Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESNatural Course of Alcohol Use Disorders From Adolescence to Young Adulthood
Section snippets
Participants and Procedures
T1 and T2 Assessments. A total of 1,709 adolescents, randomly selected from nine high schools in western Oregon (ages 14–18; 61% participation) completed the initial (T1) assessments between 1987 and 1989 (see Lewinsohn et al., 1993, for additional details). Approximately 1 year later (T2), 1,507 participants (88%) returned for a readministration of the interview and questionnaire (mean T1-T2 interval = 13.8 months, SD = 2.3). Although differences between T2 participants and those who
Effects of Demographic Variables on AUD in Young Adulthood
When other demographic variables and adolescent alcohol group were controlled for (AUD versus PROB and NON), male gender increased the likelihood of AUD diagnosis between T2-T3 (adjusted odds ratio [OR] = 2.41, 95% confidence interval [CI] = 1.77–3.30). In addition, participants who were younger at T2 had a higher likelihood of AUD by T3 (adjusted OR = 1.15, 95% CI = 1.01–1.32), probably because they had a longer time interval between the T2 and T3 interviews.
Psychopathology in Young Adulthood as a Function of Adolescent Alcohol Group
Table 2 shows the frequency of
DISCUSSION
This study adds to the literature describing the longitudinal course of AUD and problematic alcohol use in a community-based sample of adolescents. As expected, there was a high degree of continuity of AUD from adolescence to young adulthood. Odds of future AUD increased in a stepwise progression, doubling in the problematic alcohol use group compared with the NON group, and doubling again in the AUD group compared with the PROB group.
Overall, rates of AUD between T2 and T3 in the sample were
REFERENCES (42)
- et al.
Longitudinal study of co-occurring psychiatric disorders and substance use
J Am Acad Child Adolesc Psychiatry
(1998) - et al.
Comorbidity between DSM-IV alcohol use disorders and major depression: results of a national survey
Drug Alcohol Depend
(1995) - et al.
Comorbidity of substance use disorders with mood and anxiety disorders: results of the international consortium in psychiatric epidemiology
Addict Behav
(1998) - et al.
Continuity of psychopathology in a community sample of adolescents
J Am Acad Child Adolesc Psychiatry
(1995) - et al.
Retrospective assessment of prepubertal major depression with the Kiddie-SADS-E
J Am Acad Child Adolesc Psychiatry
(1982) - et al.
Psychiatric comorbidity with problematic alcohol use in high school adolescents
J Am Acad Child Adolesc Psychiatry
(1996) - et al.
Types of alcoholics, I: evidence for an empirically derived typology based on indicators of vulnerability and severity
Arch Gen Psychiatry
(1992) - et al.
High-risk drinking across the transition from high school to college
Alcohol Clin Exp Res
(1995) - et al.
The relation of parent alcoholism to adolescent substance use: a longitudinal follow-up study
J Abnorm Psychol
(1996) - et al.
Substance use and symptomatology among adolescent children of alcoholics
J Abnorm Psychol
(1991)
Neurogenetic adaptive mechanisms in alcoholism
Science
A coefficient of agreement for nominal scales
Educ Psychol Meas
An epidemiological study of disorders in late childhood and adolescence, I: age-and gender-specific prevalence
J Child Psychol Psychiatry
Development of psychiatric comorbidity with substance abuse in adolescents: effects of timing and sex
J Clin Child Psychol
Psychiatric disorders in adult children of problem drinkers: prevalence, first onset and comparison with other risk factors
Addiction
Adolescent depression, alcohol and drug abuse
Am J Public Health
Progressions of alcohol, cigarette, and marijuana use in adolescence
J Behav Med
Structured Clinical Interview for DSM-IV Axis I Disorders, Non-Patient Edition (SCID-NP, Version 2.0)
DSM-IV alcohol abuse: investigation in a sample of at-risk drinkers in the community
J Stud Alcohol
Epidemiology of alcohol addiction: United States
Alcoholism in men patients subtyped by family history and antisocial personality
J Stud Alcohol
Cited by (200)
Adolescent intermittent ethanol exposure enhances adult stress effects in male rats
2023, Pharmacology Biochemistry and BehaviorBehavioral inhibition and approach tendencies are associated with striatal activation to loss: Implications for adolescent substance use
2022, NeuropsychologiaCitation Excerpt :One in twelve adolescents engage in substance use (SU; Substance Abuse and Mental Health Services Administration, 2014) and are at increased risk of substance use disorder (SUD; Rohde et al., 2001).
The effects of alcohol drinking on subsequent methamphetamine self-administration and relapse in adolescent female rats
2022, Behavioural Brain ResearchAlcohol drinking, especially light drinking, and depressive symptoms in adolescents
2021, Drug and Alcohol DependenceCitation Excerpt :A longitudinal study in New Zealand showed that alcohol abuse/dependence in adolescence predicted major depression in young adulthood (Fergusson et al., 2009). Another longitudinal study in the US further showed that sub-clinical alcohol misuse (having at least one symptom of alcohol use disorder but no diagnosis) during adolescence was associated with a higher risk of major depression during early adulthood than non-problematic drinking (no symptoms of alcohol abuse or dependence) (Rohde et al., 2001). A population-based UK cohort found that adolescents with medium and high frequency drinking had a higher risk of developing depression than those with low frequency drinking (Edwards et al., 2014a).
This research was supported in part by NIMH awards MH40501, MH50522, and MH52858.