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Preadolescent alcohol abuse and dependence.

R Famularo, K Stone, C Popper

    The American Journal of Psychiatry
    |October 1, 1985
    PubMed
    Summary
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    Early alcohol abuse in children, diagnosed by age 13, is linked to major affective disorders. Many children with bipolar disorder showed positive responses to psychotropic medications.

    Area of Science:

    • Child and Adolescent Psychiatry
    • Addiction Medicine
    • Genetic Psychiatry

    Background:

    • Early-onset alcohol use disorders (AUD) in children are increasingly recognized.
    • Family history of alcoholism and affective disorders, particularly bipolar disorder, is common in affected youth.
    • Understanding the developmental trajectory of AUD is crucial for early intervention.

    Observation:

    • Documented 10 pediatric cases meeting DSM-III criteria for alcohol abuse or dependence by age 13.
    • One case report highlighted a family history of affective disorder (especially bipolar disorder) and alcoholism.
    • Most children diagnosed with bipolar disorder demonstrated positive responses to psychotropic treatments.

    Findings:

    • A significant association exists between early-onset alcohol abuse and the subsequent development of major affective disorders in adolescence.

    Related Experiment Videos

  • The presence of familial affective disorders may predispose children to early-onset AUD.
  • Psychotropic medication appears effective for managing comorbid bipolar disorder in this population.
  • Implications:

    • Suggests a potential shared etiology or developmental pathway between early-onset AUD and adolescent-onset bipolar disorder.
    • Highlights the importance of screening for AUD in children with a family history of bipolar disorder.
    • Informs targeted interventions and treatment strategies for at-risk youth.