Origins and consequences of age at first drink. I. Associations with substance-use disorders, disinhibitory behavior and psychopathology, and P3 amplitude.
- Authors
- McGue, M; Iacono, W G; Legrand, L N; Malone, S; Elkins, I
- Year
- 2001
- Journal
- Alcoholism, clinical and experimental research
- PMID
- 11505047
BACKGROUND: Although an early age at first drink has been repeatedly associated with substantially elevated rates of alcoholism, the mechanisms underlying this association remain unclear. We investigated whether the association of age at first drink (AFD) with alcoholism was more consistent with the hypothesis that the former causes the latter or the hypothesis that both are manifestations of some common vulnerability. METHODS: We investigated whether substance use and mental health disorders, education, IQ, and personality were associated with AFD in a sample of 2670 adults; whether P3 amplitude was associated with AFD in a sample of 1127 17 year olds; and whether indicators of disinhibitory psychopathology assessed at age 11 predicted AFD by age 14 in a sample of 1343 adolescents. RESULTS: In adults, AFD was associated not only with alcohol dependence, but also with a broad array of indicators of disinhibitory behavior and psychopathology including nicotine dependence, illicit drug abuse and dependence, conduct disorder, antisocial personality disorder, underachievement in school, and the personality trait of constraint. In 17 year olds, AFD was also associated with reduced P3 amplitude, a well-documented psychophysiological marker of alcoholism risk. Finally, in the early-adolescence sample, measures of behavioral disinhibition, including oppositionality, hyperactivity/impulsivity, and inattentiveness assessed at age 11 predicted drinking onset by age 14. CONCLUSIONS: Our findings indicated that AFD is not specifically associated with alcoholism but rather is correlated with a broad range of indicators of disinhibited behavior and psychopathology. Moreover, individuals who first drink at a relatively early age manifest elevated rates of disinhibitory behavior and psychopathology before they first try alcohol. Taken together, these findings suggest that the association of AFD with alcoholism reflects, at least in part, a common underlying vulnerability to disinhibitory behavior. Whether an early AFD directly influences risk of adult alcoholism remains unclear.
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| Some thoughts about the epidemiology of alcohol and drug use among American Indian/Alaska Native populations. | Young RS et al. | β | 2009 | β |
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| Correspondence between secular changes in alcohol dependence and age of drinking onset among women in the United States. | Grucza RA et al. | β | 2008 | β |
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| Should personality traits be considered when refining substance misuse treatment programs? | Staiger PK et al. | β | 2007 | β |
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| The relationship of behavioural undercontrol to alcoholism in higher-functioning adults. | Schuckit MA et al. | β | 2006 | β |
| Using the brain P300 response to identify novel phenotypes reflecting genetic vulnerability for adolescent substance misuse. | Yoon HH et al. | β | 2006 | β |
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| Clinical features of depressed patients with or without a family history of alcoholism. | Sher L et al. | β | 2005 | β |
| Etiological contributions to heavy drinking from late adolescence to young adulthood. | King SM et al. | β | 2005 | β |
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| Relationship of age of first drink to child behavioral problems and family psychopathology. | Kuperman S et al. | β | 2005 | β |
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| Age at first drink relates to behavioral measures of impulsivity: the immediate and delayed memory tasks. | Dougherty DM et al. | β | 2004 | β |
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| Association of age at first drink with current alcohol drinking variables in a national general population sample. | York JL et al. | β | 2004 | β |
| Childhood externalizing and internalizing psychopathology in the prediction of early substance use. | King SM et al. | β | 2004 | β |
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| Effects of borderline personality disorder features and a family history of alcohol or drug dependence on P300 in adolescents. | Houston RJ et al. | β | 2004 | β |
| Effects of periadolescent versus adult cocaine exposure on cocaine conditioned place preference and motor sensitization in mice. | Schramm-Sapyta NL et al. | β | 2004 | β |
| Models of co-occurring substance misuse and psychosis: are personality traits the missing link? | Hides L et al. | β | 2004 | β |
| Reward drive and rash impulsiveness as dimensions of impulsivity: implications for substance misuse. | Dawe S et al. | β | 2004 | β |
| The natural history of adolescent alcohol use disorders. | Clark DB | β | 2004 | β |
| Longitudinal effects of age at onset and first drinking situations on problem drinking. | Warner LA et al. | β | 2003 | β |
| Substance use disorders, externalizing psychopathology, and P300 event-related potential amplitude. | Iacono WG et al. | β | 2003 | β |
| Classical twin studies and beyond. | Boomsma D et al. | β | 2002 | β |
| Cohort effects on gender differences in alcohol dependence. | Holdcraft LC et al. | β | 2002 | β |
| Drinks of the father: father's maximum number of drinks consumed predicts externalizing disorders, substance use, and substance use disorders in preadolescent and adolescent offspring. | Malone SM et al. | β | 2002 | β |
| Increase of rat alcohol drinking behavior depends on the age of drinking onset. | Yoshimoto K et al. | β | 2002 | β |
| Substance use disorder and personality disorder. | Sher KJ et al. | β | 2002 | β |
| Origins and consequences of age at first drink. II. Familial risk and heritability. | McGue M et al. | β | 2001 | β |