Longitudinal associations between childhood and adulthood externalizing and internalizing psychopathology and adolescent substance use

Miettunen, Jouko; Murray, Graham K.; Jones, Peter B.; Mäki, Pirjo; Ebeling, Hanna; Taanila, Anja; Joukamaa, Matti; Savolainen, Jukka; Törmänen, Sari; Järvelin, Marjo‐Riitta; Veijola, Juha; Moilanen, Irma

doi:10.1017/s0033291713002328

Cited by 127 publications

(127 citation statements)

References 37 publications

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“…By this time, 217 were deceased, emigrated, or had an unknown address. They also were invited to a clinical examination, during which youth filled in an additional questionnaire (76% participation rate) (Miettunen et al, 2015). Written informed consent was obtained from 92% of both parents and children.…”

Section: Methodsmentioning

confidence: 99%

Cumulative contextual risk at birth in relation to adolescent substance use, conduct problems, and risky sex: General and specific predictive associations in a Finnish birth cohort

Mason

January

Chmelka

et al. 2016

Addictive Behaviors

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Background Research indicates that risk factors cluster in the most vulnerable youth, increasing their susceptibility for adverse developmental outcomes. However, most studies of cumulative risk are cross-sectional or short-term longitudinal, and have been based on data from the United States or the United Kingdom. Using data from the Northern Finland Birth Cohort 1986 Study (NFBC1986), we examined cumulative contextual risk (CCR) at birth as a predictor of adolescent substance use and co-occurring conduct problems and risky sex to determine the degree to which CCR predicts specific outcomes over-and-above its effect on general problem behavior, while testing for moderation of associations by gender. Methods Analyses of survey data from 6963 participants of the NFBC1986 followed from the prenatal/birth period into adolescence were conducted using structural equation modeling. Results CCR had long-term positive associations with first-order substance use, conduct problems, and risky sex factors, and, in a separate analysis, with a second-order general problem behavior factor. Further analyses showed that there was a positive specific effect of CCR on risky sex, over-and-above general problem behavior, for girls only. Conclusions This study, conducted within the Finnish context, showed that CCR at birth had long-term general and specific predictive associations with substance use and co-occurring problem behaviors in adolescence; effects on risky sex were stronger for girls. Results are consistent with the hypothesis that early exposure to CCR can have lasting adverse consequences, suggesting the need for early identification and intervention efforts for vulnerable children.

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Section: Methodsmentioning

confidence: 99%

Cumulative contextual risk at birth in relation to adolescent substance use, conduct problems, and risky sex: General and specific predictive associations in a Finnish birth cohort

Mason

January

Chmelka

et al. 2016

Addictive Behaviors

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“…Moreover, epidemiological studies indicate a high concurrent prevalence of externalizing and internalizing mental health problems in adolescence (Miettunen et al, 2013;Birhanu, Bisetengn & Woldeyohannes, 2014;Liang & Chikritzhs, 2015). High comorbidity between substance use and other psychiatric disorders is reported in adults as well as adolescents (Goodman, 2010;Fergusson et al, 2013).…”

Section: Purposementioning

confidence: 99%

Risk and protective factors for alcohol use among school-going adolescents in Montevideo (Uruguay)

Fernandez

Daset

Vanderplasschen

et al. 2017

DAT

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Purpose: This study explores risk and protective factors for alcohol use among school-going adolescents in Montevideo (Uruguay).Design: A self-report survey was administered to 331 school-going adolescents in Montevideo (Uruguay) (M age = 13; SD = .05), using (i) the alcohol screening instrument of the Uruguayan National Drug Board to assess adolescents' alcohol use(yes/no), (ii) a screening instrument for psychopathology and resilience (the Adolescent Self Report), and (iii) a socio-demographic questionnaire.Findings: Logistic regression analyses identified antisocial behavior, substance use and negative emotionality (F2), disruptive and dysregulated behavior (F8), higher age and recent death of a close relative as risk factors, while the number of close friends was identified as a protective factor for past year alcohol use (yes/no). No straightforward relationship was found between schools and the risk for the past year alcohol use. In addition, Age, F2, F8, and recent death of a close relative appeared to be the most robust predictors. Research implications/limitations:The study was the first in Uruguay to relate adolescents' alcohol use to risk and protective factors. Given the cross-sectional nature of the study, causal relationships could not be determined. Originality/value:The study provides preliminary recommendations for policy makers and other stakeholders involved in youth affairs on core elements to focus on school-, community-and familybased alcohol prevention programs for adolescents.

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“…This is particularly important because distress and externalizing problems have been associated with risk-taking behaviors among youth. [64][65][66] Although mean externalizing scores did not differ by family history group, a higher percentage of 10-to 13-year-old BCFH+ girls met clinical cutoffs. It will be important to understand the mediators of psychosocial adjustment and the impact on health and risk behaviors over time.…”

Section: Discussionmentioning

confidence: 84%

Psychosocial Adjustment in School-age Girls With a Family History of Breast Cancer

2015

PEDIATRICS

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OBJECTIVE-Understanding how young girls respond to growing up with breast cancer family histories is critical given expansion of genetic testing and breast cancer messaging. We examined the impact of breast cancer family history on psychosocial adjustment and health behaviors among >800 girls in the multicenter LEGACY Girls Study.METHODS-Girls aged 6 to 13 years with a family history of breast cancer or familial BRCA1/2 mutation (BCFH+), peers without a family history (BCFH−), and their biological mothers completed assessments of psychosocial adjustment (maternal report for 6-to 13-year-olds, selfreport for 10-to 13-year-olds), breast cancer-specific distress, perceived risk of breast cancer, and health behaviors (10-to 13-year-olds).RESULTS-BCFH+ girls had better general psychosocial adjustment than BCFH− peers by maternal report. Psychosocial adjustment and health behaviors did not differ significantly by selfreport among 10-to 13-year-old girls. BCFH+ girls reported higher breast cancer-specific distress (P = .001) and were more likely to report themselves at increased breast cancer risk than BCFH− peers (38.4% vs 13.7%, P < .001), although many girls were unsure of their risk. In multivariable analyses, higher daughter anxiety was associated with higher maternal anxiety and poorer family communication. Higher daughter breast cancer-specific distress was associated with higher maternal breast cancer-specific distress.CONCLUSIONS-Although growing up in a family at risk for breast cancer does not negatively affect general psychosocial adjustment among preadolescent girls, those from breast cancer risk families experience greater breast cancer-specific distress. Interventions to address daughter and mother breast cancer concerns and responses to genetic or familial risk might improve psychosocial outcomes of teen daughters.Although studies have reported psychosocial adjustment in children of parents with cancer, few studies have evaluated outcomes in youth from families at familial or genetic risk for breast cancer. Understanding the impact of growing up in a family at risk for breast cancer is The LEGACY Girls Study is the first to focus on preadolescent girls growing up in families with breast cancer risk, including girls whose mothers have not had breast cancer. 39 This study addresses limitations of previous studies by being theoretically informed and including sociodemographically diverse girls, an unrelated comparison group, and both parent and child report. We applied a novel conceptual model 40 grounded in the Self-Regulation Theory of Health Behavior 41 and developmental theory. 34,37 Our model posits that response to a health threat, including psychosocial adjustment and the performance of health and risk behaviors, is a product of one's perceptions of the threat. [40][41][42] This model is ideal for the study of youths' maturation because it emphasizes "commonsense" representations, encompasses sociocultural factors, and is iterative and dynamic, providing a unique opportunity to examine chang...

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Longitudinal associations between childhood and adulthood externalizing and internalizing psychopathology and adolescent substance use

Cited by 127 publications

References 37 publications

Cumulative contextual risk at birth in relation to adolescent substance use, conduct problems, and risky sex: General and specific predictive associations in a Finnish birth cohort

Cumulative contextual risk at birth in relation to adolescent substance use, conduct problems, and risky sex: General and specific predictive associations in a Finnish birth cohort

Risk and protective factors for alcohol use among school-going adolescents in Montevideo (Uruguay)

Psychosocial Adjustment in School-age Girls With a Family History of Breast Cancer

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