An internalizing pathway to alcohol use and disorder.
paper
Cited
Public
- Authors
- Hussong, Andrea M; Jones, Deborah J; Stein, Gabriela L; Baucom, Donald H; Boeding, Sara
- Year
- 2011
- Journal
- Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
- PMID
- 21823762
- DOI
- 10.1037/a0024519
- PMCID
- PMC3178003
Research emanating from the field of developmental science indicates that initial risk factors for alcohol use and disorder can be evident in early childhood. One dominant developmental pathway connecting these initial risk factors with subsequent alcohol involvement focuses on the central role of disinhibited or externalizing behaviors. In the current paper, we delineate a second pathway that focuses on internalizing symptomatology. Several studies indicate that internalizing symptoms in early and middle childhood predict alcohol involvement in adolescence and young adulthood. We use a developmental psychopathology framework to describe a risk model that traces the potential developmental markers of this internalizing pathway and to consider the relation between the internalizing pathway and the more widely researched externalizing pathway. We outline the markers of risk in this pathway and conclude with a discussion of the implications of this model for prevention efforts and future research. In this manner, we strive for a translational goal, linking our existing understanding of internalizing processes and alcohol use and disorder with our efforts to develop effective prevention programs.
Internalizing Pathway to Negative Affect Substance Use Disorders
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| 9th graders local | cohort |
| academic performance | phenotype |
| adolescence disorder local | phenotype |
| adolescent alcohol use | phenotype |
| Adolescent Risk Factors local | phenotype |
| adolescents | cohort |
| adolescent substance use | phenotype |
| adulthood | cohort |
| Affect disturbance local | phenotype |
| affective disorders | phenotype |
| Affective processes local | phenotype |
| affect regulation | phenotype |
| aggression | phenotype |
| Aggressive boys local | cohort |
| alcohol | phenotype |
| alcoholic families | cohort |
| Alcoholic father local | cohort |
| Alcoholic parent local | cohort |
| Alcoholic parents without depression local | cohort |
| alcoholism | phenotype |
| alcohol-related problems | phenotype |
| Alcohol Use | phenotype |
| Alcohol Use Disorder | phenotype |
| alcohol use disorders | phenotype |
| Anger management local | phenotype |
| antisocial alcoholism | phenotype |
| antisocial personality disorder | phenotype |
| Antisocial SUD local | phenotype |
| anxiety | phenotype |
| Anxious mother local | phenotype |
| behavioral disinhibition | phenotype |
| behavioral inhibition | phenotype |
| childhood | cohort |
| children | cohort |
| Children exposed to parental mood disorders and SUDs local | cohort |
| children in families in the child welfare system local | cohort |
| children of alcoholic parents | phenotype |
| children of alcoholics | cohort |
| Children of non-alcoholic parents local | cohort |
| Children of Non-Alcoholic Parents local | cohort |
| chromosome 1 markers local | variant |
| Collaborative Study on the Genetics of Alcoholism (COGA) | cohort |
| community sample | cohort |
| conduct disorder | phenotype |
| coping motives | phenotype |
| coping motives for drinking | phenotype |
| coping motives for substance use local | phenotype |
| Coping Motives for Substance Use local | phenotype |
| Depressed mother local | phenotype |
| Depressed parents local | cohort |
| depression | phenotype |
| Depressive Alcoholism local | phenotype |
| Deviant peer affiliations local | phenotype |
| Deviant peer networks local | phenotype |
| deviant peers | phenotype |
| Difficult temperament | phenotype |
| Disruptive or impoverished contexts local | phenotype |
| drinking | phenotype |
| drinking alone local | phenotype |
| drinking motives | phenotype |
| drug dependence | phenotype |
| drugs | drug |
| early adulthood | cohort |
| early behavioral inhibition local | phenotype |
| Early Childhood local | phenotype |
| early substance use | phenotype |
| emotional and behavioral problems | phenotype |
| emotion regulation | phenotype |
| Expectancies local | phenotype |
| externalizing disorders | phenotype |
| externalizing model local | phenotype |
| Externalizing Model local | phenotype |
| externalizing pathway | phenotype |
| family history of alcoholism | phenotype |
| female alcoholism local | phenotype |
| Fetal Alcohol Effects/Syndrome local | phenotype |
| first grade boys local | cohort |
| generalized anxiety disorder | phenotype |
| High-risk youth local | cohort |
| High school students | cohort |
| Impaired parenting local | phenotype |
| infants | cohort |
| Inhibited temperament local | phenotype |
| internalizing disorders | phenotype |
| internalizing pathway | phenotype |
| Internalizing Pathway to Substance Use Disorders local | phenotype |
| internalizing pathway to SUDs local | phenotype |
| interpersonal skill deficits local | phenotype |
| interpersonal skills deficits local | phenotype |
| major depressive disorder | phenotype |
| male alcoholism local | phenotype |
| men | cohort |
| middle childhood | cohort |
| Moderate to Heavy Substance Use local | phenotype |
| mood disorders | phenotype |
| National Epidemiological Study of Alcohol and Related Conditions local | cohort |
| negative affect | phenotype |
| Negative Affect alcoholic parents local | cohort |
| Negative Affect Alcoholism local | phenotype |
| negative affect-related disorders local | phenotype |
| Negative Affect SUD local | phenotype |
| Negative Affect SUDs local | phenotype |
| negative alcohol expectancy local | phenotype |
| negative mood | phenotype |
| NESARC | cohort |
| Non-alcoholic parents local | cohort |
| Non-Children of Alcoholics local | cohort |
| other drugs | drug |
| Parent Alcoholism local | phenotype |
| Parent antisociality local | phenotype |
| Peer acceptance | phenotype |
| peer rejection | phenotype |
| peers | phenotype |
| Physiological stress response local | phenotype |
| Physiological vulnerability to stress local | phenotype |
| positive alcohol expectancies | phenotype |
| probands | cohort |
| rising 9th graders local | cohort |
| risk taking | phenotype |
| self‑defeating cognitive style local | phenotype |
| self‑medicate local | phenotype |
| self-medication local | phenotype |
| Self-medication local | phenotype |
| Self-Medication local | phenotype |
| self-regulation | phenotype |
| separation anxiety disorder | phenotype |
| severe drugs of abuse local | drug |
| social competence | phenotype |
| social functioning | phenotype |
| social reticence local | phenotype |
| social withdrawal | phenotype |
| substance abuse | phenotype |
| Substance-induced depression local | phenotype |
| substance use | phenotype |
| SUD | phenotype |
| temperament | phenotype |
| Tension reduction benefits local | phenotype |
| three-year-olds local | cohort |
| tobacco use | phenotype |
| toddlerhood local | cohort |
| toddlers | cohort |
| treatment samples | cohort |
| underage drinking | phenotype |
| withdrawal | phenotype |
| women | cohort |
| young adults | cohort |
| Younger Children Living with Alcoholic Parents local | cohort |
| young teens local | cohort |
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