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.     

A test of the relations between avoidance of panic-related situations and substance use, substance dependence, and depression among subclinical panickers

The hypotheses that among subclinical panickers, avoidance of panic-related situations would be associated with elevated substance use levels and increased likelihood of lifetime diagnoses of substance dependence and major depressive disorder (MDD) were tested. Findings confirmed that panic-related avoidance was associated with an elevated likelihood of lifetime diagnoses of nicotine and alcohol dependence as well as MDD, but not drug dependence. Panic avoidance was also related to relatively greater daily levels of cigarette and alcohol use.     

Personality traits and the development of nicotine, alcohol, and illicit drug disorders: prospective links from adolescence to young adulthood

The personality traits constraint (CN) and negative emotionality (NE) have been more (CN) or less (NE) consistently associated with alcoholism. The authors examined the association of personality at age 17 with timing of onset and with prospective prediction of nicotine, alcohol, and illicit drug disorders 3 years later in a twin sample (569 females; 432 males). Earlier onset of alcohol and drug disorders (by age 17) was related to significantly lower CN compared with later onsets (by age 20); high NE was related to either onset. NE, as well as CN, uniquely predicted new onsets of all 3 types of substance use disorders by follow-up, with preexisting substance disorders taken into account. Personality traits confer generalized risk for developing any substance disorder, though some traits are more strongly linked with some substance disorders than with others.     

Personality and performance-based measures in the prediction of alcohol use

Research has demonstrated a variable relationship between alcohol consumption and self-report personality measures of novelty seeking and harm avoidance. Research has also demonstrated a relationship between performance-based measures of risk taking and substance use. The current study compared the utility of personality measures and performance-based measures in the prediction of alcohol use. The authors hypothesized that the domains would contribute uniquely and would also interact in the prediction of alcohol consumption. Data on alcohol consumption were collected on a daily basis for 2 weeks. Performance-based measures included the Bechara Gambling Task and the Balloon Analogue Risk Task. The Tridimensional Personality Questionnaire was the primary personality measure. Results partially supported hypotheses, in that personality measures showed strong relationships with alcohol use and interacted with performance-based measures in predicting alcohol consumption. Thus, both behavioral and personality measures contributed to prediction of alcohol consumption, and performance-based measures played a moderating role. Results suggest that a combination of behavioral and self-report personality measures may be useful for those screening groups for risk factors for excessive alcohol consumption.     

A longitudinal analysis of personality structure and adolescent substance use

Within the context of a prospective longitudinal research design, the structure of personality and initial levels of drug use were used to predict, multivariately, later drug use among male and female adolescents. The findings indicated that personality and belief measures of nonconventionality provide a significant increment in the prediction of later drug use beyond a level achieved by knowing initial usage rates. In addition, other personality and belief measures yield further increments in the prediction of subsequent drug use. Developmentally, the results revealed a differentiation of drug use patterns across the year's time, with one pattern primarily reflecting alcohol use, and a second pattern primarily reflecting use of marijuana and ‘hard’ drugs. While both patterns were related to measures of nonconventionality, certain personality features distinguished between them. Emergent use of marijuana and ‘hard’ drugs was related to depression, mistrust and attractiveness, while emergent alcohol use was related to generosity, ambition, agility and cheerfulness. These results were cross-validated in two samples of subjects. Implications of the findings for adolescent psychosocial development are discussed.     

Psychiatric Disorders Associated with Substance Use Among Children and Adolescents: Findings from the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study

The relationships between specific quantities and frequencies of alcohol, cigarette, and illicit substance use and substance use (SUD) and other psychiatric disorders were investigated among 1,285 randomly selected children and adolescents, aged 9 to 18, and their parents, from the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study. Logistic regressions indicated that daily cigarette smoking, weekly alcohol consumption, and any illicit substance use in the past year were each independently associated with an elevated likelihood of diagnosis with SUD and other psychiatric disorders (anxiety, mood, or disruptive behavior disorders), controlling for sociodemographic characteristics (age, gender, ethnicity, family income). The associations between the use of specific substances and specific psychiatric disorders varied as a function of gender.     

Personality traits and alcohol consumption in a sample of non-alcoholic women

Many studies have shown the importance of personality traits as factors related to alcohol use and misuse. The relationship between personality traits and alcohol consumption was studied in a sample of 149 non-alcoholic women using the Karolinska Scales of Personality (KSP) and the Eysenck Personality Questionnaire-Revised (EPQ-R). The results showed positive correlations between alcohol consumption and disinhibitory personality traits (sensation seeking, impulsivity, psychopathy, nonconformity) and dimensions (psychoticism and extraversion). Sensation seeking combined with impulsivity were the strongest predictors of alcohol consumption. Anxiety-related traits and neuroticism were not related to alcohol frequency/amount of alcohol use.     

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.     

Personality and drug use: Reciprocal effects across four years

In this paper, the controversy regarding whether attitudes predict behaviour or vice versa, is extended to question the personality and behaviour relationship. The present study examined the reciprocal influence of personality on drug use and drug use on personality from late adolescence to young adulthood using a structural modeling approach. Participants (n = 654) in this longitudinal study completed questionnaires which assessed multiple indicators for latent constructs of alcohol, cannabis, and hard drug use and also for the personality constructs of conscientiousness, extraversion, self-esteem, and social conformity. A series of cross-lagged latent-variable structural models were used to examine the across-time relationships between each pair of drug use and personality constructs separately by sex. More evidence was found for an impact of early personality traits affecting later substance use, rather than for the reverse. Particularly strong effects were noted between early social conformity and less alcohol and hard drug use in young adulthood. Gender differences are also discussed.     

Concurrent Use of Cigarettes,Alcohol, and Coffee1

The interrelationships between cigarette, alcohol, and coffee use were examined in 307 U.S. army trainees and 304 U.S. enlisted army personnel. Usage patterns indicated distinct gender differences in this occupational setting. Among women, cigarette use and alcohol consumption were positively correlated; whereas for men, cigarette and coffee use were positively related. For both males and females, alcohol and coffee use were only weakly correlated. As demonstrated in other studies, nonsmokers showed a consistent pattern of abstention from coffee and alcohol or moderate alcohol use.     

Peer Victimization and Substance Use in Early Adolescence: Influences of Deviant Peer Affiliation and Parental Knowledge

Being the target of peer victimization contributes to alcohol and cigarette use during early adolescence. This 1-year longitudinal study extended the current literature by investigating the potential links between peer victimization and alcohol and cigarette initiation among a sample of 723 youths recruited from three middle schools in Southern China. We proposed a moderated mediation model to examine whether peer victimization is indirectly related to substance use via deviant peer affiliation, and whether the strength of this mediation is moderated by the level of parental knowledge for both genders. All participants self-reported using questionnaires to assess peer victimization, deviant peer affiliation, parental knowledge, and substance use. The results revealed that peer victimization was indirectly associated with increased alcohol use via deviant peer affiliation for both genders. However, deviant peer affiliation mediated the impact of peer victimization on trying cigarettes for only boys. Moreover, parental knowledge acted as a protective role for increases in alcohol use for girls, but not for boys. These findings highlight the potential role of deviant peer affiliation to explain the relationship between peer victimization and substance use, and provide important implications for addressing the adverse consequences of peer victimization.     

Childhood conduct problems,attention deficit behaviors,and adolescent alcohol,tobacco, and illicit drug use

The relationships between conduct problems and attention deficit behaviors at age 8 years and the use of alcohol, tobacco, and illicit drugs at 15 years were studied in a birth cohort of over 900 New Zealand children. The analysis showed that while early conduct problems were significantly associated with later substance use there were no significant associations between early attention deficit behaviors and later substance use once the correlations between conduct problems and attention deficit behaviors were taken into account. These associations persisted after control for a range of potentially confounding covariates. Children who showed tendencies to conduct problems at age 8 consumed 1.5 to 1.9 times more alcohol and had rates of alcohol-related problems, daily cigarette smoking, and illicit drug use that were 1.9 to 2.0 times higher than children with low conduct problem scores. It is concluded that attention deficit behaviors, in the absence of conduct problems, are not associated with later substance use. However, even when due allowance is made for social and contextual factors associated with both early conduct problems and later substance use, early conduct problems are a risk factor for later substance use.This research was funded by grants from the Health Research Council of New Zealand and the National Child Health Research foundation.     

Stress and coping in early adolescence: relationships to substance use in urban school samples

Measures of stress and coping were obtained from two cohorts of urban adolescents during the seventh- to eighth-grade period and were related to indices of cigarette smoking and alcohol use. Predictions were derived from a stress coping model of substance use. Stress was indexed by measures of subjective stress, recent events, and major life events; coping was assessed by behavior-based and intention-based methods. Concurrent and prospective analyses were consistent with predictions, indicating that stress was positively related to substance use, and four coping mechanisms (behavioral coping, cognitive coping, adult social support, and relaxation) were inversely related to substance use. Two types of predicted interactions, Stress X Coping and Positive X Negative Events, were found. Measures indexing peer support, distraction coping, and aggressive coping were positively related to substance use, independent of other predictors. Implications for substance use theory and prevention research are discussed.     

Trajectories of alcohol and drug use and dependence from adolescence to adulthood: the effects of familial alcoholism and personality

This study describes trajectories of substance use and dependence from adolescence to adulthood. Identified consumption groups include heavy drinking/heavy drug use, moderate drinking/experimental drug use, and light drinking/rare drug use. Dependence groups include alcohol only, drug only, and comorbid groups. The heavy drinking/heavy drug use group was at risk for alcohol and drug dependence and persistent dependence and showed more familial alcoholism, negative emotionality, and low constraint. The moderate drinking/experimental drug use group was at risk for alcohol dependence but not comorbid or persistent dependence and showed less negative emotionality and higher constraint. Familial alcoholism raised risk for alcohol and drug use and dependence in part because children from alcoholic families were more impulsive and lower in agreeableness.     

Measurement of Group Cohesion in U. S. Army Units

Two studies examined whether those identified as having a more present time perspective (PTP) are more likely to report using alcohol, drugs, and tobacco. In Study 1, across 2,627 participants from 15 samples, we found that PTP, as assessed by the Zimbardo Time Perspective Inventory, was related to more frequent self-reported alcohol, drug, and tobacco use (Substance Use scale: average r = .34, p <.001). Future time perspective (FTP) was negatively related to reported substance use (average r = -.16, p < .001), but the relation was weaker than that of PTP, suggesting that PTP and FTP are independent constructs. In Study 2, we found that PTP was a significant predictor of reported substance use even after controlling for many personality traits that have been related to increased substance use. These findings indicate that time perspective is an important individual difference construct that should be considered when examining health-related behaviors, such as substance use and abuse, and in planning intervention programs.     

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.     

Adolescent socialization and use of licit and illicit substances: Impact on adult health

Abstract

This study examined the impact of adolescent substance use on young adult health. Longitudinal data from 825 participants were assessed when the participants were junior high school and high school students (1969-1973) and again in 1981. Latent variable models were used to determine what effect adolescent drug use had on later health. General substance use, which included tobacco, alcohol, stimulants, sedatives, and other hard drugs, had a small effect on adult health problems associated with substance use, and also predicted accidents related to substance use. In addition, the specific use of tobacco and cannabis in adolescence predicted later respiratory problems, while cigarette smoking during adolescence also predicted decreased physical hardiness. Lower adolescent socialization predicted post high school accidents (automobile and other) serious enough to require medical attention, and predicted increased psychosomatic and seizure symptoms, as well as general psychiatric distress. Implications of these results for the successful prevention or intervention of drug use are discussed. In addition to these results, gender differences are also examined.     

Identification des facteurs liés à la consommation de cigarettes,d'alcool et de drogues à l'adolescence

The goal of this study was to identify protective and risk factors linked to substance use during adolescence. A sample of 1000 subjects participated in a four‐wave data collection. Results showed that precocious substance use is likely to be persistent. Moreover, school inadaptation, lack of parental supervision and positive self‐perception in relationships with peers have been identified as risk factors predictive of cigarette, alcohol and drug use. Protective factors were associated with high moral qualities and negative reaction to mother's use of cigarettes and alcohol. Findings are discussed in terms of developmental trajectories which might lead to substance use and abuse through adult life.     

Genetic influences on the association between personality risk factors and alcohol use and abuse

The authors assessed the association of 2 personality dimensions with use and abuse of alcohol in 1,320 twin pairs concordantly reporting nonabstinence at age 18.5 years. The 2 alcohol outcomes differentially relate to the 2 personality dimensions: Alcohol-related problems correlate more highly with social deviance than with excitement seeking (ES), and alcohol consumption correlates more highly with ES than with social deviance. Biometric models fit to the data identified similar patterns in genetic covariance, although differences were more evident in genetic correlations between social deviance and alcohol outcomes than in those for ES. Results suggest that genetic influences underlie the association of personality with alcohol use and subsequent problems and illustrate the utility of informative twin analyses in exploring links between genes, personality, and behavior disorder.     

Social influence processes affecting adolescent substance use

Social influence is central to models of adolescent substance use. Nonetheless, researchers fail to delineate the various forms of social influence. A framework that distinguishes between active (explicit drug offers) and passive (social modeling and overestimation of friends' use) social pressure was tested. The effect of these processes on alcohol and cigarette use was examined with 526 seventh graders taking part in an alcohol prevention program. Hierarchical regression analyses demonstrated that pretest measures of alcohol use, offers, modeling, and overestimation each accounted for unique variance in posttest alcohol use. Similar results were obtained for cigarette smoking. The general model was not significantly different for boys and girls, or for prior users and prior nonusers, supporting the generalizability of the framework. Implications for intervention programs are discussed.