Demographic predictors of treatment attendance among adolescent suicide attempters.

Examined 143 adolescent emergency room attendees referred for outpatient therapy after a suicide attempt. Consistent with previous reports, nonadherence was high. Over 40% of Ss had their cases terminated because of nonattendance: on average, however, Ss received almost 6 sessions of treatment and 91% attended at least 1 therapy session. Adolescents terminated from treatment for nonadherence were significantly older than those completing treatment. Younger male Ss were scheduled for significantly more therapy sessions than older male Ss and kept significantly more scheduled sessions than did older male and female Ss. Vigorous case-tracking procedures may have a significant impact on treatment attendance. Nevertheless, therapists must design strategies to increase treatment adherence among older adolescent, especially male, Ss. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Memory activation and expectancy as prospective predictors of alcohol and marijuana use.

This study examined whether indicators of drug-related memory associations predicted drug use prospectively. The predictive effects of outcome expectancies, sensation seeking, and other variables also were investigated. The results revealed that the memory association measures significantly predicted subsequent drug use. Outcome expectancies and sensation seeking predicted alcohol use, but not marijuana use. The findings suggest 2 possibly different aspects of cognition involved in drug use motivation: (a) a memory activation or implicit cognition component, representing the effects of memory associations that are prompted relatively spontaneously by the prevailing motivational and situational circumstances and (b) an outcome expectancy component, which is more likely to reflect explicit cognitions involved in introspection and deliberate decision-making processes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Use intensity, functional elaboration, and contextual constraint as facets of adolescent alcohol and marijuana use.

Used longitudinal data from 1,308 Ss to describe the situational variety of adolescent alcohol and marijuana use over the age period of 12–21 yrs. The relationships among 3 facets of use (intensity, functional elaboration, and lack of situational constraint of use) were examined. The 3 facets of use were found to increase simultaneously with increasing age and to be positively correlated with each other. Marijuana use was found to be situationally less constrained than alcohol use from the age of 15 yrs on. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Paternal determinants of male adolescent marijuana use.

Examined the interconnection of sets of paternal personality attributes, paternal socialization techniques, and adolescent personality factors with adolescent sons' use of marihuana. 246 male college students and their fathers participated in the study. Results of data from a battery of psychometric scales indicate that paternal personality attributes and socialization techniques were associated with the son's personality attributes, which in turn are related to his marihuana use. The findings provide evidence that paternal factors may either interact synergistically with or be mitigated by the son's personality attributes. (27 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality, social environment, and past behavior as predictors of late adolescent alcohol use

Personality, as measured by subscales of the Sensation Seeking Scale (Zuckerman, 1979), social environmental exposure to alcohol use measured by parental and peer alcohol use, and past alcohol use were examined as predictors of late adolescent alcohol use in a sample of 575 1st-year college students. Efficacious predictors, in order of importance, include peer alcohol use, disinhibition, and age of first intoxication. The results support the relative importance of peer networks over parental models in determining late adolescent alcohol use. Our combinatorial model of personality, social environment, and past behavior is one such model in a growing trend toward the use of interactional models for predicting behavior.     

Progressions of alcohol, cigarette, and marijuana use in adolescence

This study examined the progressive relations among adolescent use of alcohol, cigarettes and marijuana using latent growth curve analyses. Specifically, the present study examined three models to determine (1) the effect of prior cigarette use on alcohol use and development and the relationship between change in cigarette use and the development of alcohol use (N = 115), (2) the effect of prior alcohol use on cigarette use and development and the relationship between change in alcohol use and the development of cigarette use (N = 199); and (3) the effect of prior alcohol and cigarette use on marijuana use and development, and the relationship between change in alcohol use and cigarette use and the development, of marijuana use (N = 287). Support was found for the relation between prior levels of substance use and involvement in other substances. Cigarette use, in particular, was particularly important in the subsequent involvement of alcohol and marijuana.     

Driving after use of alcohol and marijuana in college students.

Driving after use of marijuana is almost as common as driving after use of alcohol in youth (P. M. O'Malley & L. D. Johnston, 2003). The authors compared college students' attitudes, normative beliefs and perceived negative consequences of driving after use of either alcohol or marijuana and tested these cognitive factors as risk factors for substance-related driving. Results indicated that youth perceived driving after marijuana use as more acceptable to peers and the negative consequences as less likely than driving after alcohol use, even after controlling for substance use. Results of zero-inflated Poisson regression analyses indicated that lower perceived dangerousness and greater perceived peer acceptance were associated with increased engagement in, and frequency of, driving after use of either substance. Lower perceived likelihood of negative consequences was associated with increased frequency for those who engage in substance-related driving. These results provide a basis for comparing how youth perceive driving after use of alcohol and marijuana, as well as similarities in the risk factors for driving after use of these substances. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family functioning and adolescent alcohol use disorders.

Adolescents with alcohol dependence or abuse (n?=?126) were compared with 124 adolescents with other (nondrug) mental disorders and with a control group of 94 adolescents with no mental disorders on dimensions of family functioning. General family functioning, mother–adolescent relationships, and parental monitoring and discipline practices were assessed by using both adolescent and mother reports. Although overall the groups differed significantly on all family variables, the relationships among groups differed for adolescent and mother reports. By mother reports, families of adolescents with alcohol use disorders functioned less well than did families of adolescents with other mental disorders, whereas by adolescent reports these groups were not significantly different. Examination of both adolescent and mother perspectives may be important in understanding the relationship between family functioning and adolescent alcohol use disorders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Memory association and ambiguous cues in models of alcohol and marijuana use.

In parallel models of memory and expectancy theory, memory associations between drug-related cues and drug use may have motivational implications. This study examined whether these types of memory associations can be considered both a product and a predictor of alcohol and marijuana use consistent with a motivational model of drug use memory association. Results from a diverse college sample indicated that participants' memory associations to ambiguous cues were significantly related to alcohol and marijuana use independent of a number of possible correlates of these variables (e.g., family history of alcohol use acculturation and friends' drug use). The analytical models showed that these relationships held whether memory association was analyzed as a predictor or as a product of drug use. The results were consistent with the view that memory association is related to drug use through a parallel memory process akin to R. C. Bolles's (1972) concept of expectancy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality and social factors in adolescent marijuana use: A path-analytic study.

Obtained measures of the following variables from 193 high school students: marihuana use, attitude toward marihuana use, the peer-acceptance and symbolic-protest function of marihuana use, sociopolitical outlook, and internal sensation seeking. Path analysis supported a model that assumes the following: (a) Only attitude affects use directly. (b) Both the peer-acceptance and symbolic-protest functions, as well as sociopolitical outlook and internal sensation seeking, influence attitude directly. (c) Sociopolitical outlook affects both functions directly. Support for the model came from very close correspondence between the observed and predicted correlations and the low, nonsignificant value of the overidentification test statistic. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attitudes and health behavior in diverse populations: Drunk driving, alcohol use, binge eating, marijuana use, and cigarette use.

Five different health behaviors (cigarette use, alcohol use, binge eating, illicit drug use, and drunk driving) were studied prospectively in 5 different groups of subjects. Associations between attitudes toward these behaviors and the behaviors themselves were investigated over at least 2 waves of measurement. Findings revealed that attitudes predicted behavior nonspuriously in 2 instances: alcohol use and marijuana use. Attitudes did not predict drunk driving, binge eating, or smoking behaviors. Past behavior predicted attitude in the domains of binge eating and smoking, but not in the domains of alcohol use, drunk driving, or marijuana use. The results are discussed in terms of several alternative approaches that have implications for interventions that attempt to influence health behavior through attitude change. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Young-adult malt liquor drinkers: Prediction of alcohol problems and marijuana use.

Malt liquor (ML) is a cheap, high alcohol content beverage that is marketed to appeal to young adults. Findings from the few published studies of ML use suggest that it may be associated with excessive drinking, alcohol problems, and the use of illicit drugs. The authors conducted separate hierarchical multiple regressions to examine the role of ML use and psychosocial variables (e.g., personality, ML motives) in alcohol-related problems and marijuana use. Demographic characteristics served as controls. The sample consisted of 639 (456 men, 183 women) young adults (M = 22.9 years, SD = 4.2) who regularly (≥40 oz/week) consumed ML. ML use significantly and positively predicted alcohol problems, ML-specific problems, and marijuana use, above and beyond their associations with typical alcohol use. Marijuana was the illicit drug of choice, and 46% reported concurrent use of marijuana and ML. Those who concurrently used ML and marijuana began drinking at a younger age and reported more substance use (particularly marijuana) and more alcohol-related problems than did nonconcurrent users. These results suggest that ML use may represent a risk for alcohol problems and marijuana use. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family and individual difference predictors of trait aspects of negative interpersonal behaviors during emerging adulthood.

A latent trait-state-occasion (TSO) model (D. A. Cole, N. C. Martin, & J. H. Steiger, 2005) was used to isolate the trait and state components of negative interpersonal behaviors toward a friend or romantic partner during emerging adulthood. Results indicate that variance in negative interpersonal behaviors was due to nearly equal portions of Trait and Occasion factors. Variability in the trait aspects of negative interpersonal behaviors was then predicted by theoretically relevant constructs. In particular, mothers' negative behaviors during adolescence, adolescent core self-evaluations, negative emotionality, and feelings of security in close relationships had independent effects in predicting the enduring aspects of negative interpersonal behaviors. All told, these results indicate that TSO models can be helpful tools for understanding the developmental antecedents of the trait-like aspects of interpersonal processes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Validating a five-factor marijuana motives measure: Relations with use, problems, and alcohol motives.

This study adapted and extended M. L. Cooper's (1994) Drinking Motives Measure to examine marijuana motives among 299 college students. An exploratory factor analysis supported the hypothesized 5-factor marijuana motives model, resulting in enhancement, conformity, expansion, coping, and social motives. Analyses supported the internal consistency and concurrent validity of the 5 marijuana motives. Marijuana motives were significant predictors of marijuana use and added to the prediction of use-related problems above and beyond the contribution of lifetime use. Motives and gender interacted in predicting use and use-related problems. Parallel regression analyses revealed that marijuana and alcohol motives predicted comparable amounts of variance in use and use-related problems. However, different patterns of relations emerged across drugs, supporting the discriminant validity of the marijuana and alcohol motives. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adult social behavioral effects of heavy adolescent marijuana use among African Americans.

The authors examined the effects of heavy adolescent marijuana use on employment, marriage, and family formation and tested both dropping out of high school and adult marijuana use as potential mediators of these associations among a community sample of African Americans followed longitudinally from age 6 to age 32-33. They used propensity score matching to reduce selection bias when estimating the effects of heavy adolescent marijuana use. Logistic regression results on the sample matched on sex, and early demographic and behavioral variables showed that adolescent marijuana use has adult social behavioral consequences: Use of marijuana 20 times or more during adolescence was associated with being unemployed and unmarried in young adulthood and having children outside of marriage for both males and females. Dropping out of high school and more frequent adult marijuana use seem to be important parts of the pathway from adolescent marijuana use to negative life outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Individuation, peers, and adolescent alcohol use: A latent growth analysis.

The study used latent growth modeling to investigate longitudinal relationships between individuation, peer alcohol use, and adolescent alcohol use among African American, Mexican American, and non-Hispanic White adolescents (N=6,048) from 7th, 8th, and 9th grades over a 3-year period. Initial levels of peer alcohol use were significantly related to changes in adolescents' alcohol use, whereas initial adolescent alcohol use also significantly related to changes in peers' alcohol use, suggesting a bidirectional relationship. Higher levels of intergenerational individuation were related to smaller increases in adolescent alcohol use and higher levels of separation were related to larger increases in youth drinking. The findings were similar across ethnic groups. Implications for development of prevention and intervention programs are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Drug testing, drug treatment, and marijuana use: A fairness perspective.

The authors conducted a random statewide telephone survey of 1,484 individuals to study the relationship between marijuana use (in terms of participants' history of marijuana use) and reactions to drug testing and to study 2 hypothetical drug-treatment policies. Job safety sensitivity was related to perceived fairness of drug testing for the participant's job, and more recent marijuana use was associated with more negative reactions. Safety sensitivity was related to perceived fairness of drug treatment. Organizations with voluntary treatment were more attractive than ones with monitored treatment. Marijuana use interacted with drug treatment policy type in predicting reactions to drug treatment. Results suggest that organizations should consider job and employee characteristics when developing a drug treatment policy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relation between adolescent alcohol use and peer alcohol use: A longitudinal random coefficients model.

Longitudinal latent growth models were used to examine the relation between changes in adolescent alcohol use and changes in peer alcohol use over a 3-year period in a community-based sample of 363 Hispanic and Caucasian adolescents. Both adolescent alcohol use and peer alcohol use were characterized by positive linear growth over time. Not only were changes in adolescent alcohol use closely related to changes in peer alcohol use, but the initial status on peer alcohol use was predictive of later increases in adolescent alcohol use and the initial status on adolescent alcohol use was predictive of later increases in peer alcohol use. These results are inconsistent with models positing solely unidirectional effects between adolescent alcohol use and peer alcohol use. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comparison of indirect assessments of association as predictors of marijuana use among at-risk adolescents.

In this study, the authors compared indirect measures that attempt to quantify the level of marijuana associations among adolescents. They also evaluated whether these various methods overlap or tap different aspects of associative processes that may act in concert to influence marijuana use. Automatic drug-relevant associations were assessed in 121 at-risk youth in continuation high schools in California with the use of a word association index and computer-based, reaction time measures (i.e., Implicit Association Test [IAT] and Extrinsic Affective Simon Task [EAST]). Measures of working memory capacity, sensation seeking, and explicit cognitions also were included in analyses as potential confounders. The word association index and the marijuana IAT excited D measure were significant predictors of marijuana use. The word association index accounted for more variance in marijuana use than did the IAT or EAST measures. Further, confirmatory factor analytic models of the indirect measures of marijuana use revealed a significant moderate correlation between the EAST Excitement and Word Association factors but no significant correlations between the Word Association and IAT factors. These findings suggest that there is some convergence among the different indirect measures, but these assessments also appear to tap different aspects of associative processes. The types of indirect measures evaluated in this work provide information about spontaneous cognitions related to substance use, capturing influences on behavior that are not evaluated with traditional explicit assessments of behavior. Findings from this work add to a growing body of research that implicates the importance of implicit associative processes in risk and health behaviors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)