Columbia University, New York, NY, USA
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Cox MJ, Ennett ST, Foshee V, Hussong A, Lippold M, McNaughton-Reyes HL. Bidirectional Relationships between Alcohol-Specific Parental Socialization Behaviors and Adolescent Alcohol Misuse. Subst Use Misuse 2018; 53:1645-1656. [PMID: 29336719 PMCID: PMC6178515 DOI: 10.1080/10826084.2017.1421663] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND Although numerous studies have examined parental influence on adolescent alcohol misuse, few have examined how adolescents impact parental behavior or the reciprocal nature of parent-adolescent behavior relative to alcohol misuse. OBJECTIVES This study assessed bidirectional relationships between adolescent alcohol misuse and three alcohol-specific parenting behaviors (substance-specific monitoring, permissive communication messages about alcohol, and cautionary communication messages about alcohol). METHODS Data were from 1,645 parent-adolescent dyads drawn from a longitudinal study spanning grades 6-10. A multivariate latent curve model with structured residuals was used to test study hypotheses. RESULTS One marginally significant result emerged (increased alcohol misuse leads to greater substance-specific monitoring) after accounting for underlying developmental processes. CONCLUSIONS Though practical implications are limited based on the results of the study, further directions for research regarding study design and measurement are provided to more fully examine dynamic processes between parents and adolescents relative to alcohol use.
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Affiliation(s)
- Melissa J. Cox
- Department of Health Behavior, Gillings School of Global Public Health, UNC Chapel Hill, Campus Box 7440, Chapel Hill, NC 27599
| | - Susan T. Ennett
- Department of Health Behavior, Gillings School of Global Public Health, UNC Chapel Hill, Campus Box 7440, Chapel Hill, NC 27599
| | - Vangie Foshee
- Department of Health Behavior, Gillings School of Global Public Health, UNC Chapel Hill, Campus Box 7440, Chapel Hill, NC 27599
| | - Andrea Hussong
- Department of Psychology and Neuroscience, UNC Chapel Hill, Center for Developmental Science, UNC Chapel Hill, Campus Box 3270, Chapel Hill, NC 27599
| | - Melissa Lippold
- School of Social Work, UNC Chapel Hill, Campus Box 3550, Chapel Hill, NC 27599
| | - H. Luz McNaughton-Reyes
- Department of Health Behavior, Gillings School of Global Public Health, UNC Chapel Hill, Campus Box 7440, Chapel Hill, NC 27599
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28
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Sharmin S, Kypri K, Wadolowski M, Bruno R, Khanam M, Aiken A, Hutchinson D, M. Najman J, Slade T, McBride N, Attia J, P. Mattick R. Parent characteristics associated with approval of their children drinking alcohol from ages 13 to 16 years: prospective cohort study. Aust N Z J Public Health 2018; 42:347-353. [DOI: 10.1111/1753-6405.12811] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2017] [Revised: 03/01/2018] [Accepted: 05/01/2018] [Indexed: 01/21/2023] Open
Affiliation(s)
- Sonia Sharmin
- Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health; University of Newcastle; New South Wales
| | - Kypros Kypri
- Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health; University of Newcastle; New South Wales
| | - Monika Wadolowski
- Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation; Macquarie University; New South Wales
| | | | | | - Alexandra Aiken
- National Drug and Alcohol Research Centre; University of New South Wales (UNSW)
| | - Delyse Hutchinson
- Centre for Social and Early Emotional Development, School of Psychology; Deakin University; Victoria
| | - Jackob M. Najman
- Queensland Alcohol and Drug Research and Education Centre; University of Queensland
| | - Tim Slade
- National Drug and Alcohol Research Centre; University of New South Wales (UNSW)
| | - Nyanda McBride
- National Drug Research Institute; Curtin University; Western Australia
| | - John Attia
- Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health; University of Newcastle; New South Wales
| | - Richard P. Mattick
- National Drug and Alcohol Research Centre; University of New South Wales (UNSW)
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29
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Sternberg A, Pandika D, Elam KK, Chassin L. The relation of parent alcohol disorder to young adult drinking outcomes mediated by parenting: Effects of developmentally limited versus persistent parent alcohol disorder. Drug Alcohol Depend 2018; 188:224-231. [PMID: 29783094 PMCID: PMC6029693 DOI: 10.1016/j.drugalcdep.2018.03.027] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2017] [Revised: 03/14/2018] [Accepted: 03/16/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND Parent alcohol use disorder (AUD) is a well-established risk factor for the development of offspring AUD and is associated with poor parenting. However, few studies have examined heterogeneity in trajectories of parental AUD and its influence on adolescent offspring drinking, and no studies to date have considered the differential risk to offspring conferred by parental AUDs that are limited to early adulthood. Specifically, AUDs limited to the period of emerging adulthood may confer less risk to a child's environment as recovery following emerging adulthood coincides with the typical ages of entry into the parenting role. The present study tested whether parental AUDs developmentally limited to emerging adulthood (DLAUD) transmit less risk for alcohol problems and alcohol consumption in offspring compared to offspring of parents with AUDs spanning across multiple developmental periods (persistent AUD), as mediated by positive parenting strategies. METHOD Pathways were examined using longitudinal mediation models (N = 361) comparing offspring with parental DLAUD, persistent AUD, and no AUD. RESULTS Parents with DLAUD do not transmit the same risk for alcohol problems to offspring as parents with persistent AUD (B = 0.173, SE = 0.067, p < .05); more offspring alcohol problems were associated with persistent AUD than with DLAUD. Positive parenting mediated the transmission of risk from parental AUD to offspring alcohol problems (B = 0.040, SE = 0.019, p < .05) and consumption (B = 0.019, SE = 0.011, p < .05) only when comparing persistent AUD vs. no parental AUD. CONCLUSION Findings suggest that the developmental period in which parents' recovery occurs is a useful way to categorize "recovered" AUDs versus current AUDs.
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Affiliation(s)
- Ariel Sternberg
- Department of Psychology, Arizona State University, Tempe, AZ 85287-3701, USA.
| | - Danielle Pandika
- Department of Psychology, Arizona State University, Tempe, AZ 85287-3701, USA
| | - Kit K Elam
- Department of Psychology, Arizona State University, Tempe, AZ 85287-3701, USA
| | - Laurie Chassin
- Department of Psychology, Arizona State University, Tempe, AZ 85287-3701, USA
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30
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Bailey JA, Epstein M, Steeger CM, Hill KG. Concurrent and Prospective Associations Between Substance-Specific Parenting Practices and Child Cigarette, Alcohol, and Marijuana Use. J Adolesc Health 2018; 62:681-687. [PMID: 29396083 PMCID: PMC5963982 DOI: 10.1016/j.jadohealth.2017.11.290] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2017] [Revised: 11/03/2017] [Accepted: 11/04/2017] [Indexed: 01/08/2023]
Abstract
PURPOSE The current study aimed to understand whether substance-specific parenting practices predicted the probability of child alcohol, cigarette, or marijuana use beyond known family factors like family management and parental substance use and norms. METHODS Data were drawn from the Intergenerational Project, which used an accelerated longitudinal design and included 383 families surveyed seven times between 2002 and 2011. Analyses included 224 families with children ages 10-18 years (49% female). Multilevel models tested both concurrent and lagged (predictors at time t - 1, outcomes at time t) associations between child past year use of alcohol, cigarettes, and marijuana and time-varying measures of substance-specific parenting practices, including permitting child use of alcohol or cigarettes; family rules about alcohol, cigarette, and drug use; and child involvement in family member alcohol or cigarette use (getting, opening, or pouring alcoholic drinks; getting or lighting cigarettes for family members). Demographic controls were included. RESULTS Child involvement in family member substance use predicted an increased probability of child substance use both concurrently and 1 year later, even when controlling parent substance use, pro-substance norms, and family management. Family rules about substance use and parent provision of alcohol or cigarettes were not consistently related to child alcohol, cigarette, or marijuana use. CONCLUSIONS Family-based preventive interventions to reduce youth substance use should continue to focus on family management and include messaging discouraging parents from allowing children to get, open, or pour drinks or get or light cigarettes for family members.
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Affiliation(s)
- Jennifer A Bailey
- Social Development Research Group, University of Washington, Seattle, Washington.
| | - Marina Epstein
- Social Development Research Group, University of Washington, Seattle, Washington
| | - Christine M Steeger
- Social Development Research Group, University of Washington, Seattle, Washington
| | - Karl G Hill
- Social Development Research Group, University of Washington, Seattle, Washington
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31
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Age at drinking onset, age at first intoxication, and delay to first intoxication: Assessing the concurrent validity of measures of drinking initiation with alcohol use and related problems. Addict Behav 2018; 79:195-200. [PMID: 29304425 DOI: 10.1016/j.addbeh.2017.12.017] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2017] [Revised: 11/18/2017] [Accepted: 12/13/2017] [Indexed: 11/23/2022]
Abstract
INTRODUCTION Drinking at an early age (AO) and quickly progressing to drinking to intoxication (Delay=Age of Intoxication[AI]-AO) confer risk for alcohol use and alcohol-related problems. However, inconsistencies exist in the literature, which may reflect the use of different definitions of AO and AI. We evaluated whether 1) defining AO as age at first sip of alcohol (AO sip) versus age at which at least one standard drink was consumed (AO drink); and 2) defining AI as age at first "drunk" (AI drunk) versus age at first binge episode (≥5 standard drinks consumed; AI binge) resulted in different self-reported ages or differentially predicted drinking outcomes. METHODS 248 high school students (53.6% male; 16.50[1.19] years; 71.4% White) completed anonymous surveys assessing alcohol use. RESULTS Participants reported a younger AO (sip) than AO (drink) and a younger AI (drunk) than AI (binge), resulting in significantly different Delay values for the four AO-AI pairings. Univariate general linear models indicated that AO-Delay pairings accounted for more variance in maximum drinks and alcohol-related problems than did the individual AO and AI variables. Pairings comprising AO (drink) and Delay (drink-binge) and AO (sip) and Delay (sip-binge), respectively, uniquely accounted for variance in both maximum drinks and problems. CONCLUSIONS Clearly defining AO and AI using objective definitions that reflect specific amounts of alcohol (e.g., first sip; first standard drink; first binge) appears to outperform subjective definitions of alcohol use (e.g., first drunk).
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32
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Hill M, Sternberg A, Suk HW, Meier MH, Chassin L. The intergenerational transmission of cannabis use: Associations between parental history of cannabis use and cannabis use disorder, low positive parenting, and offspring cannabis use. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2018; 32:93-103. [PMID: 29189023 PMCID: PMC5805616 DOI: 10.1037/adb0000333] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Parental cannabis use disorder (CUD) and low positive parenting (monitoring, support, and consistency) are risk factors for adolescent cannabis use. However, it is unclear whether parental cannabis use without CUD is sufficient to increase risk for low positive parenting and adolescent cannabis use. Additionally, parents may not treat each of their adolescents the same, and risk for adolescent cannabis use may increase as a result of low levels of positive parenting in families or low positive parenting unique to each adolescent. The current study prospectively tested low positive parenting as a mediator of the relation between parental cannabis use history (with parental cannabis use and CUD considered separately) and adolescent cannabis use at the family level and individual level. Participants were 363 adolescents from a multigenerational longitudinal study who reported on positive parenting when they were ages 9-16 (M = 11.6, SD = 1.40) and on cannabis use when they were ages 13-19 (M = 16.3, SD = 1.84). Parents reported on their own cannabis use and CUD. Results showed that parental CUD was associated with adolescent cannabis use (OR = 3.62, p = .047) but parental cannabis use without CUD was not, and only parental CUD predicted low positive parenting (B = -0.28, p < .05). Average levels of low positive parenting within a family partially mediated the association between parental CUD and offspring cannabis use. These findings suggest parental cannabis use alone may not impair parenting, but parental use that meets criteria for CUD does impair parenting. Additionally, average levels of positive parenting in families may be a mechanism underlying the intergenerational transmission of cannabis use. (PsycINFO Database Record
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Affiliation(s)
| | | | - Hye Won Suk
- Department of Psychology, Arizona State University, Tempe, AZ
| | | | - Laurie Chassin
- Department of Psychology, Arizona State University, Tempe, AZ
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33
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Henry KL. Fathers' Alcohol and Cannabis Use Disorder and Early Onset of Drug Use by Their Children. J Stud Alcohol Drugs 2017; 78:458-462. [PMID: 28499114 DOI: 10.15288/jsad.2017.78.458] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
OBJECTIVE The unique influence of fathers' alcohol and cannabis use disorder on children's onset of use of these same substances has been rarely studied. A clear understanding of family history in this context is important for the development of family-based prevention initiatives aimed at delaying the onset of substance use among children. METHOD Prospective, longitudinal, and intergenerational data on 274 father-child dyads were used. Logistic regression models were estimated to assess the association between fathers' lifetime incidence of an alcohol and cannabis use disorder and children's onset of use of these same substances at or before age 15. RESULTS The children of fathers who met the criteria for a lifetime cannabis use disorder were more likely to initiate use of alcohol (odds ratio = 6.71, 95% CI [1.92, 23.52]) and cannabis (odds ratio = 8.13, 95% CI [2.07, 31.95]) by age 15, when background covariates and presence of a lifetime alcohol use disorder were controlled for. No unique effect of fathers' alcohol use disorder on children's onset of alcohol and cannabis use was observed. CONCLUSIONS Fathers' lifetime cannabis use disorder had a unique and robust association with children's uptake of alcohol and cannabis by age 15. Future research is needed to identify the mediating mechanisms that link fathers' disorder with children's early onset.
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Affiliation(s)
- Kimberly L Henry
- Department of Psychology, Colorado State University, Fort Collins, Colorado
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34
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Yap MBH, Cheong TWK, Zaravinos-Tsakos F, Lubman DI, Jorm AF. Modifiable parenting factors associated with adolescent alcohol misuse: a systematic review and meta-analysis of longitudinal studies. Addiction 2017; 112:1142-1162. [PMID: 28178373 DOI: 10.1111/add.13785] [Citation(s) in RCA: 158] [Impact Index Per Article: 22.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2016] [Revised: 11/08/2016] [Accepted: 02/01/2017] [Indexed: 12/21/2022]
Abstract
BACKGROUND AND AIMS Adolescent alcohol misuse is a growing global health concern. Substantial research suggests that parents have an important role in reducing young people's risk for early initiation of alcohol and alcohol-related harms. To facilitate research translation, we conducted a systematic review and meta-analyses of longitudinal studies examining the range of modifiable parenting factors that are associated with adolescent alcohol initiation and levels of later use/misuse. METHODS A systematic literature search was conducted in PubMed, PsycINFO and Embase. Studies were included if they (i) used a longitudinal design; (ii) were published in English; (iii) measured any modifiable parenting factors in adolescence as predictors; (iv) assessed any alcohol-related outcome variables in adolescence and/or alcohol-related problems in adulthood; and (v) had a follow-up interval of at least 1 year. Parental behaviours were categorized into 12 parenting factors. Stouffer's P analyses were used to determine whether the associations between variables were reliable; when there were sufficient studies available, meta-analyses were also conducted to estimate mean effect sizes. RESULTS Based on 131 studies, three risk factors (parental provision of alcohol, favourable parental attitudes towards alcohol use and parental drinking) and four protective factors (parental monitoring, parent-child relationship quality, parental support and parental involvement) were identified as longitudinal predictors of both alcohol initiation and levels of later alcohol use/misuse, based on their significant results in both Stouffer's P analyses and meta-analyses. The mean effect sizes were mainly small (rs = -0.224 to 0.263). CONCLUSIONS Risk of adolescent alcohol misuse is positively associated with parental provision of alcohol, favourable parental attitudes towards alcohol use and parental drinking. It is negatively associated with parental monitoring, parent-child relationship quality, parental support and parental involvement.
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Affiliation(s)
- Marie B H Yap
- School of Psychological Sciences, Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Clayton, Victoria,, Australia.,School of Population and Global Health, University of Melbourne, Carlton, Australia
| | - Tony W K Cheong
- Section of Clinical Psychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, Noord-Holland, the Netherlands
| | - Foivos Zaravinos-Tsakos
- Section of Clinical Psychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, Noord-Holland, the Netherlands
| | - Dan I Lubman
- Turning Point, Eastern Health and Eastern Health Clinical School, Monash University, Fitzroy, Victoria, Australia
| | - Anthony F Jorm
- School of Population and Global Health, University of Melbourne, Carlton, Australia
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35
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Jackson KM, Rogers ML, Sartor CE. Parental divorce and initiation of alcohol use in early adolescence. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2017; 30:450-61. [PMID: 27322803 DOI: 10.1037/adb0000164] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Parental divorce/separation is among the most commonly endorsed adverse childhood events. It has been shown to increase subsequent risk of alcohol dependence and problems across adolescence and early adulthood, but its influence on early stages of alcohol involvement has only recently been explored. In the present study, we examined whether time to first full drink was accelerated among youth who experienced parental divorce/separation. To determine specificity of risk, models controlled for perceived stress as well as family history of alcoholism, current parental drinking, and internalizing and externalizing problems. Developmental specificity in terms of timing of both parental divorce and first drink was also examined. Participants were 931 middle-school students (488 girls, 443 boys) who were enrolled in a prospective study on drinking initiation and progression (52% female; 23% non-White, 11% Hispanic). Students indicated whether and at what age they had consumed a full drink of alcohol. Parental divorce/separation was coded from a parent-reported life-events inventory and was grouped based on age experienced (ages 0-5, ages 6-9, age 10+). Cox proportional hazard models showed increased risk for onset of drinking as a function of divorce/separation, even controlling for stress, parental alcohol involvement, and psychopathology. There was no evidence for developmental specificity of the divorce/separation effect based on when it occurred nor in timing of first drink. However, the effect of parental divorce/separation on initiation was magnified at higher levels of parental drinking. Given the rates of parental divorce/separation and its association with increased risk of early drinking, investigation of the mechanisms underlying this link is clearly warranted. (PsycINFO Database Record
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Affiliation(s)
- Kristina M Jackson
- Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University
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36
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Babor TF, Robaina K, Noel JK, Ritson EB. Vulnerability to alcohol-related problems: a policy brief with implications for the regulation of alcohol marketing. Addiction 2017; 112 Suppl 1:94-101. [PMID: 27922203 DOI: 10.1111/add.13626] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
BACKGROUND AND AIMS The concern that alcohol advertising can have detrimental effects on vulnerable viewers has prompted the development of codes of responsible advertising practices. This paper evaluates critically the concept of vulnerability as it applies to (1) susceptibility to alcohol-related harm and (2) susceptibility to the effects of marketing, and describes its implications for the regulation of alcohol marketing. METHOD We describe the findings of key published studies, review papers and expert reports to determine whether these two types of vulnerability apply to population groups defined by (1) age and developmental history; (2) personality characteristics; (3) family history of alcoholism; (4) female sex and pregnancy risk; and (5) history of alcohol dependence and recovery status. RESULTS Developmental theory and research suggest that groups defined by younger age, incomplete neurocognitive development and a history of alcohol dependence may be particularly vulnerable because of the disproportionate harm they experience from alcohol and their increased susceptibility to alcohol marketing. Children may be more susceptible to media imagery because they do not have the ability to compensate for biases in advertising portrayals and glamorized media imagery. CONCLUSION Young people and people with a history of alcohol dependence appear to be especially vulnerable to alcohol marketing, warranting the development of new content and exposure guidelines focused on protecting those groups to improve current self-regulation codes promoted by the alcohol industry. If adequate protections cannot be implemented through this mechanism, statutory regulations should be considered.
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Affiliation(s)
- Thomas F Babor
- Department of Community Medicine and Health Care, University of Connecticut School of Medicine, Farmington, CT, 06030, USA
| | - Katherine Robaina
- Department of Community Medicine and Health Care, University of Connecticut School of Medicine, Farmington, CT, 06030, USA
| | - Jonathan K Noel
- Department of Community Medicine and Health Care, University of Connecticut School of Medicine, Farmington, CT, 06030, USA
| | - E Bruce Ritson
- Department of Community Medicine and Health Care, University of Connecticut School of Medicine, Farmington, CT, 06030, USA
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37
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Carver H, Elliott L, Kennedy C, Hanley J. Parent–child connectedness and communication in relation to alcohol, tobacco and drug use in adolescence: An integrative review of the literature. DRUGS-EDUCATION PREVENTION AND POLICY 2016. [DOI: 10.1080/09687637.2016.1221060] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Hannah Carver
- School of Nursing, Midwifery and Social Care, Edinburgh Napier University, Edinburgh, Scotland,
| | - Lawrie Elliott
- Department of Nursing and Community Health, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, Scotland, and
| | - Catriona Kennedy
- Faculty of Health and Social Care, School of Nursing and Midwifery, Robert Gordon University, Aberdeen, Scotland
| | - Janet Hanley
- School of Nursing, Midwifery and Social Care, Edinburgh Napier University, Edinburgh, Scotland,
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The risk of offspring developing substance use disorders when exposed to one versus two parent(s) with alcohol use disorder: A nationwide, register-based cohort study. J Psychiatr Res 2016; 80:52-58. [PMID: 27295121 DOI: 10.1016/j.jpsychires.2016.06.001] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2015] [Revised: 05/29/2016] [Accepted: 06/01/2016] [Indexed: 10/21/2022]
Abstract
AIM Few population-based, family studies have examined associations between exposure to one vs. two parent(s) with alcohol use disorder (AUD) and the risk of offspring developing substance use disorder (SUD). Moreover, these studies have focused solely on the development of AUD, and not SUD, in offspring. The purpose of this study was to investigate whether exposure to one vs. two parent(s) with AUD increases the risk of offspring developing SUD. METHODS A population-based, cohort study was conducted in which offspring born in Denmark between 1983 and 1989 were followed through national registries until 2011. Register-based data were obtained from the: Psychiatric Central Research Register, National Patient Registry, Civil Registration System, Fertility Database, and Cause of Death Register. Adjusted hazard ratios were calculated using multivariate Cox-regression models. FINDINGS A total of 398,881 offspring were included in this study. Of these, 3.9% had at least one parent with AUD. Parental AUD was significantly associated with the development of SUD in offspring. Having one parent with AUD was linked to a 1.44-fold increased risk (95% CL, 1.29-1.61), while having two parents with AUD was linked to a 2.29-fold increased risk (95% CI, 1.64-3.20). No significant differences were found in relation to either parental or offspring gender. CONCLUSIONS Exposure to parental AUD is linked to an increased risk of offspring developing SUD. This risk is additive for offspring exposed to double parental AUD. The findings have important implications for clinical assessment and intervention strategies, as well as the management of offspring exposed to parental AUD.
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39
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Birrell L, Newton NC, Teesson M, Slade T. Early onset mood disorders and first alcohol use in the general population. J Affect Disord 2016; 200:243-9. [PMID: 27148903 DOI: 10.1016/j.jad.2016.04.032] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Revised: 03/18/2016] [Accepted: 04/16/2016] [Indexed: 11/28/2022]
Abstract
BACKGROUND Mood disorders and alcohol use are common in the general population and often occur together. This study explored how early onset mood disorders relate to age of first alcohol use in the Australian general population. METHODS Discrete time survival analysis modelled the odds of first alcohol use among those with, versus without, an early onset DSM-IV mood disorders (major depression, dysthymia or bipolar disorder). Data came from the 2007 Australian National Survey of Mental Health and Wellbeing (N=8841). RESULTS Early onset mood disorders as an overall class were not significantly related to the odds of first alcohol use in any given year. On examining the different types of mood disorders individually early onset bipolar disorder was a significant predictor of first alcohol use. The analysis then looked at interactions with time and found that after the age of 14 years the presence of an early onset mood disorder significantly increased the odds of first alcohol use by 32%. LIMITATIONS Retrospective recall was used to determine age of onset data which is subject to known biases and replication is recommended in some subgroup analysis due to smaller sample sizes. CONCLUSIONS Mood disorders, particularly bipolar disorder, act as unique risk factors for first alcohol use in the general population and show significant interactions with developmental timing. The findings point to the potential utility of prevention programs that target alcohol use and mood disorders together from early adolescence.
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Affiliation(s)
- Louise Birrell
- NHMRC Centre of Research Excellence in Mental Health and Substance Use (CREMS), National Drug and Alcohol Research Centre (NDARC), University of New South Wales, Sydney, NSW 2052, Australia.
| | - Nicola C Newton
- NHMRC Centre of Research Excellence in Mental Health and Substance Use (CREMS), National Drug and Alcohol Research Centre (NDARC), University of New South Wales, Sydney, NSW 2052, Australia.
| | - Maree Teesson
- NHMRC Centre of Research Excellence in Mental Health and Substance Use (CREMS), National Drug and Alcohol Research Centre (NDARC), University of New South Wales, Sydney, NSW 2052, Australia.
| | - Tim Slade
- NHMRC Centre of Research Excellence in Mental Health and Substance Use (CREMS), National Drug and Alcohol Research Centre (NDARC), University of New South Wales, Sydney, NSW 2052, Australia.
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Tran NT, Clavarino A, Williams G, Najman JM. Gender differences in the prospective association between maternal alcohol consumption trajectories and young adult offspring's problem gambling at 30 years. ACTA ACUST UNITED AC 2016; 6:2. [PMID: 27630809 PMCID: PMC4998162 DOI: 10.1186/s40405-016-0010-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2015] [Accepted: 03/31/2016] [Indexed: 11/16/2022]
Abstract
Although a large number of studies have examined the association between young adult’s alcohol consumption and their problem gambling behaviours, none of these studies address the prospective association between mother’s alcohol consumption and their young adult offspring’s problem gambling behaviours. Using data from a 30 year prospective pre-birth cohort study in Brisbane, Australia (n = 1691), our study examines whether different maternal alcohol consumption trajectories predict offspring’s risk of problem gambling behaviours and whether these associations differ by the young adults’ gender. Offspring’s level of problem gambling behaviours was assessed by the short version of the Canadian Problem Gambling Index, with about 10.6 % of young adults having some risk of problem gambling behaviours. Trajectories of maternal alcohol consumption were determined by group-based trajectory modelling over five time points. Our study found that mother’s alcohol consumption pattern fits into three drinking trajectory groups, namely abstainers (17.2 %), a low-stable drinkers group (64.6 %) and a moderate-escalating drinkers group (18.2 %). Multivariate logistic regression analyses showed that the moderate-escalating alcohol trajectory group is independently associated with a risk of their male young adult offspring having problem gambling behaviours at 30 years—even after adjustment for a range of potential confounding variables. Mothers who exhibit a persistent life course pattern of moderate-escalating drinking have male children who have a high risk of engaging in problem gambling behaviours. Offspring’s alcohol consumption partially mediated the association between maternal drinking trajectories and young adult’s risk of problem behaviours. High levels of maternal alcohol consumption may lead to male offspring antisocial behaviours. Programs intended to address problem gambling behaviours by young adults may need to focus on male group with a focus which specifically addresses family influences as these contribute to gambling behaviour.
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Affiliation(s)
- Nam T Tran
- School of Social Science, University of Queensland, St Lucia, Brisbane, QLD 4072 Australia ; Department of Sociology, Academy of Journalism and Communication, Hanoi, Vietnam
| | | | - Gail Williams
- School of Public Health, University of Queensland, Brisbane, Australia
| | - Jake M Najman
- School of Social Science, University of Queensland, St Lucia, Brisbane, QLD 4072 Australia ; School of Public Health, University of Queensland, Brisbane, Australia ; Queensland Alcohol and Drug Research and Education Centre, Brisbane, Australia
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Finan LJ, Schulz J, Gordon MS, Ohannessian CM. Parental problem drinking and adolescent externalizing behaviors: The mediating role of family functioning. J Adolesc 2015; 43:100-10. [PMID: 26073673 PMCID: PMC4516616 DOI: 10.1016/j.adolescence.2015.05.001] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2014] [Revised: 04/08/2015] [Accepted: 05/01/2015] [Indexed: 11/24/2022]
Abstract
This study explored relationships among parental problem drinking, family functioning, and adolescent externalizing behaviors. The unique effects of maternal and paternal drinking were examined separately for girls and boys. The sample included 14-19 year old U.S. adolescents (Mage = 16.15; SD = .75; 52.5% female) and their parents. Participants completed surveys in the spring of 2007 and 2008. Structural equation modeling was used to conduct path analysis models. Results showed the distinctive and adverse effects of parental problem drinking on adolescent alcohol use, drug use, rule breaking, and aggressive behavior over time. Findings also highlighted the indirect and mediating roles of family functioning. For both girls and boys, family cohesion mediated the relationship between parental problem drinking and adolescent externalizing behaviors. For girls, adolescent-father communication predicted increased externalizing behaviors over time. These findings draw attention to the importance of exploring adolescent and parent gender when examining parental problem drinking, family functioning, and externalizing behaviors.
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Affiliation(s)
- Laura J Finan
- University of Delaware, Human Development Family Studies, 120 Alison Hall West, Newark, DE 19716, United States.
| | - Jessica Schulz
- University of Delaware, Human Development Family Studies, 120 Alison Hall West, Newark, DE 19716, United States.
| | - Mellissa S Gordon
- University of Delaware, Human Development Family Studies, 120 Alison Hall West, Newark, DE 19716, United States.
| | - Christine McCauley Ohannessian
- University of Connecticut School of Medicine, Connecticut Children's Medical Center, 282 Washington Street, Hartford, CT 06106, United States.
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42
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Zehe JM, Colder CR. A latent growth curve analysis of alcohol-use specific parenting and adolescent alcohol use. Addict Behav 2014; 39:1701-5. [PMID: 25117845 DOI: 10.1016/j.addbeh.2014.05.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2013] [Revised: 03/27/2014] [Accepted: 05/16/2014] [Indexed: 11/29/2022]
Abstract
This study investigates how changes in alcohol use-specific parenting were associated with adolescent drinking trajectories. Three waves of data from a longitudinal study investigating adolescent substance use were used. The community sample (N=378) was aged 10-13 at the first wave of assessment. Our findings show that over time, parents are less likely to discipline their adolescents' drinking, more likely to grant their adolescent permission to drink, and less likely to communicate the consequences of alcohol use. Moreover, these changes are associated with escalation in adolescent alcohol use. Parental efficacy at preventing alcohol use declined, but did not relate to changes in adolescent drinking.
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Affiliation(s)
- Jennifer M Zehe
- Department of Psychology, Park Hall Room 204, University at Buffalo, The State University of New York, Buffalo, NY 14250, United States.
| | - Craig R Colder
- Department of Psychology, Park Hall Room 204, University at Buffalo, The State University of New York, Buffalo, NY 14250, United States
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Molina BSG, Pelham WE. Attention-deficit/hyperactivity disorder and risk of substance use disorder: developmental considerations, potential pathways, and opportunities for research. Annu Rev Clin Psychol 2014; 10:607-39. [PMID: 24437435 DOI: 10.1146/annurev-clinpsy-032813-153722] [Citation(s) in RCA: 121] [Impact Index Per Article: 12.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Many opportunities to explain attention-deficit/hyperactivity disorder (ADHD)-related risk of substance use disorder (SUD) remain available for study. We detail these opportunities by considering characteristics of children with ADHD and factors affecting their outcomes side by side with overlapping variables in the developmental literature on SUD etiology. Although serious conduct problems are a known contributor to ADHD-related risk of SUD, few studies have considered their emergence developmentally and in relation to other candidate mediators and moderators that could also explain risk and be intervention targets. Common ADHD-related impairments, such as school difficulties, are in need of research. Heterogeneous social impairments have the potential for predisposing, and buffering, influences. Research on neurocognitive domains should move beyond standard executive function batteries to measure deficits in the interface between cognitive control, reward, and motivation. Ultimately, maximizing prediction will depend, as it has in the SUD literature, on simultaneous consideration of multiple risk factors.
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Affiliation(s)
- Brooke S G Molina
- Departments of Psychiatry and Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania 15213;
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The intergenerational effects of early adversity. PROGRESS IN MOLECULAR BIOLOGY AND TRANSLATIONAL SCIENCE 2014; 128:177-98. [PMID: 25410545 DOI: 10.1016/b978-0-12-800977-2.00007-3] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Early insults during critical periods of brain development, both prenatal and postnatal, can result in epigenetic changes that may impact health and behavioral outcomes over the life span and into future generations. There is ample evidence that these early stages of brain development are sensitive to various environmental insults, including malnutrition, childhood trauma, and drug exposures. The notion that such changes, both physiological and behavioral, can also carry over into subsequent generations has long been recognized, especially in the context of experimental studies. However, epigenetic mechanisms capable of explaining such phenomena were not available until relatively recently, with most of this research published only within the last decade.
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