Trajectories of Concurrent Substance Use Disorders: A Developmental, Typological Approach to Comorbidity

Jackson, Kristina M.; Sher, Kenneth J.; Wood, Phillip K.

doi:10.1111/j.1530-0277.2000.tb02072.x

Cited by 109 publications

(53 citation statements)

References 87 publications

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“…Life‐time drinking histories showed that ALD and non‐ALD subjects had different drinking trajectories, with ALD exhibiting significant differences in both drinks per day and drinking days each week by their early 20s. Previous studies of drinking trajectories in young drinkers have identified up to six different patterns [18–22]. Data on levels of alcohol dependency essentially confirms the findings of a previous study from our unit [23], and those of an earlier study from the King's Liver Unit [24], that only a minority of patients with cirrhosis or progressive cirrhosis have evidence of severe alcohol dependency and many have no evidence of dependency at all—they are controlled heavy social drinkers.…”

Section: Resultssupporting

confidence: 83%

Drinking patterns, dependency and life‐time drinking history in alcohol‐related liver disease

et al. 2009

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Aims To examine the hypothesis that increases in UK liver deaths are a result of episodic or binge drinking as opposed to regular harmful drinking. Design A prospective survey of consecutive in-patients and out-patients. Setting The liver unit of a teaching hospital in the South of England. Participants A total of 234 consecutive in-patients and out-patients between October 2007 and March 2008. Measurements Face-to-face interviews, Alcohol Use Disorders Identification Test, 7-day drinking diary, Severity of Alcohol Dependence Questionnaire, Lifetime Drinking History and liver assessment. Findings Of the 234 subjects, 106 had alcohol as a major contributing factor (alcoholic liver disease: ALD), 80 of whom had evidence of cirrhosis or progressive fibrosis. Of these subjects, 57 (71%) drank on a daily basis; only 10 subjects (13%) drank on fewer than 4 days of the week-of these, five had stopped drinking recently and four had cut down. In ALD patients two life-time drinking patterns accounted for 82% of subjects, increasing from youth (51%), and a variable drinking pattern (31%). ALD patients had significantly more drinking days and units/ drinking day than non-ALD patients from the age of 20 years onwards. Conclusions Increases in UK liver deaths are a result of daily or near-daily heavy drinking, not episodic or binge drinking, and this regular drinking pattern is often discernable at an early age.

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Section: Resultssupporting

confidence: 83%

Drinking patterns, dependency and life‐time drinking history in alcohol‐related liver disease

et al. 2009

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“…Previous trajectory analysis with US samples has shown decrease in heavier and problematic drinking at about 21 years (Schulenberg et al . 1996; Jackson et al . 2000) but has also identified trajectories of increased binge drinking from ages 18–24 (Schulenberg et al .…”

Section: Discussionmentioning

confidence: 99%

Trajectories of drinking from 18 to 26 years: identification and prediction

Casswell¹,

Pledger²,

Pratap³

2002

Addiction

183

151

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“…Insofar research has focused on individual factors in explaining adolescents’ substance use, most studies have focused on early pubertal timing—mostly in girls (Richards and Oinonen 2011; Stattin et al 2011). Whereas the role of personality in alcohol, tobacco, and marijuana use has been well-established among already using groups (e.g., Chassin et al 2002; Colder et al 2002; Flory et al 2002; Jackson et al 2000; Loukas et al 2000; Otten et al 2008), relatively little research effort has gone into the examination of personality characteristics that might play a role in the onset of substance use in adolescence.…”

Section: Introductionmentioning

confidence: 99%

Do Substance Use Risk Personality Dimensions Predict the Onset of Substance Use in Early Adolescence? A Variable- and Person-Centered Approach

Malmberg

Kleinjan

Vermulst

et al. 2012

J Youth Adolescence

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Various studies found personality to be related to substance use, but little attention is paid to the role of personality risk dimensions with regard to an early onset of alcohol, tobacco, and marijuana use. Therefore, the current study used a variable-centered approach to examine whether anxiety sensitivity, hopelessness, sensation seeking, and impulsivity predict the onset of alcohol, tobacco, and marijuana use in early adolescence. Additionally, we adopted a person-centered approach to examine whether different personality subgroups could be identified, and whether these subgroups would be predictive of substance use. For that purpose, longitudinal data of a broader effectiveness study were used from 758 early adolescents (53 % female) aged 11–14 years. Structural equation models showed that hopelessness and sensation seeking were predictive of having ever used alcohol and tobacco. Also, sensation seeking was predictive of marijuana use. Latent profile analyses on the first wave data revealed a three-profile solution for boys (i.e., resilients, internalizers, and externalizers) and a two-profile solution for girls (i.e., resilients and internalizers). In contrast to our expectation, further analyses revealed no significant differences in substance use between the different subprofiles for both boys and girls. The separate personality dimensions thus seem more relevant in predicting the onset of substance use compared to the personality profiles. However, the personality profiles might be informative in explaining more excessive substance use behaviors.

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Trajectories of Concurrent Substance Use Disorders: A Developmental, Typological Approach to Comorbidity

Cited by 109 publications

References 87 publications

Drinking patterns, dependency and life‐time drinking history in alcohol‐related liver disease

Drinking patterns, dependency and life‐time drinking history in alcohol‐related liver disease

Trajectories of drinking from 18 to 26 years: identification and prediction

Do Substance Use Risk Personality Dimensions Predict the Onset of Substance Use in Early Adolescence? A Variable- and Person-Centered Approach

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