The Double Bind of Siblings in Adolescent Substance Abuse Treatment

Caspi, Jonathan; Lardier, David T.; Barrios, Verónica R.

doi:10.1007/s10826-018-1068-6

Cited by 5 publications

(12 citation statements)

References 67 publications

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“…This article is intended solely for the personal use of the individual user and is not to be disseminated broadly. (Caspi et al, 2018;Godley et al, 2005;Turrisi & Ray, 2010). Consistent with Social Control Theory (Hirschi, 1969), parents buffer peer influence on substance use (Schofield et al, 2015).…”

Section: Additional Social Contexts Relevant To Youth Substance Usementioning

confidence: 83%

“…Although peer relationships grow in importance as youth age, families continue to serve critical socializing roles that can exacerbate or mitigate risk for substance use. Siblings serve as strong socializing agents that exert powerful influences on substance use behaviors (Caspi et al, 2018). Indeed, substance using siblings may have a stronger impact on use than friends or parents (Samek et al, 2015(Samek et al, , 2018Whiteman et al, 2016).…”

Section: Additional Social Contexts Relevant To Youth Substance Usementioning

confidence: 99%

“…Indeed, substance using siblings may have a stronger impact on use than friends or parents (Samek et al, 2015, 2018; Whiteman et al, 2016). As such, though often inherently difficult, practitioners may look to reduce contact with high-risk siblings (Caspi et al, 2018). In contrast, time spent with parents and non-using siblings is viewed as a critical protective factor (Caspi et al, 2018; Godley et al, 2005; Turrisi & Ray, 2010).…”

Section: Social Context and Substance Use Treatmentmentioning

confidence: 99%

“…As such, though often inherently difficult, practitioners may look to reduce contact with high-risk siblings (Caspi et al, 2018). In contrast, time spent with parents and non-using siblings is viewed as a critical protective factor (Caspi et al, 2018; Godley et al, 2005; Turrisi & Ray, 2010). Consistent with Social Control Theory (Hirschi, 1969), parents buffer peer influence on substance use (Schofield et al, 2015).…”

Section: Social Context and Substance Use Treatmentmentioning

confidence: 99%

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Day-level shifts in social contexts during youth cannabis use treatment.

Meisel

Carpenter

Padovano

et al. 2021

Journal of Consulting and Clinical Psychology

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Objective: Social context plays a critical role in youth cannabis use. Yet few studies have examined if and when social contexts shift during cannabis use treatment. This study examined daily shifts in youths' social contexts with the goal of characterizing how specific social contexts (e.g., time with cannabis-using friends or siblings) relate to cannabis craving and use during cannabis treatment. Method: Participants were 65 cannabis users (51% male), ages 15-24 years, who participated in a double-blind randomized clinical trial that tested the effects of motivational enhancement and cognitive behavioral therapies plus either adjunctive pharmacotherapy or placebo on cannabis craving and use. Ecological momentary assessment (EMA) data, collected from a pre-randomization period through the completion of the six-week intervention, assessed youths' social contexts, cannabis use, and craving. Results: Time-varying effects models identified shifts in social contexts during treatment. Overall, time spent with cannabis-using friends and siblings decreased, where time spent with non-using friends or alone increased across the trial. Time with parents or non-using siblings was unchanged. Comparing the relative associations of social contexts with same-day craving and use, more time with cannabis-using friends and with siblings was uniquely associated with greater craving and use. Conclusions: Social context is an important factor in youth substance-use treatment. While time spent with cannabis-using friends and siblings decreased over treatment for all participants, those who continued to spend time with using individuals reported greater craving and use. This research supports increased attention to shifting youths' social contexts to enhance treatment success. Public Health Significance StatementThis study highlights that youth undergoing treatment for cannabis misuse decrease their time with cannabis-using peers and increase their time with non-using peers over the course of treatment. Attention should be given to the time youth spend with cannabis-using peers and siblings during treatment as these social contexts are associated with higher levels of craving and cannabis use.

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Section: Additional Social Contexts Relevant To Youth Substance Usementioning

confidence: 83%

Section: Additional Social Contexts Relevant To Youth Substance Usementioning

confidence: 99%

Section: Social Context and Substance Use Treatmentmentioning

confidence: 99%

Section: Social Context and Substance Use Treatmentmentioning

confidence: 99%

See 2 more Smart Citations

Day-level shifts in social contexts during youth cannabis use treatment.

Meisel

Carpenter

Padovano

et al. 2021

Journal of Consulting and Clinical Psychology

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“…Although siblings are a main source of social influence during adolescence, few studies have considered how sibling substance use behaviors are related to risky sexual behaviors. This is a notable gap in the literature, considering a recent review of incorporating siblings into adolescent substance use treatment emphasized the need to understand sibling influence to determine how involved or removed a sibling should be in treatment (Caspi, Lardier, & Barrios, 2018). Thus, the goal of the present study was to examine the role of sibling use of separate substances (alcohol, cannabis) as well as days when siblings used both alcohol and cannabis ("co-use") on adolescent risky sexual behavior in a sample of treatment-seeking youth.…”

Section: Introductionmentioning

confidence: 99%

Adolescent sibling associations among alcohol, cannabis, and sexual risk behavior: A test of interdependence

Thomas¹,

Micalizzi²,

Meisel³

et al. 2021

Preprint

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Although siblings are conceptualized as a salient social influence during adolescence, few studies have examined how adolescent siblings influence each other’s substance use and risky sexual behavior. This study’s objective was to investigate the influence of alcohol use days, cannabis use days, and cannabis and alcohol co-use days on the sexual risk behavior of siblings while accounting for dyadic influence. At the baseline visit for a randomized controlled trial for adolescents referred due to parents’ concerns about their substance use (“referred adolescents”; n=99; Mage=15.95), we assessed alcohol and cannabis use days as well as sexual risk behavior of the referred adolescents and their sibling (Mage=15.03). We computed the number of days in the 30 days prior to the baseline that alcohol and cannabis use occurred on the same day. Using a cross-sectional actor partner interdependence model, we tested two models of how adolescents’ substance use is associated with their own (“actor effect”) and their siblings’ (“partner effect”) sexual risk behavior—one model for alcohol and cannabis use, and one model for co-use. Results indicated for referred adolescents and their siblings, within an individual, greater alcohol, cannabis, and co-use was significantly associated with sexual risk behavior (actor effects). Furthermore, more sibling co-use days were positively associated with referred adolescent sexual risk behavior (partner effect), representing interdependence. These findings confirm the influence siblings have on one another’s risky behavior in adolescence and have implications for prevention and intervention efforts for adolescent substance use.

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