Relation of parental support and control to adolescents' externalizing symptomatology and substance use: A longitudinal examination of curvilinear effects

Past research has generated inconsistent findings regarding the relation of parental control and support to adolescent problem behaviors. Using two waves of data collected 1 year apart, the current study examined the influence of parental control and support on adolescents' externalizing symptoms, alcohol use, and illicit substance use. A sample of adolescents and their parents (@#@ N =454) was studied, within which approximately half of the adolescents were at high risk because of parental alcoholism. Multipleregression analyses of crosssectional data showed a negative quadratic relation between parental control and adolescent externalizing symptomatology, and between parental control and adolescent illicit substance use. Parental control had a negative linear relation to adolescent alcohol use. Parental support showed a negative quadratic relation to adolescent illicit substance use, and negative linear relations to adolescent alcohol use and externalizing symptoms. Although longitudinally adjusted contemporaneous results were consistent with crosssectional findings, parental support and control were prospectively related only to adolescent alcohol use. The quadratic relations suggest that adolescents who receive either extreme of parental support or control are at risk for problem behaviors.     

Interpersonal Goals and Susceptibility to Peer Influence: Risk Factors for Intentions to Initiate Substance Use during Early Adolescence

Though peer socialization theories are prominent in the adolescent substance use literature, variability in the degree to which adolescents are vulnerable to peer influence is likely, and few studies have examined this issue. This study examines the association between perceived peer substance use/approval of substance use and adolescent intentions to initiate alcohol and cigarette use, and how social goals moderate this relationship. Results support the moderating role of social goals, and suggest important differences across alcohol and cigarette use. Peer use and approval of cigarette use was associated with future intentions to smoke for adolescents with strong agentic goals, and peer use and approval of alcohol use was associated with intentions to drink for adolescents with strong communal goals. These findings suggest that adolescent substance use theories and prevention programs focusing on peer socialization should consider individual differences in social goals and potential differences in peer influence across drugs.     

Differentiating Adolescent Suicide Attempters from Ideators: Examining the Interaction between Depression Severity and Alcohol Use

Depressed mood, frequency of alcohol use, and their combination were examined to see if they differentiated nonsuicidal adolescents from those with suicidal ideation and adolescents with suicidal ideation from those who have made a suicide attempt. Hierarchical logistic regressions indicated that frequency of alcohol use did not differentiate nonsuicidal adolescents from those with current suicidal ideation, but severity of depressed mood did so. In contrast, alcohol use was a significant differentiating factor between adolescents who had attempted suicide compared to those with suicidal ideation only, with severity of depressed mood not being significant. However, there was also a significant interaction effect such that for adolescents with suicidal ideation and low levels of depression, increased frequency of alcohol use was associated with increased odds of a suicide attempt. These findings suggest that alcohol use may hasten the transition from suicidal ideation to suicide attempt in adolescents with low levels of depressed mood.     

Effects of early alcohol use on adolescents' relations with peers and self-esteem: patterns over time

Strain or problem-solving models posit that deviance persists because it enhances youths' psychosocial properties and is therefore functional for adolescents. However, empirical tests of this assumption have been limited to determining whether a moderately social activity like delinquency produces time-ordered changes in self-esteem. This research examines whether a highly social activity like alcohol use improves adolescents' relations with peers and self-esteem over time. The results of a four-year panel study show that the effects of early alcohol use are limited to enhancing peer relations only among adolescents who use alcohol in order to be part of the group. Early alcohol consumption also has a delayed effect on boosting self-esteem, but this effect is restricted to youths who equate drinking with sophistication. The lack of generality of these findings and how the psychological functions of drinking might cancel these effects are discussed.     

Peer groups and substance use: examining the direct and interactive effect of leisure activity

This paper explores the relationships among adolescent leisure activities, peer behavior, and substance use. We suggest that peer group interaction can have a differential effect on adolescent deviant behavior depending on the type of leisure pattern adolescents engage in. We analyze data from a representative national sample of Icelandic adolescents, exploring the variations in the use of alcohol and illegal drugs among three different patterns of leisure activity, controlling for parental ties and school commitment. The findings show that alcohol and substance use varies significantly across the three leisure patterns. Moreover, it was found that the well-known relationship between adolescent substance use and having substance-using friends is significantly contingent on the type of leisure pattern. Our findings suggest that it is important to take into account different peer leisure activities in order to understand adolescent substance use. Finally, we discuss the implications of the findings for prevention work with adolescents.     

Condom use among high-risk adolescents: testing the influence of alcohol use on the relationship of cognitive correlates of behavior.

The goal of this study was the exploration of distal effects of alcohol use on condom use. Criminally involved adolescents completed an initial measure of attitudes, beliefs, and prior behavior. Of the 300 who completed the initial measurement, 267 (89%) completed a behavioral assessment 6 months later. Analyses validated a theoretical model of condom use intentions and indicated that intentions and attitudes measured at baseline were significant predictors of condom use behavior 6 months later. Neither alcohol use nor alcohol problems moderated relationships among model variables or the influence of intentions and attitudes on behavior. The findings do not support a distal role for alcohol use in altering the cognitive correlates of condom use intentions and behavior among high-risk adolescents.     

压力性生活事件对青少年烟酒使用的影响：基本心理需要和应对方式的链式中介作用

采用压力性生活事件量表、基本心理需要量表、特质应对方式问卷和烟酒使用问卷对867名青少年进行调查,考察了基本心理需要和积极应对方式、消极应对方式在压力性生活事件与烟酒使用关系中的链式中介效应。结果表明：（1）基本心理需要是压力性生活事件与青少年烟酒使用之间的中介变量;（2）积极应对方式、消极应对方式是基本心理需要与青少年烟酒使用之间的中介变量。因此,基本心理需要和积极应对方式、消极应对方式在压力性生活事件与青少年烟酒使用之间起链式中介作用。研究结论对青少年烟酒使用的预防和干预具有重要价值。     

The Question of Higher Education for the Blind

Building on the theory of reasoned action (I. Ajzen & M. Fishbein, 1973, 1980; M. Fishbein & I. Ajzen, 1975) and expectancy theory, the authors examined the mediating role of alcohol expectancies in adolescent drinking behaviors by testing whether alcohol expectancy outcomes and valuations (the extent to which these outcomes are perceived as good or bad) mediate the association between peer influences and lifetime alcohol use. Early adolescents (N = 904) from 2 public middle schools in western Michigan completed a battery of questionnaires. Overall, results showed that alcohol expectancies and valuations partially mediated the relations between peer influences (peer use and peer approval) and lifetime alcohol use. The findings suggest that associating with peers who are perceived as using alcohol and approving of drinking may influence adolescents’ alcohol expectancies. The authors briefly discuss future research directions and implications for prevention.     

After-School Supervision, Psychosocial Impact, and Adolescent Smoking and Alcohol Use in China

We examined effects of self-care after school hours and psychosocial factors on cigarette smoking and alcohol use among adolescents in China. Survey data were obtained from 4734 7th and 11th grade students from seven cities across China. Students were queried about the frequency and quantity of unsupervised self-care after school in an average week. Tobacco and alcohol usage were also obtained. Odds ratios were calculated to determine the strength of association between unsupervised self-care after school and substance use. Results indicated that the amount of self-care after-school (how many days and how many hours per week) was significantly associated with increased risk for smoking and alcohol use among Chinese adolescents. These associations remained significant even after controlling for anxiety, depressive symptoms, and peer influence. The interaction between unsupervised self-care after school and peer influence indicated that unsupervised self-care after school is a stronger risk factor for smoking among adolescents with pro-smoking friends. The findings suggest that substance use prevention programs for youth in China should try to enhance parental monitoring. As it may not be feasible for families to revert to a lifestyle that includes supervision by relatives, other approaches such as organized after-school care are worthy of consideration.     

Reducing Social Stress in Urban Adolescents with Peer Network Counseling

Increased social stress in the context of peer interactions is associated with multiple negative health outcomes, including substance use. Addressing social stress could provide protective effects for adolescents who are particularly vulnerable to peer-based issues such as loneliness and perceived isolation. Toward this end, we examined the efficacy of a 20-min substance use intervention named peer network counseling to reduce social stress with 119 urban adolescents. Adolescents presenting at primary care clinics were randomized into treatment or control conditions and followed for 6 months. Utilizing a repeated measures general linear model, we examined the effects of peer network counseling while controlling for race, gender, age, depression symptoms, and substance use (alcohol, marijuana). At 6 months the peer network counseling condition decreased social stress compared to controls (p?<?0.05). A linear mixed-effects moderation model revealed that peer network counseling temporarily moderated the effect of alcohol use, but not for marijuana or heavy alcohol use. Peer network counseling seems to reduce social stress, which suppresses alcohol use among peer network counseling participants in the short term. These promising findings appear to support the efficacy of peer network counseling in reducing social stress, which can moderate alcohol use among urban adolescents.     

The Relationship Between Parental Alcoholism and Adolescent Psychopathology: A Systematic Examination of Parental Comorbid Psychopathology

The relationship between parental alcohol dependence (with and without comorbid psychopathology) and adolescent psychopathology was examined in a sample of 665 13-17 year-old adolescents and their parents. Results indicated that adolescents who had parents diagnosed with alcohol dependence only did not significantly differ from adolescents who had parents with no psychopathology in regard to any of the measures of psychological symptomatology (substance use, conduct disorder, and depression) or clinical diagnoses (alcohol dependence, marijuana dependence, conduct disorder, or depression) assessed. In contrast, adolescents who had parents diagnosed with alcohol dependence and either comorbid drug dependence or depression were more likely to exhibit higher levels of psychological symptomatology. In addition, adolescents who had parents diagnosed with alcohol dependence, depression, and drug dependence were most likely to exhibit psychological problems. These findings underscore the importance of considering parental comorbid psychopathology when examining the relationship between parental alcoholism and offspring adjustment.     

青少年的气质与烟酒使用:交互效应检验

考察气质(意志控制、愤怒挫折、感觉寻求)对青少年烟酒使用的主效应,气质与教养方式(权威、专制、纵容)对烟酒使用的交互效应以及气质间的交互效应.采用随机整群抽样的方法,选取660名青少年为被试,匿名完成气质问卷、教养方式问卷和烟酒使用问卷.结果显示:(1)在控制了性别、年龄、社会经济地位后,气质对青少年烟酒使用具有预测作用,低意志控制、高愤怒挫折、高感觉寻求正向预测烟酒使用;(2)教养方式调节部分气质因素与烟酒使用的关系,具体为:权威和专制教养缓冲感觉寻求的风险作用,符合风险缓冲模型;纵容教养增强感觉寻求的风险作用,符合风险增强模型;(3)气质内部在影响青少年烟酒使用时也存在交互作用,愤怒挫折增强感觉寻求的风险作用,符合风险增强模型.因此,烟酒使用是气质与教养方式及气质间交互作用的产物.     

Personality disorders associated with substance use among American and Greek adolescents

A study was conducted to investigate the association between personality disorder (PD) symptomatology and substance use among adolescents in community settings in the United States and Greece. The Structured Clinical Interview for DSM-IV Personality Disorders and the Adolescent Health Behavior Survey were completed by 37 male and 84 female adolescents, ages 15 to 18, who were recruited from an adolescent medical clinic and schools in and near New York City (n = 71) and Heraklion, Greece (n = 50). Results indicated that: (1) adolescents with PDs reported more frequent alcohol consumption during the past year than did those without PDs; (2) adolescents with borderline PD reported more cigarette smoking and heavy alcohol consumption than did those without borderline PD; (3) adolescents with antisocial PD symptomatology reported greater alcohol, cigarette, and illicit drug use than did those without antisocial PD symptomatology; and (4) although more American (30%) than Greek (4%) adolescents reported illicit substance use, differences were not observed in the prevalence of alcohol use, cigarette use, or personality disorders as a function of nationality.     

Patterns of adolescent psychoactive substance use and abuse in Benin City, Nigeria

The pattern of use and abuse of psychoactive substances by Nigerian adolescents is investigated. Unlike previous epidemiological studies that used questionnaires to investigate university or postprimary school students, the present study used unobtrusive methods for data collection. The observed pattern of use was not different from that found in previous research. Adolescents tended to use the following drugs in decreasing order of frequency: alcohol, cigarettes, stimulants, cannabis (Indian hemp) and sedative-hypnotics. Polydrug use, especially of alcohol, stimulants, and cigarettes, is common. The use of hard drugs was not reported in this study. The implications of the findings can be appreciated only against the background of the known sequelae (psychological, physical, and socioeconomic) of psychoactive drug abuse. Finally, recommendations for controlling adolescent drug use are offered.     

Relationships Between Future Orientation, Impulsive Sensation Seeking, and Risk Behavior Among Adjudicated Adolescents

Because of high levels of risk behavior, adjudicated adolescents are at high risk for negative health outcomes such as nicotine and drug addiction and sexually transmitted diseases. The goal of this article is to examine relationships between future orientation and impulsive-sensation-seeking personality constructs to risk behaviors among 300 adjudicated adolescents. Significant relationships between impulsive sensation seeking and future orientation were found for several risk behaviors. Individuals with more positive future orientation were less likely to use marijuana, hard drugs, alcohol during sex, had fewer alcohol problems, had lower levels of alcohol frequency and quantity of use, and perceived greater risks associated with such behaviors. Higher impulsivity reliably predicted alcohol problems, alcohol use, condom use, and cigarette smoking.     

Pro-drug-use myths and competing constructs in the prediction of substance use among youth at continuation high schools: a one-year prospective study

Experimentation with drugs among adolescents often is preceded by faulty beliefs (myths) regarding drug effects. The present study provides empirical demonstration of the utility of a drug use myths index in the prediction of subsequent drug use in a prospective study of substance use among high-risk adolescents. Drug use was measured as an index of recent cigarette, alcohol and marijuana use. A belief-type drug use myths index was compared as a predictor of drug use with four other frequently researched correlates of drug use. The other measures were of social influence, outcome expectancies, attitudes toward wrongness of drug use and sensation seeking. The belief-type drug use myths, attitudes toward wrongness and sensation seeking indices were found to be significant predictors of drug use among our sample of 1074 youth when controlling for gender, ethnicity and prior drug use. These findings have implications for understanding factors contributing to individual differences in drug use behaviors and could benefit the development of drug education programs for high-risk individuals.     

Developmental patterns of African American and Caucasian adolescents' alcohol use

This study examined the developmental alcohol use trajectories of Caucasian and African American adolescents. Participants were 1,358 adolescents (77.6% Caucasian). Results suggest that not only do patterns of alcohol use differ for Caucasian and African American adolescents, but that there is substantial within group variation as well. Results suggest that using a within-groups developmental approach is one promising way to identify subgroups of adolescents at greatest risk for substance use.     

A Brief Alcohol Intervention During Inpatient Psychiatric Hospitalization for Suicidal Adolescents

Alcohol use and suicide-related thoughts and behaviors are common in psychiatrically hospitalized adolescents and each problem can exacerbate the other. Despite knowledge about the functional relationship between alcohol use and suicide-related thoughts and behaviors, inpatient psychiatric units only cursorily address alcohol use because suicide risk is considered primary. In this paper we provide theoretical and empirical rationale for the inclusion of brief motivational interventions for alcohol use in inpatient treatment settings for suicidal adolescents. We give a case example of the brief intervention in practice, including when and how to use specific techniques. Following the case example, we discuss the flexibility of this intervention and how it can be adapted for adolescents with varying risk profiles. We conclude with recommendations for future research, including the development and testing of technology-based boosters following hospital discharge.     

Religiosity and Adolescent Substance Use in Central Mexico: Exploring the Influence of Internal and External Religiosity on Cigarette and Alcohol Use

This study explores the multidimensional nature of religiosity on substance use among adolescents living in central Mexico. From a social capital perspective, this article investigates how external church attendance and internal religious importance interact to create differential pathways for adolescents, and how these pathways exert both risk and protective influences on Mexican youth. The data come from 506 self-identified Roman Catholic youth (ages 14–17) living in a semi-rural area in the central state of Guanajuato, Mexico, and attending alternative secondary schools. Findings indicate that adolescents who have higher church attendance coupled with higher religious importance have lower odds of using alcohol, while cigarette use is lower among adolescents who have lower church attendance and lower religious importance. Adolescents are most at risk using alcohol and cigarettes when church attendance is higher but religious importance is lower. In conclusion, incongruence between internal religious beliefs and external church attendance places Mexican youth at greater risk of alcohol and cigarette use. This study not only contributes to understandings of the impact of religiosity on substance use in Mexico, but highlights the importance of understanding religiosity as a multidimensional phenomenon which can lead to differential substance use patterns.     

The personality characteristics of adolescents who use and misuse alcohol

The relationship between alcohol use and misuse and personality was investigated using 347 high school students. Students were tested with a battery which included measures of alcohol involvement (AAIS) and personality (CPI). The results demonstrated that as adolescents increasingly became involved in alcohol, the more their personality characteristics differed from those adolescents not involved or minimally involved with alcohol. The implications are discussed in light of past theories of alcohol misuse in adolescence.