The Effects of a Family Systems Intervention on Co‐Occurring Internalizing and Externalizing Behaviors of Children with Substance Abusing Mothers: A Latent Transition Analysis

Children of substance abusing parents are at heightened risk to develop problem behaviors, yet little is known about the co‐occurring patterns of internalizing and externalizing behaviors among this population. With 183 children (M age = 11.54 years, SD = 2.55, range 8–16) whose mothers were diagnosed with a substance use disorder, the current study identified subgroups/classes of children that were clinically distinct in their co‐occurring patterns of internalizing and externalizing behaviors, and examined how children in different clinical subgroups responded to a family systems intervention. Latent class analyses identified four classes of internalizing and externalizing behaviors: internalizing only, externalizing only, comorbid, and normative. Latent transition analyses showed that participation in family systems therapy resulted in an increased likelihood of transitioning from the externalizing class at baseline to the normative class at 18 months post‐baseline, and from the comorbid class at baseline to the internalizing class at 18 months post‐baseline as well. The findings support the effectiveness of family systems therapy in interrupting the stability of children's problem behaviors and improving children's behavioral outcomes.     

Deflected Pathways: Becoming Aggressive,Socially Withdrawn,or Prosocial With Peers During the Transition to Adolescence

Although research has suggested strong continuity in children's adaptive or maladaptive behavior with peers across the transition to adolescence, less is known about deflected developmental pathways of peer social competence across this transition. This study investigates how mother–child and best friend relationship quality predict the deflection of youth from adaptive to maladaptive behavior with peers or the reverse. Using data from the NICHD Study of Early Child Care and Youth Development (N = 1,055), high‐quality friendships were associated with changes in peer social competence from 3rd to 6th grade. More positive and fewer negative interactions with a friend were linked with becoming more prosocial with peers, whereas less positive interactions with a friend were linked to becoming aggressive or withdrawn.     

The Covariation of Antisocial Behavior and Substance Use in Adolescence: A Behavioral Genetic Perspective

Multivariate genetic studies have revealed genetic correlations between antisocial behavior (ASB) and substance use (SU). However, ASB is heterogeneous, and it remains unclear whether all forms are similarly related to SU. The present study examines links between cannabis use, alcohol consumption, and aggressive and delinquent forms of ASB using a behavioral genetic approach. Participants were 1,688 adolescents (482 monozygotic twins, 852 dizygotic twins, and 354 nontwin siblings) aged 15–23 years old (M = 16.91), sampled from the community in the U.K. Multivariate model fitting revealed that the genetic components of alcohol consumption and cannabis use correlated with those of both aggression (.21 and .49, respectively) and delinquency (.35 and .69, respectively). Results suggest that both aggression and delinquency have genetic effects in common with alcohol consumption and cannabis use.     

Delinquency,School Context,and Risk Factors in India,Australia, and the United States: Implications for Prevention

There is a dearth of research on delinquency, school context, and risk factors across developed and developing nations. Using representative samples and matched surveys, we examined delinquency among cohorts in Mumbai, India (N = 3,717); Victoria, Australia (N = 1,842); and Washington State (WA), United States (N = 1,828). We used multivariate Poisson hierarchical linear modeling. Risk factor and delinquency levels varied across sites. Delinquency clustered within certain schools, particularly in Mumbai. Community disorganization exhibited an association with delinquency as a school‐level context effect in Mumbai and Victoria. Peer delinquency, sensation seeking, and poor family management exhibited cross‐nationally consistent associations with delinquency. Programs that target schools, the clustering of problem behaviors, and cross‐nationally consistent risk factors should be considered internationally.     

Sexual Partners and Contraceptive Use: A 16‐Year Prospective Study Predicting Abstinence and Risk Behavior

Antecedents and correlates of sexual behavior among 167 (46% female) adolescents were examined in this multi‐informant longitudinal study. Data were collected at birth through middle adolescence. Data on number of sexual partners and contraception use at age 16 defined sexual abstinence (SAs, n=73), high‐risk sexual behavior (HRTs, n=45) and low‐risk sexual behavior (LRTs, n=49) groups. Moffitt's (1993) antisocial behavior taxonomy, problem behavior theory ( Jessor & Jessor, 1977 ), social control theory (Hierschi), and a biosocial model ( Udry, 1988 ) guided expectations of differential group prediction. Variables from each of three developmental periods (<age 12, ages 12–13, age 16) were significantly associated with sexual behavior groups. The most salient factors that differentiated LRTs from SAs were physical maturation at age 13 and romantic relationship progression and alcohol use at age 16. Romantic relationship progression and drug use at age 16 differentiated HRTs from SAs.     

Effects of Parental Monitoring and Peer Deviance on Substance Use and Delinquency

From socialization theory, it was hypothesized that parental support and monitoring as well as peer deviance would influence individual trajectories of alcohol misuse, other substance use, and delinquency. Six waves of data were analyzed using interviews with 506 adolescents in a general population sample. Results from multilevel modeling showed that monitoring significantly predicted adolescents’ initial levels (intercepts) of alcohol misuse and delinquency. Parental monitoring strongly predicted the rates of increase (slope) in all 3 problem behaviors. Peer deviance significantly predicted initial levels of all problem behaviors and the rates of increase in them. This study provides evidence that both effective parenting and avoidance of associations with delinquent peers are important factors in preventing adolescent problem behaviors.     

Adolescent Problem Behavior in Toronto,Canada

The purpose of this study was to evaluate the relative association of unique aspects of social capital at the level of families, schools, and neighborhoods on adolescent self‐reported violence, property crimes, and substance use. Data come from the 2006 Canadian International Youth Survey that asked adolescents between the ages of 12 and 15 in the metropolitan city of Toronto (N = 3, 101) about their problem behavior. Poisson regression models revealed that parental monitoring, school performance, peer approval of illegal activities, and neighborhood social disorder were consistently associated with all three adolescent problem behaviors, net of controls. Results were more mixed for remaining measures of social capital on adolescent problem behavior. Interestingly, neighborhood cohesion was a significant predictor of adolescent substance use, but operated in a direction that was contrary to the proposed hypotheses. These findings highlight the importance of teasing out how different facets of social capital in different environments are linked to adolescent problem behavior.     

Deviant Peer Behavior and Adolescent Delinquency: Protective Effects of Inhibitory Control,Planning, or Decision Making?

We examined relations between adolescent perceptions of deviant peer behavior and delinquency as moderated by inhibitory control, planning, and decision making in the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development at age 15 (N = 991). Adolescents reported perceptions of deviant peer behavior. Inhibitory control, planning, and decision making were assessed behaviorally. Delinquency was evaluated with a latent variable comprised of parent‐guardian perceptions of adolescent delinquency and adolescent self‐reports. Only inhibitory control moderated the relationship between deviant peer behavior and delinquency, showing that better inhibition protected against delinquency in contexts of high levels of adolescent perceptions of deviant peer behavior. Findings are discussed in the context of theories of adolescent delinquency and risk taking.     

The Influence of Substance Dependence and Mood Disorders on Outcome from Pathological Gambling: Five-Year Follow-Up

A prospective study of the role of comorbid substance abuse and dependence and mood disorders in the outcome from pathological gambling. A naturalistic sample of pathological gamblers who had recently quit gambling (N = 101) was followed and data were available for 83% of participants at 3 months, 80% at 12 months, and 52% at 5 years. Those participants with a drug diagnosis during their lifetime were less likely to have a minimum 3 month period of abstinence, and those who had been involved in gambling treatment were more likely to have a minimum 12 months of continuous abstinence. Lifetime gambling problem severity and involvement in gambling treatment were most commonly associated with a shorter time to achieving a period of abstinence of any length. Lifetime history of a mood disorder also predicted a longer time to reach a minimum 3 months of continuous abstinence. Both gambling treatment and an alcohol diagnosis follow up predicted an increase in the odds of experiencing a relapse from a minimum 6 month period of abstinence. Overall, comorbid mental health disorders are predictive of shorter term but not longer term outcome.     

Domain Specificity in Adolescents’ Concepts of Laws: Associations Among Beliefs and Behavior

Using detailed vignettes and scale measures, concepts of laws regulating domain‐specific issues and engagement in delinquency were assessed among 340 9th through 12th graders (M_age = 16.64, SD = 1.37). Adolescents distinguished between laws that regulate moral, drug‐related prudential, conventional, personal, and multifaceted issues in their criterion judgments and justifications. Youths’ ratings of the importance of laws, obligation to obey laws, and deserved punishment for breaking different laws also followed domain‐consistent patterns. Adolescents’ engagement in moral, drug‐related prudential, and multifaceted forms of delinquency was associated with less supportive judgments about laws within the same domain. Findings contribute to civic development research by demonstrating domain specificity in adolescents’ beliefs about laws and suggest that these beliefs are linked with engagement in similar types of delinquency.     

Perceived Community Cohesion and the Stress Process in Youth

Using survey data from two youth samples, one rural and one urban, we examine the role and significance of perceived community cohesion in the stress process. In particular, we assess the extent to which community attachment and detachment are related to depressed mood, problem substance use, and delinquency net of social statuses, stress exposure, and personal attributes. In addition, we explore the degree to which those dimensions of community cohesion explain or condition the links between the above stress‐process components (e.g., social statuses, stress exposure, and personal attributes) and well‐being. We find remarkably similar results across samples: community attachment is related to lower odds of problem substance use and delinquency; community detachment is related to higher levels of depressed mood, problem substance use, and delinquency; and community attachment buffers the link between stress and problem substance use. With respect to depressed mood, however, the rural youth show greater vulnerability to stress than the urban youth and unique benefits from community attachment compared to the latter. Our findings highlight the roles of community attachment and detachment in the stress process and underscore the importance of each for youth well‐being in rural and urban settings.     

Effects of Fathers on Adolescent Daughters’ Frequency of Substance Use and Risky Sexual Behavior

This research: (1) implements a genetically informed design to examine the effects of fathers’ presence–absence and quality of behavior during childhood/adolescence on daughters’ frequency of substance use during adolescence; and (2) tests substance use frequency as mediating the relation between paternal behavior and daughters’ sexual risk taking. Participants were 223 sister dyads from divorced/separated biological families. Sisters’ developmental exposure to socially deviant paternal behavior predicted their frequency of tobacco, alcohol, and cannabis (TAC) use. Older sisters who co‐resided with fathers who were more (vs. less) socially deviant reported more frequent TAC use during adolescence. More frequent TAC use predicted more risky sexual behavior for these daughters. No effects were found for younger sisters, who spent less time living with their fathers.     

Offending,Substance Use,and Cohabitation in Young Adulthood1

Over half of young adults have cohabited, but relatively little is known about the role delinquency and substance use play in youths’ odds of cohabiting as well as the implications of cohabitation for early adult offending and substance use. This study focuses on the reciprocal relationship between cohabitation during late adolescence and young adulthood and self‐reported offending and substance use. Using longitudinal data, we find that net of traditional predictors, delinquency involvement is associated with increased odds of cohabitation and cohabiting at younger ages while substance use is not related to cohabiting during early adulthood. Further analysis indicates that cohabitation is associated with lower reports of substance use. However, cohabitation is not associated with self‐reported offending. The results help unravel the connection between cohabitation experience, offending and substance use, and early adult outcomes.     

Observations of Adolescent Peer Group Interactions as a Function of Within‐ and Between‐Group Centrality Status

Observations of adolescent (n = 258; M age = 15.45) peer group triads (n = 86) were analyzed to identify conversation and interaction styles as a function of within‐group and between‐group centrality status. Group members' discussions about hypothetical dilemmas were coded for agreements, disagreements, commands, and opinions. Interactions during a hypothetical decision were rated for openness, dominance, aggression, and prosocial behavior. Hierarchical linear modeling revealed that higher within‐group status predicted more disagreements, commands, and less openness than lower within‐group status. Interactions showed that prosocial and aggressive behavior varied as a function of individual status in low‐status but not high‐status groups. Boys, but not girls, engaged in more openness in higher status groups. Results provide insights into peer socialization.     

Substance Use,the Social Bond,and Delinquency*

This research integrated elements from the drugs‐delinquency field with life course criminology to examine the reciprocal relationship between substance use and delinquency during adolescence. Data from three waves of the National Youth Survey were used to examine research hypotheses. Findings indicate that there were significant direct and indirect effects. There was evidence of stability in both behaviors, prior substance use predicted future substance use and prior delinquency predicted future delinquency. In addition, prior substance use predicted future delinquency and prior delinquency predicted future substance use. This was due, in part, to the significant indirect connections in the relationship between substance use and delinquency. It appears that substance use and delinquency weaken the social bond, which leads to continued substance use and delinquency.     

Examining the Psychosocial Functioning and Characteristics of Incarcerated Girls with a Substance Use Disorder

The purpose of this study was to identify the psychosocial characteristics of incarcerated girls with a substance use disorder. Profile analysis, the repeated measures extension of multivariate analysis of variance, was conducted to compare a state-based sample of incarcerated girls with (n = 140) and without (n = 63) a substance use disorder across multiple subscales of the Multidimensional Adolescent Assessment Scale. Girls with a substance use disorder had higher levels of problem severity. They were more likely to have problems related to alcohol use, drug use, aggression, and cognition. Incarcerated girls with a substance use disorder may benefit from intense interventions that focus on cognitive restructuring or cognitive recovery, and interventions that promote coping and stress management skills.     

Research: AA is better pathway to abstinence than psychotherapy

Alcoholics Anonymous (AA) is the best way to get to abstinence, according to a comprehensive literature review published last week in the Cochrane Database of Systematic Reviews. The study, “Alcoholics Anonymous and other 12‐step programs for alcohol use disorder” evaluates 35 studies and shows that AA was almost always more effective than psychotherapy in achieving alcohol abstinence, and that it was also less expensive. According to co‐author Keith Humphreys, Ph.D., professor of psychiatry and behavioral sciences at the Stanford University School of Medicine, the reason AA works is the social interaction. “If you want to change your behavior, find some other people who are trying to make the same change,” he said.     

Linking Self‐Regulation and Risk Proneness to Risky Sexual Behavior: Pathways through Peer Pressure and Early Substance Use

The linkages between self‐regulation in childhood, risk proneness in early adolescence, and risky sexual behavior in mid‐adolescence were examined in a cohort of children (N=518) from the National Longitudinal Survey of Youth. The possible mediating role of two early adolescent variables (substance use and negative peer pressure) was also examined. Self‐regulation was assessed by maternal report at ages 8–9, and risk proneness, comprising aspects of sensation seeking and decision making, was assessed by adolescent self‐report at ages 12–13. Structural equation models predicting risky sexual behavior at ages 16–17 indicated that self‐regulation operated partly through early adolescent substance use, whereas risk proneness operated through early adolescent substance use and negative peer pressure. The overall model did not differ significantly for boys and girls, although there were gender differences in the strength of particular paths. These long‐term longitudinal results support the importance of early self‐regulation and risk proneness in setting the stage for adolescent sexual risk taking and implicate substance use and negative peer pressure as processes through which risk proneness and poor self‐regulation lead to risky sexual behavior.     

Risk and protective factors for problem behaviors among youth in residential care

In accordance with problem behavior theory (PBT), the study examined the contribution of risk and protective factors among high-risk adolescents living in residential care settings (RCSs) to their delinquency, substance abuse, and risky sexual behavior, as well as the inter-correlations between these problem behaviors. The specific study variables were chosen to represent the personal and environmental factors operating on the adolescent. It was hypothesized that higher levels of problem behaviors would be associated with higher levels of sensation-seeking and deviant peer associations (risk factors), and lower levels of future orientation and parental support (protective factors).One hundred and forty seven adolescents (M = 16.03) from seven residential facilities for children with severe emotional and behavioral problems in Israel responded to structured self-report questionnaires.The powerful associations found between the abovementioned risk behaviors suggested a problem behavior syndrome among this group. The risk factors of sensation-seeking and deviant peer associations made the largest contribution to the prediction of problem behaviors beyond any background or protective factors examined. Of the protective factors, only future orientation was found to be significantly associated with problem behaviors: i.e., a more positive future orientation correlated with lower engagement in problem behaviors, an association that increased in strength with age.The apparent existence of a single behavioral syndrome among youth in RCSs and the central contribution to the syndrome of risk factors – in particular, deviant peer associations – points to the need for holistic group interventions addressing multiple risk factors.