Community violence exposure,coping, and problematic alcohol and drug use among urban,female caregivers: A prospective study

Victimization is associated with substance use in women, but less is known about linkages between witnessing community violence and substance use, even though more women witness versus directly experience violence. Further, factors that contribute to or protect against women’s problematic substance use are less well understood. Urban female caregivers (N = 318; >92% African American/black) living in low-income communities were interviewed annually for three waves regarding exposure to community violence, coping behaviors, substance use, and protective factors. Path analyses revealed that lifetime witnessing of violence, but not victimization, assessed at baseline, was associated with changes in avoidant coping, but not active coping, one year later; avoidant coping, in turn, was related to changes in and higher levels of problematic drug use the following year. Victimization was directly related to problematic drug use, but not to alcohol use. Regression analyses indicated that high levels of religious commitment and social support at baseline were prospectively associated with lower levels of avoidant coping. Because caregivers are important role models for their children, it is important to attend to the factors that contribute to their substance use and abuse.     

Anxiety sensitivity interacts with marijuana use in the prediction of anxiety symptoms and panic-related catastrophic thinking among daily tobacco users

The present investigation evaluated whether anxiety sensitivity interacted with marijuana use in relation to the prediction of panic-relevant variables among young adult tobacco smokers (n=265). Approximately 73% of the sample was composed of current marijuana smokers, with 78.5% of this sub-sample using marijuana more than once per week. As expected, after covarying cigarettes per day, alcohol use, and negative affectivity, the interaction between marijuana use and anxiety sensitivity predicted anxiety symptoms and agoraphobic cognitions. Partially consistent with prediction, the interaction between frequency of marijuana use and anxiety sensitivity predicted only anxiety symptoms. These results are discussed in relation to better understanding the potential role of regular marijuana use and anxiety sensitivity for panic-relevant emotional vulnerability among regular tobacco smokers.     

Description of a Behavioral Intervention to Reduce Substance Use and Related Risk and Increase Positive Parenting among Urban Mothers with Alcohol and Other Drug Problems

The abuse of alcohol and other substances by mothers raising adolescent children has serious adverse effects on family functioning and youth outcomes, and on mothers’ own health and adaptation. Mothers who are also HIV-infected face additional challenges. In the present report, we describe a multi-session intervention conducted in individual sessions for mothers with alcohol and other substance use problems who are raising adolescent children. We outline the primary components of the intervention and include case studies and examples of exercises and tools. We found that engagement with the intervention and high rates of attendance were facilitated by tapping into mothers’ desires to improve their relationships with their adolescent children, the use of a harm reduction approach toward substance use, and intensive outreach. We also discuss lessons learned in the course of implementing and evaluating the intervention.     

Leisure time physical activity motives and smoking in adolescence

ObjectivesThe study aimed to gain a better understanding of the relationship between leisure time physical activity and smoking in adolescence by investigating adolescents' motives for participation in leisure time physical activity.MethodsThe study involved cross-sectional and longitudinal data from a postal survey involving 16–22-year old Danes. The hypothesized associations were examined using hierarchical logistic regression analyses.ResultsAn inverse association between participating in leisure time physical activity and smoking was found. Participation in leisure time physical activity for friendship or competition reasons were conditions that strengthened the inverse association between physical activity and smoking in males. In contrast, participation for the reason of losing weight or gaining self-esteem appeared to weaken the inverse association among females. In addition, the motives enjoyment, health and, in females, friendships and stress relief were associated with less smoking irrespective of participation level, while the motives self-esteem, losing weight and, in males, friendships were unrelated or even positively related to smoking.ConclusionsThe association between adolescents' leisure time physical activity and smoking behavior differs with the underlying motivation for the activity.     

Samoan adolescents in American Samoa and Hawaii: Comparison of youth violence and youth development indicators: A study by the Asian/Pacific Islander Youth Violence Prevention Center

Samoan youths are critically under-studied in research on youth violence prevention and adolescent development. When Samoan adolescents are included in research investigations, they are typically obscured into the much larger aggregated categories of “Pacific Islanders” or “Asian Americans and Pacific Islanders.” The present study is one of the first to examine Samoans exclusively and compare the differences between Samoan youths residing in American Samoa and those residing in Hawaii. In an effort to gauge the acculturative processes of adolescents in American Samoan and Hawaii, the present study compared these two groups' self-reports of violence, substance use, grade-point average, scholastic aspirations, importance of religion, ethnic identity, parenting discipline style, and family support. Overall, the results indicated higher rates among Samoan adolescents in Hawaii as compared to those in American Samoa on one violence item and on substance use indicators (i.e., alcohol and marijuana). Samoan adolescents in American Samoa also reported higher levels of protective factors related to the importance of religion (especially for girls), ethnic identity, and family support. However, Samoan adolescents in Hawaii had higher scholastic aspirations than those in American Samoa, despite having lower grade-point averages. In general, Samoan students who did not self-report engaging in violence had higher rates of protective factors as compared to those who indicated engaging in violence. Statistically significant interactions reflected more complex effects. The implications of these findings in conjunction with the results of the Youth Risk Behavior Survey (YRBS) are discussed in the context of Samoan culture, acculturation, and youth development.     

L’impact du burnout scolaire sur les comportements d’alcoolisation des adolescents

Objective

The aim of this study was to explore the impact of school-related burnout symptoms. on alcohol consumption habits among adolescents. Alcohol consumption is rather common among adolescents. Indeed, recent French research (Spilka et al., 2015) has shown that in a sample of 17-year-old adolescents up to 89.3% declared at least one alcohol consumption experience over lifetime, 58.9% experienced drunkenness over the last year, and 48.8% declared binge drinking experiences over last month. In the meantime, high-school students are exposed to a high level of school-related stress, which could lead to school-related burnout (Salmela-Aro et al., 2009). Previous studies have shown that school-related burnout is associated with several addictive behaviors, such as tobacco use (Moncla, Walburg, Milhaes, 2014) cannabis consumption (Walburg, Moncla, Milhaes, 2015) or problematic Facebook use (Walburg, Milhaes, Moncla, 2016). Therefore, the aim of the present study was to explore weather school-related burnout could influence alcohol use behaviors among high-school students.

Prediction of drug and alcohol abuse in hospitalized adolescents: comparisons by gender and substance type

The authors examined psychosocial correlates of drug and alcohol abuse in 462 hospitalized adolescents, and the extent to which these associations may be affected by gender or by substance type. Participants completed a battery of psychometrically-sound, self-report measures of psychological functioning, environmental stress, drug abuse, and alcohol abuse. Four multiple regression analyses were conducted to determine the joint and independent predictors of drug abuse and alcohol abuse, for males and for females. Multiple regression analysis revealed that seven variables--age, depression, impulsivity, low self-esteem, delinquent predisposition, low peer insecurity, and history of child abuse--jointly predicted both drug and alcohol abuse, for both males and females. However, several differences were found with respect to which variables made independent contributions to the predictive models--with only delinquent predisposition making a significant independent contribution for all four conditions. We found distinct patterns of psychosocial predictor variables for drug and alcohol abuse, as well as distinct patterns for males and females. These results may reflect differing risk factors for drug abuse and alcohol abuse in adolescent psychiatric patients--and differing risk factors for males and females. Such differences have potential implications for prevention and treatment.     

Neurocognitive correlates of white matter quality in adolescent substance users

Background

Progressive myelination during adolescence implicates an increased vulnerability to neurotoxic substances and enduring neurocognitive consequences. This study examined the cognitive manifestations of altered white matter microstructure in chronic marijuana and alcohol-using (MJ + ALC) adolescents.

Methods

Thirty-six MJ + ALC adolescents (ages 16–19) and 36 demographically similar controls were evaluated with diffusion tensor imaging (Bava et al., 2009) and neurocognitive tests. Regions of group difference in fractional anisotropy (FA) and mean diffusivity (MD) were analyzed in relation to cognitive performance.

Results

In users, lower FA in temporal areas related to poorer performance on attention, working memory, and speeded processing tasks. Among regions where users had higher FA than controls, occipital FA was positively associated with working memory and complex visuomotor sequencing, whereas FA in anterior regions was negatively associated with verbal memory performance.

Conclusions

Findings suggest differential influences of white matter development on cognition in MJ + ALC using adolescents than in non-using peers. Neuroadaptation may reflect additive and subtractive responses to substance use that are complicated by competing maturational processes.     

Incremental Validity of Coping-oriented Marijuana Use Motives in the Prediction of Affect-based Psychological Vulnerability

The present investigation examined whether coping-oriented motives to use marijuana, as measured by the Marijuana Motives Measure (MMM; Simons et al. in J. Couns. Psychol. 45:265–273, 1998), were uniquely related to affect-based psychological vulnerability factors among marijuana users. Participants were 131 adult current marijuana users (72 women, M _age = 20.14, SD = 3.37 years). As hypothesized, after controlling for gender, cigarettes smoked per day, past 30-day marijuana use, total years of marijuana use, and alcohol consumption, coping motives were significantly and incrementally related to negative affect-based psychological vulnerability factors. No other marijuana use motives demonstrated a similar type of relationship to the dependent variables, providing a high degree of explanatory specificity. These data suggest that coping-oriented motives to use marijuana may be an important explanatory construct in better understanding marijuana and psychological vulnerability relations.     

Fear Appeals Revisited: Testing a Unique Anti-smoking Film

Past research has found that fear-arousing persuasive messages can significantly affect attitudes, intentions, and behaviors. In this study, participants in high and low threat conditions viewed appropriately edited versions of a unique fear appeal video used in the American Lung Association’s anti-smoking campaign, while control condition participants viewed no film. Threat condition participants expressed stronger anti-smoking behavioral intentions than did control condition participants. These results represent the first effectiveness test of this widely used film.     

Fear Appeals Revisited: Testing a Unique Anti-smoking Film

Past research has found that fear-arousing persuasive messages can significantly affect attitudes, intentions, and behaviors. In this study, participants in high and low threat conditions viewed appropriately edited versions of a unique fear appeal video used in the American Lung Association’s anti-smoking campaign, while control condition participants viewed no film. Threat condition participants expressed stronger anti-smoking behavioral intentions than did control condition participants. These results represent the first effectiveness test of this widely used film.