The Settings of Adolescent Alcohol and Drug Use

The current study examined the settings in which adolescents use alcohol and drugs, emphasizing sex and peer group differences in where substance use occurs, settings associated with more problematic substance use, and settings potentially serving as sites of initiation of adolescent substance use. Subjects were 449 juniors and seniors attending two Midwestern high schools (51% male; aged 16–19) who completed in-class surveys. Few sex differences in settings of substance use were found, although girls were more likely than boys to drink in family settings. More severe substance use was associated with a higher likelihood of drinking at school. Moreover, alcohol users were more likely to report drinking in their own homes and at their friends' homes than abstainers were to indicate selecting these settings to use alcohol if they were to do so. Drug users were more likely to report substance use outdoors, at their friends' homes, at social parties, and at school than were abstainers to indicate selecting these settings to use drugs if they were to do so. Implications of these findings for understanding the epidemiology of substance use and high-risk settings for the initiation and escalation of substance using behaviors are discussed.     

Adolescent Alcohol Beverage Type Choices Reflect Their Substance Use Patterns and Attitudes

Alcoholic beverage type choices were studied in relation to adolescents' substance use patterns and attitudes towards substance use, utilizing the national 1999 Adolescent Health and Lifestyle Survey data (N = 4943) collected among Finns aged 14 and 16 years by mail. Frequencies of drinking, drunkenness and smoking, and chewing tobacco use as well as attitudes towards substance use and exposure to other drugs were all strongly related to beverage type choices. The amount of alcohol consumed was associated with the beverage choice. The relationships between beverage choices and substance use patterns were partly mediated through amounts drunk. Beverage type choices seemed to reflect substance use patterns and attitudes more generally. Wine and cider appeared beverages related to moderation and control in relation to substance use, but beer drinking may be interpreted as a sign of initiation into a substance use pattern favoring smoking and heavier use of alcohol and other drugs.     

Psychiatric Morbidity Differences in Male and Female Adolescent Inpatients With Alcohol Use Disorders

Objective: To examine gender differences in demography, cooccurrence of Diagnostic Statistical Manual (third edition, revised; DSM-III-R) axis I disorders and axis II personality disorders, and self-reported psychological distress in adolescent psychiatric inpatients with alcohol use disorders. Method: A consecutive series of 61 adolescent inpatients (36 boys and 25 girls) with either alcohol abuse or dependence were reliably assessed with structured diagnostic interviews for DSM-III-R Axis I and Axis II personality disorders. Results: Boys and girls did not differ in age, ethnicity, socioeconomic status, global functioning, age at first psychiatric contact, or number of hospitalizations. Girls were more likely to meet criteria for oppositional defiant disorder, eating disorders, and additional drug use disorders. Girls were also more likely than boys to meet criteria for at least one personality disorder and borderline personality Contrary to gender patterns in the general population, the proportion of girls and boys with affective disorders and conduct disorders did not differ significantly. Conclusions: Relatively few gender differences were found in adolescent inpatient alcohol abusers even where they would be expected, based on non substance-abuse general population gender patterns. When observed, gender differences were in the direction of greater psychiatric disturbance among girls. Some of the gender patterns observed among alcohol abusing adolescents are at odds with gender differences observed in non substance-abuse samples.     

Neighborhood,Family, and Peer Factors Associated with Early Adolescent Smoking and Alcohol Use

There is broad agreement that neighborhood contexts are important for adolescent development, but there is less consensus about their association with adolescent smoking and alcohol use. Few studies have examined associations between neighborhood socioeconomic contexts and smoking and alcohol use while also accounting for differences in family and peer risk factors for substance use. Data drawn from the Seattle Social Development Project (N?=?808), a gender-balanced (female?=?49%), multiethnic, theory-driven longitudinal study originating in Seattle, WA, were used to estimate trajectories of smoking and alcohol use from 5th to 9th grade. Time-varying measures of neighborhood socioeconomic, family, and peer factors were associated with smoking and alcohol use at each wave after accounting for average growth in smoking and alcohol use over time and demographic differences. Results indicated that living in more socioeconomically disadvantaged neighborhoods, lower family income, lower family general functioning, more permissive family smoking environments, and affiliation with deviant peers were independently associated with increased smoking. Lower family functioning, more permissive family alcohol use environments, and deviant peers were independently associated with increased alcohol use. The effect of neighborhood disadvantage on smoking was mediated by family income and deviant peers while the effect of neighborhood disadvantage on alcohol use was mediated by deviant peers alone. Family functioning and family substance use did not mediate associations between neighborhood disadvantage and smoking or alcohol use. The results highlight the importance of neighborhood, family, and peer factors in early adolescent smoking and alcohol use. Future studies should examine the unique association of neighborhood disadvantage with adolescent smoking net of family socioeconomics, functioning, and substance use, as well as peer affiliations. Better understanding of the role of contextual factors in early adolescent smoking and alcohol use can help bolster efforts to prevent both short and long harms from substance use.     

Multidimensional Impulsive Personality Traits Mediate the Effect of Parent Substance Use Disorder on Adolescent Alcohol and Cannabis Use

Journal of Youth and Adolescence - Theory suggests that behavioral undercontrol mediates the effect of parental substance disorder on offspring substance use, but no studies have tested...     

Developmental Change in Adolescent Delinquency: Modeling Time-Varying Effects of a Preventative Intervention and GABRA2 Halpotype Linked to Alcohol Use

Journal of Youth and Adolescence - Better integrating human developmental factors in genomic research is part of a set of next steps for testing gene-by-environment interaction hypotheses. This...     

The Developmental Significance of Adolescent Romantic Relationships: Parent and Peer Predictors of Engagement and Quality at Age 15

From a longitudinal sample (n = 957; 49.9% male; 77.3% White/non-Hispanic) of participants studied from infancy through age 15, adolescents’ depth of engagement in, and quality of romantic relationships were predicted from early and contemporaneous parent–child interactive quality and peer social competence. High quality maternal parenting and peer experiences prior to and during adolescence tended to be negatively associated with the depth of engagement in this domain for the full sample, yet positively associated with the quality of adolescents’ romantic relationships for the sub-set of individuals currently dating at age 15. Results reconcile contrasting views of the origins of romantic relationship engagement and quality and the positive versus negative developmental salience of romantic relationships in adolescence.     

Conceptual and Clinical Issues in the Treatment of Adolescent Alcohol and Substance Misusers

This paper describes a system of care and the clinical issues that are central to the delivery of alcoholism and for substance abuse services to adolescents. Adolescent services can be provided in a variety of settings. Criteria are identified which can distinguish which level of care is most appropriate for the presenting clinical condition of the adolescent.     

Differentiating Peer Contexts and Risk for Adolescent Substance Use

The peer context is perhaps the most salient, robust predictor of an adolescent's substance use. However, in previous studies, the peer context is often poorly defined. The current study examined 3 models to understand how substance use within best friendships, peer cliques, and social crowds predicts adolescents' substance involvement. A sample of 377 high school juniors and seniors completed surveys assessing substance use and peer relationships. Results suggest that each of these 3 dimensions of the peer context uniquely predict adolescent substance use. Moreover, these peer contexts interacted in the prediction of adolescents' substance use such that adolescents who were more highly embedded in substance-using peer contexts showed greater risk for substance use whereas adolescents with substance-using best friends showed a reduced risk for substance use if they had other close friends who were less involved with substances.     

Physical,Social, and Perceived Availabilities of Alcohol and Last Month Alcohol Use in Rural and Small Urban Communities

This study seeks to provide a greater understanding of the factors that determine the perceived availability of alcohol and its role in predicting adolescents’ alcohol use. Participants were 151,703 7th–12th grade students (50% female) from a sample of 219 rural communities across the United States, with oversampling for predominantly Mexican-American and African-American communities. Multilevel analysis was used to estimate the perceived availability of alcohol as a function of physical and social availability measures and individual and community-level control variables. Physical availability was measured as the number of alcohol outlets in the community and whether beer and wine were sold in non-liquor stores. Social availability measured the availability of alcohol from social or family groups. Last month alcohol use was then estimated as a function of physical, social and perceived availabilities and control variables. Physical availability had little relationship to perceived availability or recent alcohol use while social availability was a strong predictor of both. Perceived availabilities at the individual and community levels were significant in predicting last month alcohol use. The findings suggest that altering both perceived and actual availability of alcohol can potentially have strong effects on the levels of adolescent alcohol use.     

Effects of Deviant Peer Association on Adolescent Alcohol Consumption: A Growth Mixture Modeling Analysis

This study examined concurrent and lagged effects of deviant peer association on levels of alcohol use for distinctive trajectories of drinking from ages 14–18 years, while controlling for age, paternal education, community size, and conduct problems. Longitudinal data were available from a secondary data archive of male and female German adolescents (N = 1,619). Conditional latent growth mixture modeling analysis indicated consistent concurrent effects of deviant peer association (specified as time-varying covariate) on alcohol use for the regular users group, but not any of the other drinking trajectory groups. Very few lagged effects of deviant peers association on alcohol use were found, and thus the social influence hypothesis received little empirical support. Overall, findings suggest the need to consider heterogeneity in the study of peer characteristics and alcohol use for both male and female adolescents.

Longitudinal Predictors of Restrictive Eating and Bulimic Tendencies in Three Different Age Groups of Adolescent Girls

This study examined longitudinal predictors of future eating problems in 435 female adolescents in Grades 7, 8, and 10, who were tested at two time points 8 months apart. Restrictive eating and bulimic tendencies were found to be relatively stable from Time 1 to Time 2, particularly in older grade levels. Partial correlations predicting Time 2 restrictive eating and bulimic tendencies indicated a role of body dissatisfaction, depression, and weight-related teasing, with findings being most clear in Grade 7. Path analyses indicated that the relationships among predictors were more complex and that some of the relationships were mediated by other variables.     

Adolescent Risk: The Co-Occurrence of Illness,Suicidality, and Substance Use

Illness is rarely considered a “risk factor” in adolescence. This study tests illness, suicidality and substance use as outcome measures in a path analysis of 1028 Swiss adolescents in secondary prevention programs. The model showed that negative mood (depression and anxiety) predicted two paths. One path led from negative mood to suicidality and from there to substance use. The other path led directly from negative mood to illness. Traditional protective factors (good relationships, secure identity) protected against the negative mood-suicide-substance path, but not against the negative mood-illness path. Gebhard Hüsler, psychologist and psychotherapist, Director of the Centre for Rehabilitation and Health Psychology Research, University of Fribourg, rte Englisberg 7, CH 1763 Granges-Paccot, Switzerland. Ronny Blakeney is a senior researcher at University of Fribourg, Departement Erziehungswissenschaften, University of Fribourg, rue de Faucigny 2, CH-1700 Fribourg, Switzerland. Her major research interests are developmental approaches to the sociomoral challenges of adolescents. Egon Werlen is a junior researcher at Center of Rehabilitation and Health Psychology Research, rte Englisberg 7, CH 1763 Granges-Paccot, Switzerland. His major interests are the course of psychological well being, psychological processes in chronic diseases, and methodological issues.     

Religiosity and Alcohol Use in Sexual Minority and Heterosexual Youth and Young Adults

Despite interest in the role of religiosity in youth development and health behavior, few studies have examined these associations in sexual minority youth. Participants (n = 11,699) who were adolescents (wave 1) and young adults (wave 3) in the Add Health survey were used to examine proximal and distal religiosity by sexual identity group and to test group differences in associations between religiosity and alcohol use. Sexual minorities were less likely than heterosexuals to report a current religious affiliation. In young adulthood, heterosexual females reported significantly higher distal and proximal religiosity than heterosexual males and sexual minority young adults. From adolescence to young adulthood, religiosity in all three sexual identity groups (heterosexual, bisexual, gay/lesbian) significantly declined, with the largest effects found for the sexual minority groups. Distal and proximal religiosity scores were significantly associated with less alcohol use and less binge drinking among heterosexuals, but not among sexual minorities. Future studies of sexual minority youth and their religious contexts are suggested.

Age and Gender Differences in the Associations of Self-Compassion and Emotional Well-being in A Large Adolescent Sample

Adolescence is a challenging developmental period marked with declines in emotional well-being; however, self-compassion has been suggested as a protective factor. This cross-sectional survey study (N?=?765, grades 7th to 12th; 53?% female; 4?% Hispanic ethnicity; 64?% White and 21?% Black) examined whether adolescents’ self-compassion differed by age and gender, and secondly, whether its associations with emotional well-being (perceived stress, life satisfaction, distress intolerance, depressive symptoms, and anxiety) also differed by age and gender. The findings indicated that older females had the lowest self-compassion levels compared to younger females or all-age males. Self-compassion was associated with all emotional well-being measures, and gender and/or age moderated the associations with anxiety and depressive symptoms. Among older adolescents, self-compassion had a greater protective effect on anxiety for boys than for girls. Additionally, older adolescents with low and average self-compassion had greater levels of depressive symptoms than those with high self-compassion. These results may inform for whom and at what age self-compassion interventions may be implemented to protect adolescents from further declines in emotional well-being.