Childhood maltreatment, motives to drink and alcohol-related problems in young adulthood

Shin, Sunny H.; Jiskrova, Gabriela Ksinan; Yoon, Susan; Kobulsky, Julia M.

doi:10.1016/j.chiabu.2020.104657

Cited by 19 publications

(35 citation statements)

References 54 publications

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“…Findings support distress coping models (Grayson & Nolen-Hoeksema, 2005; Polusny & Follette, 1995) and highlight the role of negative in contrast to positive affect regulation in driving early adversity’s links with subsequent alcohol outcomes. The present study extends prior research on coping-motivated drinking after early adversity as derived from cross-sectional (Hogarth et al, 2019; Shin et al, 2020) and quasi-temporally ordered (Hannan et al, 2017; Mezquita et al, 2014; Park et al, 2019; Topper et al, 2011) designs. Results from the current adolescent sample also are concordant with additional longitudinal findings on coping-motivated drinking following a variety of stressors and traumatic experiences in adulthood (Hawn, Bountress, et al, 2020; Lindgren et al, 2012; Miller et al, 2017).…”

Section: Discussionsupporting

confidence: 69%

“…However, these events were experienced by a smaller portion of the sample (35% in our sample) relative to conflict events (78%), and their less frequent occurrence may have made it difficult to detect associations with coping motives. Findings from the current research suggest that even witnessing family disruptions can increase risk for coping-motivated problem drinking, in addition to directly experiencing abuse or neglect as demonstrated in past work (Hogarth et al, 2019; Mezquita et al, 2014; Park et al, 2019; Shin et al, 2020). Future research is needed to replicate these novel findings and continue to explore diverse early stressors that confer risk for coping-motivated drinking.…”

Section: Discussionmentioning

confidence: 75%

“…Childhood stressors and trauma have been linked with greater coping motives and alcohol outcomes from early to late adolescence (Hannan et al, 2017; Hogarth et al, 2019; Mezquita et al, 2014; Park et al, 2019; Shin et al, 2020; Topper et al, 2011). However, such research has relied on cross-sectional (Hogarth et al, 2019; Shin et al, 2020) or limited longitudinal designs in which coping motives and alcohol outcomes were assessed concurrently (Hannan et al, 2017; Mezquita et al, 2014; Park et al, 2019; Topper et al, 2011). Temporally ordered designs are needed to help distinguish whether high levels of coping motives are linked to increases in alcohol outcomes over time following adversity (i.e., mediation), or if coping motives instead arise concurrently with problem drinking that emerges after adversity due to other risk processes.…”

mentioning

confidence: 99%

“…Existing research is limited further in its assessment of early adversity, leaving several possibilities unexplored and many questions unanswered. First, extant literature on coping motives in adversity-related adolescent alcohol outcomes has assessed ACEs retrospectively (Hannan et al, 2017; Hogarth et al, 2019; Mezquita et al, 2014; Park et al, 2019; Shin et al, 2020). More proximal assessments of early life stressors could reduce recall bias and permit stronger conclusions about adversity’s persisting links with subsequent alcohol outcomes.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Coping-motivated escalations in adolescent alcohol problems following early adversity.

Zaso¹,

Read²,

Colder³

2023

Psychology of Addictive Behaviors

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Objective: The present study examined whether early stressful events precipitate drinking risks across adolescence and whether coping-motivated drinking mediates such relations. Method: Families comprised 387 adolescents (55% female, 83% White) recruited for a longitudinal study. Caregivers reported on adolescents' experience of potentially stressful events, including conflict (i.e., disruption of harmonious family relations) and separation (i.e., decreased contact with important persons) events, over the past year when adolescents were approximately 14 years of age. Adolescents reported on their drinking motives, alcohol use, and alcohol problems annually from 18 to 20 years of age. Growth curve models tested associations of stressful events with latent coping and enhancement/social drinking motives growth factors and subsequent alcohol outcomes. Results: Most adolescents experienced at least one potentially stressful event. Growth modeling suggested no change in coping motives, but increases in enhancement/social motives over time. Greater conflict events predicted higher frequency of drinking for coping reasons (i.e., coping intercept), which in turn predicted increases in alcohol problems as adolescents began transitioning into young adulthood. Conflict, separation, or total stressful events were not significantly associated with initial level or change in enhancement/social motives, suggesting specificity of mediation by coping-motivated drinking. Conclusions: Findings support enduring elevations in drinking risk over 6 years following disruptive family relations in early adolescence. Such risks appear to be driven by negative affect regulation mechanisms through coping-motivated drinking. Future work should assess generalizability of these findings across diverse samples and could test similar negative reinforcement mechanisms of drinking following exposure to clinically impairing traumatic experiences. Public Health Significance StatementThis study demonstrated that disruptive family relations in early adolescence are linked to greater motivation to drink to cope with negative affect up to 6 years later. Greater coping motives, in turn, were related to increases in alcohol problems over time, even when controlling for alcohol consumption.

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Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 75%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Coping-motivated escalations in adolescent alcohol problems following early adversity.

Zaso¹,

Read²,

Colder³

2023

Psychology of Addictive Behaviors

View full text Add to dashboard Cite

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“…While previous research has focussed on adult patients with PTSD and SUD who reported coping motives with regard to their substance use [ 17 ], or on adolescents without SUD or PTSD [ 28 ] little research has been conducted to directly explore the relationship between PTSD, substance use, and coping motives. In two studies with adult participants drawn from the general population, it has been shown that coping motives act as mediator in the relationship between TEs and problematic substance use [ 29 , 30 ]. In contrast, one study in adolescent SUD patients has shown that coping motives are increased in participants with co-occurring SUD and PTSD, instead of TEs alone [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

Coping motives mediate the relationship between PTSD and MDMA use in adolescents with substance use disorders

Basedow

Wiedmann

Roessner

et al. 2022

Addict Sci Clin Pract

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Background Post-traumatic stress disorder (PTSD) and substance use disorders (SUDs) often co-occur in adolescent patients. Previous research has shown that these patients differ from SUD patients without PTSD in terms of their substance use patterns. In this study, we aimed to test whether substance use in this population is related to an attempt to self-medicate PTSD-related symptoms. Methods German adolescent patients (aged 13–18 years) at an outpatient clinic for SUD treatment, n = 111 (43% female), completed a self-designed questionnaire on use motives, a measure of PTSD-related experiences, and underwent a standardized psychiatric interview including structured substance use questions. Participants were subsequently classified as ‘no traumatic experiences (‘noTEs’ but SUD), ‘traumatic experiences but no current PTSD diagnosis’ (‘TEs’ with SUD), and ‘PTSD’ with SUD. After establishing a self-designed motive measurement through exploratory and confirmatory factor analyses, we calculated non-parametric group differences and a mediation analysis in a linear regression framework. Results The past-year frequency of MDMA use was highest in the PTSD group and lowest in the noTE group (H (2) = 7.2, p = .027, η2 = .058), but no differences were found for frequencies of tobacco, alcohol, cannabis, or stimulant use (all H ≤ 4.9, p ≥ .085, η2 ≤ .033). While controlling for sex, the three groups showed a similar pattern (highest in the PTSD group and lowest in the noTE group) for coping scores (F (103) = 5.77, p = .004, η2 = .101). Finally, mediation analyses revealed an indirect effect of coping score (b = 0.61, 95% CI [0.29, 1.58], p = .145) on the association between group membership and MDMA use frequency. Conclusions In adolescent SUD patients, we found an association of current PTSD and lifetime traumatic experiences with higher MDMA use that could be partially explained by substance use being motivated by an attempt to cope with mental health symptoms. This indicates a coping process involved specifically in MDMA use compared to the use of other psychoactive substances, possibly due to unique psychoactive effects of MDMA.

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Early Life Adversity as a Risk Factor for Alcohol Use Disorder

Schwandt

2023

Alcohol and Alcohol-Related Diseases

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Childhood maltreatment, motives to drink and alcohol-related problems in young adulthood

Cited by 19 publications

References 54 publications

Coping-motivated escalations in adolescent alcohol problems following early adversity.

Coping-motivated escalations in adolescent alcohol problems following early adversity.

Coping motives mediate the relationship between PTSD and MDMA use in adolescents with substance use disorders

Early Life Adversity as a Risk Factor for Alcohol Use Disorder

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