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Processes linking adolescent problems to substance-use problems in late young adulthood.

Elizabeth J D'Amico1, Phyllis L Ellickson, Rebecca L Collins

  • 1RAND Corporation, 1776 Main St., P.O. Box 2138, Santa Monica, California 90407-2138, USA. elizabeth_d'amico@rand.org

Journal of Studies on Alcohol
|February 8, 2006
PubMed
Summary

Adolescent substance use and poor mental health can predict later substance use problems. Early young adult peer influences and drinking also play a role in continuing these patterns into adulthood.

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Area of Science:

  • Psychology
  • Addiction Research
  • Developmental Psychology

Background:

  • Adolescent problems can influence later substance use issues.
  • Understanding the pathways from adolescence to young adulthood is crucial for intervention.

Purpose of the Study:

  • To explore how adolescent problems link to later substance use problems.
  • To examine the roles of problematic substance use, adult role assumption, and social influences in early young adulthood.

Main Methods:

  • Longitudinal study with 1,986 participants surveyed at ages 18, 23, and 29.
  • Measured adolescent deviance, mental health, substance use, and school dropout at age 18.
  • Assessed alcohol and other drug (AOD) problems, role changes, and pro-drug social influences at age 23, and substance abuse/dependence at age 29.

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Main Results:

  • Higher adolescent deviance and drinking predicted increased likelihood of substance abuse and dependence at age 29.
  • Early young adult alcohol use and pro-drug social influences mediated adolescent substance use effects.
  • Poor adolescent mental health directly predicted substance dependence at age 29, independent of other factors.

Conclusions:

  • Early young adult peer influences and drinking are important in perpetuating adolescent substance use patterns.
  • Adolescent poor mental health has a significant long-term impact on developing substance use problems in late young adulthood.