Andrea M Hussong

Andrea M Hussong
University of North Carolina at Chapel Hill | UNC · Department of Psychology and Neuroscience

PhD
Director of the Family Journeys Co-Lab and Coordinator of the ICDSS COVID-19 Scholars and UNC-CH Care-to-Share Networks

About

149
Publications
31,937
Reads
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8,364
Citations
Citations since 2017
60 Research Items
4112 Citations
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Introduction
Dr. Hussong is professor of Psychology and Neuroscience at the University of North Carolina at Chapel Hill. Her program of research examines developmental pathways of risk for substance use and disorder (emphasizing the role of emotion regulatory processes especially for high risk youth), positive development in youth (particularly the development of gratitude), and methodological innovations in Developmental Science.
Additional affiliations
August 2011 - July 2019
University of North Carolina at Chapel Hill
Position
  • Director
January 2008 - December 2012
University of North Carolina at Chapel Hill
Position
  • Internalizing Pathway to Substance Use and Disorder
Description
  • Using Integrative data analysis to examine an internalizing pathway to substance use and disorder from early childhood to mid-adulthood
Education
August 1996 - July 1997
Center for Developmental Science, UNC-CH
Field of study
  • Developmental Science
July 1995 - July 1996
Pacific Clinics
Field of study
  • Clinical Psychology
August 1991 - August 1996
Arizona State University
Field of study
  • Clinical Psychology

Publications

Publications (149)
Article
Objective: Adolescents' relationships with their peers play a pivotal role in their substance-use behaviors. As such, decades of research have examined how substance use relates to adolescents' overall levels of closeness to their peers, here termed peer connectedness, with mixed results. This report sought to determine how the operationalizations...
Article
Full-text available
Scholars posit that gratitude may enhance other-oriented beliefs and behaviors and dampen self-oriented ones through a cycle of upward generativity. We examined associations between gratitude as an indicator of self-orientation (i.e., materialism and entitlement) and other orientation (i.e., connection to nature; attitudes, beliefs, and conversatio...
Preprint
Full-text available
Influential psychological theories hypothesize that people consume alcohol in response to the experience of both negative and positive emotions. Despite two decades of daily diary and ecological momentary assessment research, it remains unclear whether people consume more alcohol on days they experience higher negative and positive affect in everyd...
Article
Combining datasets in an integrative data analysis (IDA) requires researchers to make a number of decisions about how best to harmonize item responses across datasets. This entails two sets of steps: logical harmonization, which involves combining items which appear similar across datasets, and analytic harmonization, which involves using psychomet...
Article
New advances in parenting (or caretaking) training programs increasingly recognize the important role of addressing parent psychopathology, which may include addictions, in improving program efficacy. Although parenting programs for those in recovery from alcohol use disorder (AUD) and other substances are emerging, few show high efficacy and long-...
Article
The Helping to End Addiction Long-Term (HEAL) Prevention Cooperative (HPC) is rapidly developing 10 distinct evidence-based interventions for implementation in a variety of settings to prevent opioid misuse and opioid use disorder. One HPC objective is to compare intervention impacts on opioid misuse initiation, escalation, severity, and disorder a...
Chapter
Psychology is a popular subject to study, with thousands entering graduate school each year, but unlike med or pre-law, there is limited information available to help students learn about the field, how to successfully apply, and how to thrive while completing doctoral work. The Portable Mentor is a useful, must-have resource for all students inter...
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Full-text available
Parent-child conversations are a widely recognized socializing mechanism, linked to children’s developing moral agency, empathy, and emotional competence. Similarly, parent-child conversations about gratitude have been linked to growth in children’s gratitude. However, the messages that parents and children exchange in conversations about children’...
Article
Objective: The relationship between smoking and adolescents' peer relationships is complex, with studies showing increased risk of smoking for adolescents of both very high and very low social position. A key question is whether the impact of social position on smoking depends on an adolescent's level of coping motives (i.e., their desire to use s...
Article
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In emerging adulthood, when many young people are away from their families for the first time, mobile phones become an important conduit for maintaining relationships with parents. Yet, objective assessment of the content and frequency of text messaging between emerging adults and their parents is lacking in much of the research to date. We collect...
Article
Fostering gratitude is often among the socialization goals parents hold for their children. In this article, we explore work that portrays gratitude as a complex socioemotional process that occurs during a moment in time and becomes more frequent, integrated, and rich with development. Researchers have identified at least four parent socialization...
Article
Full-text available
We examined US parent and youth perceptions of how life events, both positive and negative, associated with COVID-19 resulted in changes in family and youth functioning. Families ( n = 105, 80% white, 48% male, and 87% mothers) completed surveys during the pandemic (May to July 2020) and 3 years prior (for youth ages M = 10.6, SD = 1.17 and M = 13....
Article
Members of the Society for Research on Adolescents COVID-19 Response Team offer this commentary to accompany this special issue of the Journal of Research on Adolescence regarding the impact of the pandemic on adolescents' social, emotional, and academic functioning. In addition to outlining the critical need for scholarly collaboration to address...
Article
Objective College students’ prescription stimulant and opioid misuse (PSM and POM) share psychosocial risks with other substance use. We sought to extend a prior study of these issues. Methods: National College Health Assessment (2015–2016) participants ages 18–24 years (n = 79,336) reporting 12-month PSM (defined as use of a drug not prescribed to...
Chapter
This book provides an understanding of memory development through an examination of the scientific contributions of eminent developmental scientist Peter A. Ornstein. His fifty-year career not only coincided with but also contributed to a period of extraordinary progress in the understanding of children's memory. The volume describes this historica...
Article
The current study is the first to examine how parents respond to children's ingratitude and how such responses impact children's later gratitude and internalizing symptoms. We focused on parental responses in families with children aged 6-9 years when gratitude may be actively forming as part of socioemotional learning and other-oriented behavior....
Article
The current longitudinal study examines changes in overall mental health symptomatology from before to after the COVID-19 outbreak in youth from the southeastern United States as well as the potential mitigating effects of self-efficacy, optimism, and coping. A sample of 105 parent–child dyads participated in the study (49% boys; 81% European Ameri...
Preprint
Full-text available
In this longitudinal study, we examined parent and youth perceptions of how life events, both positive and negative, associated with the COVID-19 pandemic resulted in changes in family functioning as well as youth functioning. We tested both direct effects of parent- and youth-reported negative and positive events as well as indirect or spillover e...
Preprint
Full-text available
The current longitudinal study examines changes in overall mental health symptomatology from before to after the COVID-19 outbreak in youth from the southeastern United States as well as the potential mitigating effects of self-efficacy, optimism, and coping. A sample of 105 parent-child dyads participated in the study (49% boys; 81% European Ameri...
Article
In the current study, we used an analogue integrative data analysis (IDA) design to test optimal scoring strategies for harmonizing alcohol- and drug-use consequence measures with varying degrees of alteration across four study conditions. We evaluated performance of mean, confirmatory factor analysis (CFA), and moderated nonlinear factor analysis...
Article
Few longitudinal studies examine how changes in parent–child relationships are associated with changes in youth internalizing problems. In this longitudinal study, we investigated how developmental trends (linear change) and year-to-year lability (within-person fluctuations) in parental warmth and hostility across Grades 6 to 8 predict youth intern...
Article
Social interaction, particularly in older adolescents, increasingly involves computer‐mediated communication. Although studies of public computer‐mediated communication are increasingly common, studies of private text messaging remain rare. As approaches for obtaining such data evolve with technological advances, developmental scientists need desig...
Article
Full-text available
Objectives Children of substance-dependent caregivers are at significantly increased risk for emotion regulation deficits, yet little is known about the role of parent emotion socialization in this process. Given the strong link between parent emotion socialization and child emotion regulation in both community and other at-risk samples, our goal w...
Article
The misuse of prescription stimulants (e.g., Ritalin, Adderall) is a large and growing problem on college campuses. Emerging research examines not only the demographic predictors of stimulant misuse but also the potentially role that stimulant misuse plays in a college student's overall functioning and mental health. To better understand the experi...
Chapter
In this chapter, we introduce Integrative Data Analysis (IDA) for use in the field of Global Health. IDA is a novel framework for simultaneous analysis of individual-level data pooled from multiple studies. This framework has been applied to address questions about substance use, cancer, HIV, and rare diseases from studies around the world. Advanta...
Article
The focus of this special section of Addictive Behaviors is on how new trends in substance use have a broader impact on youth development, most notably on the use of other substances or psychosocial functioning. These eight articles focus on recent changes in the prevalence of e-cigarettes, stimulants, and prescription opiates as well as the implic...
Article
Conducting valid and reliable empirical research in the prevention sciences is an inherently difficult and challenging task. Chief among these is the need to obtain numerical scores of underlying theoretical constructs for use in subsequent analysis. This challenge is further exacerbated by the increasingly common need to consider multiple reporter...
Article
The ubiquity of digital communication within the high-risk drinking environment of college students raises exciting new directions for prevention research. However, we are lacking relevant constructs and tools to analyze digital platforms that serve to facilitate, discuss, and rehash alcohol use. In the current study, we introduce the construct of...
Article
Adolescent cannabis use is common, has been associated with several deleterious outcomes, and is often associated with previous parent cannabis use. Therefore, identifying protective factors that prevent this intergenerational transmission of cannabis use is increasingly important given shifting contemporary policies around cannabis use. The presen...
Article
Recent work reframes direct effects of covariates on items in mixture models as differential item functioning (DIF) and shows that, when present in the data but omitted from the fitted latent class model, DIF can lead to overextraction of classes. However, less is known about the effects of DIF on model performance—including parameter bias, classif...
Article
The current study examined whether social status and social integration, two related but distinct indicators of an adolescent's standing within a peer network, mediate the association between risky symptoms (depressive symptoms and deviant behavior) and substance use across adolescence. The sample of 6,776 adolescents participated in up to seven wa...
Article
Full-text available
Research documents that lability in parent-child relationships–fluctuations up and down in parent-child relationships–is normative during adolescence and is associated with increased risk for negative outcomes for youth. Yet little is known about factors that predict lability in parenting. This study evaluated whether children’s behaviors predicted...
Article
Gratitude is associated with a host of positive outcomes; yet, little is understood about the ways in which parents may foster gratitude in their children. The current study allows for the examination of one possible mechanism, namely parent–child conversations, that may be used to encourage gratitude in children. Using a rigorous experimental desi...
Article
Full-text available
The current study examined emotion socialization behaviors within a clinical sample of substance-dependent mothers. Interviews were conducted with N = 74 mothers in substance abuse treatment (outpatient and residential with or without opiate agonist medication). Each mother had a biological child between the ages of 3–8 years. We examined the facto...
Article
In the study of adolescent health, it is useful to derive indices of social dynamics from sociometric data, and to use these indices as predictors of health risk behaviors. In this manuscript, we introduce a flexible latent variable model as a novel way of obtaining estimates of social integration and social status from school‐based sociometric dat...
Article
Full-text available
Although the contributions of friend selection and friend influence to adolescent homophily on substance use behaviors has been of enduring research interest, moderators of these processes have received relatively little research attention. Identification of factors that dampen or amplify selection and influence on substance use behaviors is import...
Article
Background: With increasing data archives comprised of studies with similar measurement, optimal methods for data harmonization and measurement scoring are a pressing need. We compare three methods for harmonizing and scoring the AUDIT as administered with minimal variation across 11 samples from eight study sites within the STTR (Seek-Test-Treat-...
Article
When generating scores to represent latent constructs, analysts have a choice between applying psychometric approaches that are principled but that can be complicated and time-intensive versus applying simple and fast, but less precise approaches, such as sum or mean scoring. We explain the reasons for preferring modern psychometric approaches: nam...
Article
Our goal is to identify integrative themes in this special issue on “Parenting Adolescents in an Increasingly Diverse World”. Specifically, we identify themes that may generalize largely from studies of marginalized families to guide American families more broadly as youth navigate an increasingly diverse world. We describe three broad diversity so...
Article
This introduction to the Special Issue on Parenting Adolescents in an Increasingly Diverse World explores how increasing population diversity may provide a context for changes in the parenting of adolescents. In this issue, authors (1) explore the context for asking questions about parenting adolescents and diversity, (2) consider parents, adolesce...
Article
Objective: The current study examined whether an adolescent's standing within a school-bounded social network moderated the association between depressive symptoms and substance use across adolescence as a function of developmental and demographic factors (gender, parental education, and race/ethnicity). Method: The sample of 6,776 adolescents p...
Article
Gratitude is a rich socioemotional construct that emerges over development beginning in early childhood. Existing measures of children’s gratitude as a trait or behavior may be limited because they do not capture different aspects of gratitude moments (i.e. awareness, thoughts, feelings, and actions) and the way that these facets appear in children...
Article
The current study examined developmentally informed pathways from peer victimization and exclusion to adolescent alcohol use. Using multiple informants (target and peer report of negative peer experiences) and a longitudinal sample of 387 adolescents, we examined 2 developmental pathways from these negative peer experiences to alcohol use, 1 throug...
Article
Although it is currently best practice to directly model latent factors whenever feasible, there remain many situations in which this approach is not tractable. Recent advances in covariate-informed factor score estimation can be used to provide manifest scores that are used in second-stage analysis, but these are currently understudied. Here we ex...
Article
We examined micro developmental processes related to the socialization of children's gratitude by testing whether parents who engage in more frequent daily socialization practices targeting children's gratitude reported more frequent gratitude displays by their children after controlling for potential confounds. 101 parent-child dyads completed a b...
Article
Alcohol-related content on public social networking sites (SNS) has been linked to collegiate alcohol use, but we know little about whether and how private forms of computer-mediated communication (CMC), like text messaging, are related to collegiate drinking, nor how alcohol-related CMC content and drinking are associated in non-Western cultures....
Chapter
Adolescence is the typical time of substance use onset and escalation around the world, though prevalence rates vary dramatically across countries. Given that substance use is a significant risk factor contributing to global disease burden, the consequences of substance abuse are staggering. Substantial evidence, primarily from high-income countrie...
Chapter
This chapter discusses current conceptualizations of heterogeneity in alcohol use disorder (AUD), characterizes developmental pathways that lead to different subtypes of AUDs, and discusses how such pathways can inform preventive program design. Specifically, it reviews the "internalizing" and "externalizing" developmental pathways to AUDs. The ext...
Article
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...
Article
A wealth of information is currently known about the epidemiology, etiology, and evaluation of drug and alcohol use across the life span. Despite this corpus of knowledge, much has yet to be learned. Many factors conspire to slow the pace of future advances in the field of substance use including the need for long-term longitudinal studies of often...
Article
According to family systems and life course theories, periods of intense change, such as early adolescence, can disrupt stable family systems, leading to changes in family relationships. In this longitudinal study, we investigate 2 types of change in parental hostility and warmth toward their children during early adolescence (Grades 6 to 8)—develo...
Article
Emerging evidence suggests that family conflict shows continuity across generations and that intergenerational family conflict can be more intense and deleterious than conflict experienced in a single generation. However, few investigations have identified etiological mechanisms by which family conflict is perpetuated across generations. Addressing...
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There is a limited understanding as to how specific genes impact addiction risk. Applying a developmental framework and research domain criteria (RDoC) to identify etiological pathways from genetic markers to addiction may have utility. Prior research has largely focused on externalizing pathways to substance use. Although internalizing mechanisms...
Article
The present study investigated the associations between multigenerational continuity in family conflict and current psychopathology symptoms and social impairment experienced by parents and adolescents. We sampled 246 families from a multigenerational, high-risk, longitudinal study of parents (G1s) and their children (G2s), followed from adolescenc...
Article
Purpose: Adolescents' increased use of social networking sites (SNS) coincides with a developmental period of heightened risk for alcohol use initiation. However, little is known regarding associations between adolescents' SNS use and drinking initiation nor the mechanisms of this association. This study examined longitudinal associations among ad...
Article
This systematic review examines whether negative affect symptoms (i.e., anxiety, depression, and internalizing symptoms more broadly) predict subsequent adolescent substance use after controlling for co-occurring externalizing symptoms. Following PRISMA procedures, we identified 61 studies that tested the association of interest. Findings varied de...
Article
This study explored the extent to which variations in self-report measures across studies can produce differences in the results obtained from mixture models. Data (N = 854) come from a laboratory analogue study of methods for creating commensurate scores of alcohol- and substance-use-related constructs when items differ systematically across parti...
Chapter
Parent Socialization of Children’s Gratitude Thank-You Note I wanted small pierced earrings (gold), You gave me slippers (gray). My mother said that she would scold Unless I wrote to say How much I like them. Not much. -Judith Viorst The desire to cultivate gratitude in ourselves and others dates back centuries, as is evident in the early writings...
Article
Purpose: Prior research has found that the protective effect of parental engagement on adolescent smoking behaviors may be weaker if parents smoke. We examine parental influence on adolescent smoking using a social learning theory framework. We hypothesize that adolescents are more likely to mimic parental smoking behavior if they perceive parents...
Article
We review epidemiological evidence indicating that most people will develop a diagnosable mental disorder, suggesting that only a minority experience enduring mental health. This minority has received little empirical study, leaving the prevalence and predictors of enduring mental health unknown. We turn to the population-representative Dunedin coh...
Article
Current definitions of gratitude are based primarily on research with adults about their own experiences of gratitude, yet what children are grateful for, and how they understand, experience, and express gratitude may be very different. To better understand the forms that gratitude may take in children, we asked 20 parents in six focus groups to ta...
Article
A challenge facing nearly all studies in the psychological sciences is how to best combine multiple items into a valid and reliable score to be used in subsequent modeling. The most ubiquitous method is to compute a mean of items, but more contemporary approaches use various forms of latent score estimation. Regardless of approach, outside of large...
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The current study demonstrates the application of an analytic approach for incorporating multiple time trends in order to examine the impact of cohort effects on individual trajectories of eight drugs of abuse. Parallel analysis of two independent, longitudinal studies of high-risk youth that span ages 10 to 40 across 23 birth cohorts between 1968...
Article
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Given that children’s exposure to gratitude-related activities may be one way that parents can socialize gratitude in their children, we examined whether parents’ niche selection (i.e., tendency to choose perceived gratitude-inducing activities for their children) mediates the association between parents’ reports of their own and their children’s g...
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We evaluated the effects of marital dissatisfaction on adolescent-perceived conflict in 435 families with and without a parental history of alcoholism. On average, family conflict decreased linearly as adolescents aged. Families with an alcoholic parent demonstrated higher adolescent-reported family conflict and this effect was partially mediated b...
Article
Evidence demonstrates that adolescent substance use is prevalent and extends to adolescents of immigrant minority groups. Given the large presence and growth of Hispanic-Latino and Asian populations in the United States, examining the role of culturally specific experiences in substance use risk among Hispanic-Latino and Asian adolescents is critic...
Chapter
Substance use and substance use disorders are of great public health significance because of their high prevalence and associated mortality, morbidity, and economic cost. Moreover, substance use and substance use disorders must be studied within a developmental context, given the etiological importance of age-related neurobiological maturation of r...
Article
Full-text available
In the current study, we examined continuity in conflict across generations and explored potential mediators and moderators that could explain this continuity. We followed 246 targets from adolescence to adulthood and examined family conflict as reported by multiple reporters in targets' family of origin and current families. Results showed that co...
Article
Findings in the literature show mixed support for adolescent self-medication. Following recent reformulations of the self-medication hypothesis, we tested within-person effects of daily fluctuations in sadness and worry on daily substance use, and explored the moderating role of the peer context on self-medication. We hypothesized that greater dail...
Article
The current study tested between-person hypotheses that global negative affect, friendship intimacy, and close friend drug use predict increased substance use, and the within-person hypothesis that friendship intimacy and close friend substance use moderate the temporal relationship between daily negative affect and subsequent substance use (i.e.,...
Article
The need for comprehensive analysis to compare and combine data across multiple studies in order to validate and extend results is widely recognized. This paper aims to assess the extent of data compatibility in the substance abuse and addiction (SAA) sciences through an examination of measure commonality, defined as the use of similar measures, ac...
Article
Full-text available
Integrative data analysis (IDA) is a methodological framework that allows for the fitting of models to data that have been pooled across 2 or more independent sources. IDA offers many potential advantages including increased statistical power, greater subject heterogeneity, higher observed frequencies of low base-rate behaviors, and longer developm...
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The last 25 years have seen significant advances in our conceptualization of alcohol use and alcohol use disorders within a developmental framework, along with advances in our empirical understanding that have been potentiated by advances in quantitative methods. These include advances in understanding the heterogeneity of trajectories of alcohol o...
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This article addresses important future directions for the study of addictions, emphasizing the incorporation of developmental perspectives into how we think about substance use and disorder as unfolding processes over time and context for a heterogeneous group of individuals. These perspectives articulate complexities in the developmental processe...
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Psychologists often obtain ratings for target individuals from multiple informants such as parents or peers. In this article we propose a trifactor model for multiple informant data that separates target-level variability from informant-level variability and item-level variability. By leveraging item-level data, the trifactor model allows for exami...
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It appears that no studies to date have compared the psychiatric functioning of children of substance-abusing parents (COSs) across substance abuse treatment histories (e.g., inpatient, outpatient, and residential). Different treatment histories may reflect differences in the severity of drug use, degree of impairment, or drug of choice, which may...
Chapter
Adolescence is often described as a time of experimentation with risky or problem behaviors (Arnett, 2000), and substance use is one such behavior that is initiated during this age period. Substance use and addictive disorders are topics of considerable importance both because of their significance for adolescent development and because of their pu...
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Objective: We hypothesized that individuals who are unable to effectively regulate emotional reactivity, which we operationalized as variability in self-reported affect throughout the day, would use alcohol more frequently and would report higher levels of drinking to cope. Further, we hypothesized that affect variation would be a stronger predict...
Article
Researchers examined whether ethnicity alters the risk for difficulty in the transition out the home among children of alcoholics (COAs). We tested this question in a community based, longitudinal sample of 705 COAs and matched with non-COA controls as well as their parents. Latino COAs were less likely to leave home than were Euro-American COAs. E...