Substance use progression from adolescence to early adulthood: effortful control in the context of friendship influence and early-onset use.
- Authors
- Piehler, Timothy F; Véronneau, Marie-Hélène; Dishion, Thomas J
- Year
- 2012
- Journal
- Journal of abnormal child psychology
- PMID
- 22527607
- DOI
- 10.1007/s10802-012-9626-7
- PMCID
- PMC3424390
In a sample of 998 ethnically diverse adolescents, a multiagent, multimethod approach to the measurement of adolescent effortful control, adolescent substance use, and friendship influence was used to predict escalations to early-adult tobacco, alcohol, and marijuana use by ages 22-23. Structural equation modeling revealed that adolescent substance use and friends' substance use tended to be highly correlated and together were robust predictors of a problematic pattern of usage for all substances in early adulthood. In addition, the adolescent effortful control construct directly predicted progressions to problematic use of tobacco and marijuana, but not for alcohol. In the alcohol model, effortful control interacted with the construct of substance use lifestyle (based on adolescent alcohol use and friends' substance use) when predicting problematic alcohol use in early adulthood. Results held when comparing across genders and across ethnic groups. These findings emphasize the importance of addressing adolescent self-regulation in interventions designed to treat and prevent early-adult substance abuse.
Prediction of problematic tobacco use by early adulthood. Standardized values are reported. All parameters are significant at p<0.001 except when otherwise specified. **p<0.01
Panel 1 Prediction of problematic alcohol use by early adulthood. Standardized values are reported. All parameters are significant at p<0.001 except when otherwise specified. ns = nonsignificant. Panel 2. The interaction between adolescent substance use lifestyle (including past use and peer exposure) and effortful control in predicting problematic alcohol use in early adulthood
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