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Predicting Genetic Risk for Impulsivity and Substance Use in Adolescence
Natasha E Wade1, Jonathan Ahern2, Veronica Szpak1
1Department of Psychiatry, University of California, San Diego, CA, USA.
Medrxiv : the Preprint Server for Health Sciences
|April 29, 2025
Summary
Genetic risk scores (polygenic scores or PGSs) predict adolescent substance use and impulsivity. Caffeine consumption may be an early indicator of later problematic substance use, highlighting the need for diverse genetic studies.
Area of Science:
- Behavioral Genetics
- Adolescent Development
- Substance Use Research
Background:
- Understanding genetic factors in adolescent substance initiation is key for early identification and prevention.
- Adolescence is a critical period for brain development and the onset of substance experimentation.
Purpose of the Study:
- To assess polygenic scores (PGSs) for predicting impulsivity and self-reported substance use in early-to-mid adolescence.
- To examine how these genetic associations change across different age bands (9-15 years) and ancestral groups.
Main Methods:
- Utilized polygenic scores (PGSs) from the PGS catalog for substance use-related traits.
- Analyzed data from the Adolescent Brain Cognitive Development (ABCD) Study (N=8,753) across age bands (9-10, 11-13, 13-15).
- Conducted ancestry-stratified analyses (European-like, African-like, Mixed-like) due to known ancestry biases in genetic discovery samples.
Main Results:
- In European-like individuals, nicotine/tobacco PGSs correlated with higher impulsivity across all UPPS-P subscales and ages.
- Associations between PGSs and impulsivity varied with age, with some increasing and others decreasing over time.
- Nicotine/tobacco PGSs predicted caffeine consumption, and at ages 13-15, predicted cannabis and tobacco use.
- Energy drink consumption associations with nicotine/tobacco and alcohol PGSs increased with age.
- Replication in African-like and Mixed-like groups showed attenuated effects, emphasizing the need for diverse genetic cohorts.
Conclusions:
- Genetic predisposition, impulsivity, and substance initiation show dynamic interplay throughout adolescence.
- Caffeine consumption may serve as an early risk factor for later problematic substance use.
- Polygenic scores, combined with comprehensive phenotypic data, can aid in identifying individuals for targeted prevention efforts.
- Ancestral diversity in genetic studies is crucial for robust and generalizable findings.
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