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Externalising pathways to alcohol-related problems in emerging adulthood.
Gemma Hammerton1, Alexis C Edwards2, Liam Mahedy1
1Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Early conduct problems (CPs) are linked to significant alcohol issues in young adults, especially by age 18. These associations diminish over time, with pathways involving adolescent alcohol use and crime being key for persistent CPs.
Area of Science:
- Developmental Psychology
- Addiction Research
- Criminology
Background:
- Conduct problems (CPs) in childhood and adolescence are linked to later alcohol-related issues.
- Understanding developmental trajectories of CPs is crucial for predicting adult outcomes.
- Escalation of early CPs into criminal behavior and heavy alcohol use are potential pathways.
Purpose of the Study:
- To investigate the association between developmental trajectories of conduct problems (CPs) and alcohol-related problems in emerging adulthood.
- To examine the mediating roles of adolescent alcohol consumption and criminal behavior in this association.
- To analyze the long-term impact of different CPs onset types on alcohol-related problems.
Main Methods:
- Analysis of data from 3,038 participants in the Avon Longitudinal Study of Parents and Children (UK birth cohort).
- Categorization of participants based on conduct problem trajectories ('low', 'childhood-limited', 'adolescent-onset', 'early-onset persistent') from ages 4 to 13.
- Latent growth curve modeling to assess nonlinear changes in alcohol-related problems (ages 18-23) and mediation analysis for adolescent alcohol/criminal behavior (age 15).
Main Results:
- Both 'early-onset persistent' and 'adolescent-onset' CPs were associated with higher alcohol-related problems at age 18, but this association decreased after age 19.
- 'Early-onset persistent' CPs showed an indirect effect on 18-year-old alcohol problems via adolescent alcohol and criminal behavior.
- No significant indirect effect was found for 'adolescent-onset' CPs through these mediators.
Conclusions:
- Strong links exist between early CPs, adolescent substance use, criminal behavior, and alcohol problems at age 18.
- The association between early CPs and alcohol-related problems significantly weakens throughout emerging adulthood.
- 'Early-onset persistent' conduct problems represent a critical pathway to adolescent risk behaviors and subsequent alcohol problems.
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