The Impact of Polygenic Risk, Parental Separation, and Parental Relationship Discord on Heavy Episodic Drinking Across Adolescence and Young Adulthood in a High-Risk Sample.
- Authors
- Kuo, Sally I-Chun; McCutcheon, Vivia V; Bucholz, Kathleen K; Dick, Danielle M; Aliev, Fazil; Meyers, Jacquelyn L; Brislin, Sarah J; Chan, Grace; Edenberg, Howard J; Kamarajan, Chella; Kramer, John; Kuperman, Samuel; Lai, Dongbing; Plawecki, Martin H; Sartor, Carolyn E; Schuckit, Marc A; Salvatore, Jessica E
- Year
- 2025
- Journal
- JAACAP open
- PMID
- 41367971
- DOI
- 10.1016/j.jaacop.2025.06.001
- PMCID
- PMC12684652
OBJECTIVE: Parental separation and relationship discord are linked to alcohol use behaviors, but their influence on the longitudinal course of alcohol misuse and interactions with genetic predisposition remain unclear. This study examined how the longitudinal course of heavy episodic drinking (HED) from adolescence to young adulthood varies with polygenic risk, parental separation, and relationship discord. METHOD: Participants were from the Collaborative Study on the Genetics of Alcoholism (COGA) Prospective Sample, and included individuals from 2 genetically inferred continental groups: European-like (EA; n = 1761) and African-like (AA; n = 894) who were reassessed biennially (mean age = 16.39 at first assessment; mean assessments = 4.65). Alcohol misuse was indexed by past-year HED frequency. Predictors included parental separation, parental relationship discord, and problematic alcohol use polygenic scores (PGS). Data were analyzed using linear mixed-effects growth models. RESULTS: HED increased through young adulthood before declining. In European Americans (EA), parental separation was associated with HED intercepts, but not with linear slope or quadratic curvature. Higher PGS was associated with a faster initial growth and slower decline. In African American (AA), parental relationship discord was not associated with HED intercepts but was associated with a faster initial growth and slower decline. PGS were not associated the intercept or the course of HED. No interaction was found between PGS and parental separation or discord to predict the longitudinal course of HED in either EA or AA samples. CONCLUSION: Genetic risk and exposure to parental separation and discord are associated with the course of HED, with some differences across continental groups.
Mean Frequency of Heavy Episodic Drinking Across Age for Female Participants (Red) and Male Participants (Blue) Quadratic Fitted Function, Separately for European American (EA) and African American (AA) Groups
LLM interpretation
This figure consists of two line graphs showing quadratic fitted functions for the mean frequency of heavy episodic drinking across age for European American (EA) and African American (AA) groups. The y-axis represents the mean frequency of drinking, and the x-axis represents age. In both groups, males (blue line) exhibit a higher peak frequency of drinking than females (red line), with both sexes showing an inverted U-shaped trend that peaks in the mid-to-late 20s.
| Name | Type |
|---|---|
| 1000 Genomes Project | cohort |
| AA | cohort |
| AA sample | cohort |
| adolescent heavy drinking local | phenotype |
| adolescent participants | cohort |
| adolescents | cohort |
| African American | cohort |
| African American (AA) Sample local | cohort |
| African-like group local | cohort |
| African-Like Sample local | cohort |
| Age at first assessment | phenotype |
| age at initiation of regular drinking local | phenotype |
| Age at initiation of regular drinking local | phenotype |
| age at last assessment | phenotype |
| alcohol | phenotype |
| Alcohol Initiation | phenotype |
| alcohol-related behaviors | phenotype |
| Alcohol Use Disorder | phenotype |
| AUD | phenotype |
| baseline assessment | cohort |
| Black females | cohort |
| change over time local | phenotype |
| children’s adjustment local | phenotype |
| Collaborative Study on the Genetics of Alcoholism (COGA) | cohort |
| discrimination | phenotype |
| EA | cohort |
| EA participants | cohort |
| early initiation | phenotype |
| EA sample | cohort |
| European American (EA) Sample local | cohort |
| European ancestry | cohort |
| European-like group local | cohort |
| familial dysfunction local | phenotype |
| Familial dysfunction local | phenotype |
| familial stressors local | phenotype |
| Familial stressors local | phenotype |
| family conflict | phenotype |
| frequency of HED local | phenotype |
| heavy drinking | phenotype |
| HED | phenotype |
| High-risk longitudinal sample local | cohort |
| high-risk sample | cohort |
| High-risk sample enriched for familial risk of alcohol use disorder local | cohort |
| Household chaos local | phenotype |
| initial status local | phenotype |
| Number of assessments local | phenotype |
| offspring | cohort |
| parental alcoholism | phenotype |
| parental divorce/separation | phenotype |
| parental education | phenotype |
| parental relationship discord | phenotype |
| Parental separation and discord local | phenotype |
| parenting | phenotype |
| participants | cohort |
| PGSPAU local | phenotype |
| PGSPAU local | variant |
| Polygenic predisposition for problematic alcohol use local | variant |
| polygenic risk score | cohort |
| problematic alcohol use | phenotype |
| Problematic Alcohol Use Polygenic Score local | drug |
| Problematic Alcohol Use Polygenic Score (PGSPAU) local | phenotype |
| problematic alcohol use polygenic scores local | phenotype |
| PRS-CS | drug |
| self-identified race local | phenotype |
| Semi-Structured Assessment for the Genetics of Alcoholism (SSAGA) Interview local | cohort |
| sex | phenotype |
| Sex, female local | phenotype |
| single-parent household local | phenotype |
| Single-parent households local | phenotype |
| systemic stressors local | phenotype |
| White girls local | cohort |
| young adults | cohort |
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External
| Title | Authors | Journal | Year | Link |
|---|---|---|---|---|
| The 10-year stability of three subscale scores of the Self-Report of the Effects of Alcohol measure and their relationship to changes in drinking quantities over the same period. | Schuckit MA et al. | — | 2026 | → |