Binge Drinking Trajectories from Adolescence to Emerging Adulthood in a High-Risk Sample: Predictors and Substance Abuse Outcomes

Psychology Department, Arizona State University, Tempe 85287-1104, USA.
Journal of Consulting and Clinical Psychology (Impact Factor: 4.85). 03/2002; 70(1):67-78. DOI: 10.1037//0022-006X.70.1.67
Source: PubMed


This study describes binge drinking trajectories from adolescence to emerging adulthood in 238 children of alcoholics and 208 controls. Mixture modeling identified three trajectory groups: early-heavy (early onset, high frequency), late-moderate (later onset, moderate frequency), and infrequent (early onset, low frequency). Nonbingers were defined a priori. The early-heavy group was characterized by parental alcoholism and antisociality, peer drinking, drug use, and (for boys) high levels of externalizing behavior, but low depression. The infrequent group was elevated in parent alcoholism and (for girls) adolescent depression, whereas the nonbinger and late-moderate groups showed the most favorable adolescent psychosocial variables. All 3 drinking trajectory groups raised risk for later substance abuse or dependence compared with the nonbingers, with the early-heavy group at highest risk.

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Available from: Laurie Chassin
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    • "BD is associated with serious health-related, societal and economic consequences (Miller et al., 2007) and has been linked to risky behavior, such as drink driving, sexually transmitted diseases and premature death (Anderson, 2007). In the adolescent and young adult age group, BD serves as a heightened risk factor for later alcoholuse disorders (AUDs) (Chassin et al., 2002; Crabbe et al., 2011; Feldstein Ewing et al., 2014). "
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    ABSTRACT: Background: Binge consumption of alcohol is amajor societal problem associated with important cognitive, physiological and neurotoxic consequences. Converging evidence highlights the need to assess binge drinking (BD) and its effects on the developing brain while taking into account gender differences. Here, we compared the brain volumetric differences between genders in college-aged binge drinkers and healthy volunteers. Method: T1-weighted magnetic resonance imaging (MRI) images of 30 binge drinkers (18 males) and 46 matched healthy volunteers (23 males) were examined using voxel-based morphometry. The anatomical scans were covaried with Alcohol Use Disorders Identification Test (AUDIT) scores. Whole brain voxel-wise group comparisons were performed using a cluster extent threshold correction. Results: Several large clusters qualified with group-by-gender interactions were observed in prefrontal, striatal and medial temporal areas, whereby BD females had more volume than non-BD females, while males showed the inverse pattern of decreased volume in BD males and increased volume in non-BD males. AUDIT scores neg- atively correlated with volume in the right superior frontal cortex and precentral gyrus. Conclusions: These findings dovetail with previous studies reporting that a state effect of BD in college-aged drinkers and the severity of alcohol use are associatedwith volumetric alterations in the cortical and subcortical areas of the brain. Our study indicates that these widespread volumetric changes vary differentially by gender, suggesting either sexual dimorphic endophenotypic risk factors, or differential neurotoxic sensitivities for males and females.
    Full-text · Article · Dec 2015 · Clinical neuroimaging
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    • "This pattern has not been reliably replicated in adolescent samples. Some studies find that depressive symptoms anticipate increases in alcohol consumption (e.g., Mackie et al., 2011; Marmorstein, 2009), but at least four separate inquires found no evidence of alcohol misuse among certain adolescents with elevated depressive symptoms (Chassin et al., 2002; Fleming et al., 2008; Hussong et al., 1998; Marmorstein et al., 2010; Needham, 2007). These findings raise questions about the degree to which models developed to explain alcohol use during adulthood generalize to adolescents. "
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    ABSTRACT: There is strong evidence that depression anticipates later drinking problems among adults. These associations have not been consistently documented during adolescence, perhaps because little attention has been given to individual differences in peer relationships, which are the primary setting for adolescent alcohol consumption. This study investigated associations between depressive affect and alcohol misuse as moderated by peer group acceptance. A community sample of 1,048 Swedish youth provided self-reports of depressive symptoms and intoxication frequency at annual intervals across the middle school years (seventh grade: M = 13.21 years old; eighth grade: M = 14.27 years old; ninth grade: M = 15.26 years old). Peer nominations provided a measure of individual acceptance. Growth curve analyses revealed differences in the extent to which initial levels of depressive symptoms predicted the slope of increase in intoxication frequency. Higher levels of depressive symptoms at the outset anticipated sharp increases in intoxication frequency from seventh to ninth grades for low-accepted youth but not for average- or high-accepted youth. poor peer relations and depressive affect are vulnerabilities that set the stage for escalating adolescent alcohol misuse. Across the middle school years, when most youth have their first experiences with alcohol, peer difficulties exacerbated the tendency of depressed youth to drink to excess.
    Full-text · Article · Jul 2015 · Journal of studies on alcohol and drugs
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    • "Multiple studies also have found a decreasing or U-shaped trajectory in these years that represents developmentally limited drinking patterns: adolescents or college-age students who drink heavily but then mature out of these heavy drinking patterns (Jackson & Sher, 2005; Schulenberg et al., 1996; Windle et al., 2005). Studies that have investigated drinking trajectories and young adult outcomes suggest that, as one might expect, individuals who drink chronically throughout middle school, high school, and young adulthood or who rapidly escalate their drinking behavior during these years are at the greatest risk of young adult substance use problems (Chassin et al., 2002; Colder et al., 2002; Hill et al., 2000). One surprising finding from Hill et al.'s (2000) study was that their group of late-onset rapid escalators had poorer substance use related outcomes than did the chronic group. "
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    ABSTRACT: Substance use trajectories were examined from early adolescence to young adulthood among a diverse sample of 998 youths. Analysis of longitudinal data from ages 12 to 24 identified distinct trajectories for alcohol, marijuana, and tobacco use. Modeling revealed 8 alcohol, 7 marijuana, and 6 tobacco use trajectories. Analyses assessed risk for substance use problems in early adulthood within each trajectory, as well as overlap among alcohol, marijuana, and tobacco use trajectories. Findings confirmed that adolescents with early- and rapid-onset trajectories are particularly vulnerable to the development of problematic substance use in early adulthood. However, analyses also identified an escalating high school onset trajectory for alcohol and for marijuana use that was equally prognostic of problem use in adulthood. Moreover, tobacco use in early adolescence was associated with developing high-risk marijuana and alcohol use patterns. Random assignment to the Family Check-Up intervention was found to reduce risk for membership in the high-risk marijuana use trajectories, suggesting that family-based approaches delivered during adolescence can prevent escalations to problematic substance use. These findings suggest the importance of developmental heterogeneity and equifinality in considering prevention for alcohol and drug use.
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