The interaction between temperament and the family environment in adolescent substance use and externalizing behaviors : support for diathesis–stress or differential susceptibility?

Both individual and environmental factors predict externalizing behaviors and substance use (EB-SU); however, different patterns of interaction among these factors may have different implications. This review first examines how temperament and the family environment interact in the prediction of adolescent EB-SU. Second, studies are reviewed according to two theoretical models: (1) diathesis–stress, i.e., certain individual characteristics are linked to vulnerability and later problems in adverse environments; (2) differential susceptibility, i.e., these characteristics are linked to susceptibility, predicting problems in adverse environments, but also better than average outcomes in good environments. Fourteen studies focusing on the prediction of EB-SU at ages 12–18 were selected through a literature search. Results showed that certain temperament traits (high levels of impulsivity and disinhibition; low levels of effortful control, negative affect, fearfulness and shyness), hereby designated as “adventurous” disposition, were associated with higher levels of EB-SU in adverse family environments. Some studies also showed that children with “adventurous” temperament traits in positive environments had the lowest levels of EB-SU. This suggests that prevention of EB-SU might target family factors such as parenting and focus on children with “adventurous” temperament traits. Further, studies that supported the differential susceptibility model were those assessing temperament and the family environment in childhood and studies that supported the diathesis–stress model assessed these variables in adolescence. It is thus possible that some of these “adventurous” temperament traits, with regard to EB-SU, would be indicators of susceptibility to both enriched and adverse environments in childhood but no longer in adolescence, when they would only be indicators of vulnerability to adverse environments

Adolescent cannabis use, change in neurocognitive function, and High-School Graduation : a longitudinal study from early adolescence to young adulthood

The main objective of this prospective longitudinal study was to investigate bidirectional associations between adolescent cannabis use (CU) and neurocognitive performance in a community sample of 294 young men from ages 13 to 20 years. The results showed that in early adolescence, and prior to initiation to CU, poor short-term and working memory, but high verbal IQ, were associated with earlier age of onset of CU. In turn, age of CU onset and CU frequency across adolescence were associated with (a) specific neurocognitive decline in verbal IQ and executive function tasks tapping trial and error learning and reward processing by early adulthood and (b) lower rates of high-school graduation. The association between CU onset and change in neurocognitive function, however, was found to be accounted for by CU frequency. Whereas the link between CU frequency across adolescence and change in verbal IQ was explained (mediated) by high school graduation, the link between CU frequency and tasks tapping trial and error learning were independent from high school graduation, concurrent cannabis and other substance use, adolescent alcohol use, and externalizing behaviors. Findings support prevention efforts aimed at delaying onset and reducing frequency of CU

The effect of contextual risk factors on the effectiveness of brief personality‐targeted interventions for adolescent alcohol use and misuse : a cluster‐randomized trial

Background A range of school‐based prevention programs has been developed and used to prevent, delay, or reduce alcohol use among adolescents. Most of these programs have been evaluated at the community‐level impact. However, the effect of contextual risk factors has rarely been considered in the evaluation of these programs. The aim of this study was to investigate the potential moderating effects of 2 important contextual risk factors (i.e., socioeconomic status [SES] and peer victimization) on the effectiveness of the school‐based personality‐targeted interventions (Preventure program) in reducing adolescent alcohol use over a 2‐year period using a cluster‐randomized trial. Methods High‐risk adolescents were identified using personality scores on the Substance Use Risk Profile Scale and randomized to intervention and control groups. Two 90‐minute cognitive behavioral therapy‐based group sessions targeted 1 of 4 personality risk profiles: Anxiety Sensitivity, Hopelessness, Impulsivity, or Sensation Seeking. Multilevel linear modeling of alcohol use, binge drinking, and drinking‐related harm was conducted to assess the moderating effect of baseline peer victimization and SES. Results Results indicated that the Preventure program was equally beneficial to all adolescents, regardless of SES and victimization history, in terms of their alcohol outcomes and related harm. Receiving the intervention was additionally beneficial for adolescents reporting peer victimization regarding their alcohol‐related harm compared to nonvictimized youth (β = −0.29, SE = 0.11, p = 0.014). Conclusions Findings suggest that the content of personality‐targeted interventions is beneficial for all high‐risk youth regardless of their SES or experience of peer victimization. The current study suggests that using targeted approaches, such as targeting underlying personality risk factors, may be the most appropriate substance use prevention strategy for high‐risk youth, as it is beneficial for all high‐risk youth regardless of their contextual risk factors

Mechanisms of personality-targeted intervention effects on adolescent alcohol misuse, internalising and externalising symptoms

Objective: This study aims to explore the mechanisms of personality-targeted intervention effects on problematic drinking, internalising and externalising symptoms. Method: As part of a cluster-randomised trial, 1210 high-risk students (mean age 13.7 years) in 19 London high schools (42.6% white, 54% male) were identified using the Substance Use Risk Profile Scale. Intervention school participants were invited to participate in personality-matched interventions by trained school staff. MacKinnon’s products of coefficients method was used to compare three complementary mechanism hypotheses, namely, whether early changes in i) alcohol use, ii) internalising and externalising symptoms or iii) personality during the 6 months post-intervention accounted for intervention effects over 2 years. Results: Early intervention effects on drinking behaviours during the 6 months postintervention partially accounted for longer term intervention effects on the onset of binge drinking (95% CI -.349 to -.062) and drinking problems (95% CI -.206 to -.016) over 2 years. Intervention effects on anxiety symptoms and conduct problems were partially mediated by early reductions in depressive symptoms (95% CI -.013 to -.001; 95% CI - .047 to -.001), and intervention effects on internalising symptoms were also partially mediated by reductions in anxiety sensitivity (95% CI -.003 to 0). Conclusions: 2 year intervention effects on problematic drinking were largely accounted for by early changes in drinking behaviours, and were not mediated by changes in mental health symptoms or personality risk factors. Early improvements in mood and anxiety sensitivity partially mediated longer term reductions in mental health problems

The interactive effects of parental knowledge with impulsivity and sensation seeking in adolescent substance use

This study examined whether interactions of parental knowledge of adolescent’s whereabouts with impulsivity and sensation seeking in the prediction of adolescent substance use supported the diathesis–stress or differential susceptibility model in 230 15-year old adolescents (53% girls). Interactions between impulsivity and parental knowledge supported the diathesis–stress model with high impulsivity as a vulnerability factor: when impulsivity was higher, low levels of parental knowledge were associated with higher levels of substance use. Interactions between sensation seeking and parental knowledge supported differential susceptibility with low sensation seeking as a susceptibility factor; low parental knowledge was associated with higher substance use and high parental knowledge with lower substance use when sensation seeking was lower. Our results show that impulsivity and sensation seeking should be considered independently. Results support previous research suggesting that impulsivity in adolescence may act as a vulnerability factor and suggests that low sensation seeking may be a susceptibility factor

Modelling vocabulary development among multilingual children prior to and following the transition to school entry

Differences between monolingual and multilingual vocabulary development have been observed but few studies provide a longitudinal perspective on vocabulary development before and following school entry. This study compares vocabulary growth profiles of 106 multilingual children to 211 monolingual peers before and after school entry to examine whether: (1) school entry coincides with different rates of vocabulary growth compared to prior to school entry, (2) compared to monolingual peers, multilingual children show different vocabulary sizes or rates of vocabulary growth, (3) the age of onset of second-language acquisition for multilingual children is associated with vocabulary size or rate of vocabulary growth, and (4) the sociolinguistic context of the languages spoken by multilingual children is associated with vocabulary size or rate of vocabulary growth. Results showed increases in vocabulary size across time for all children, with a steeper increase prior to school entry. A significant difference between monolingual and multilingual children who speak a minority language was observed with regards to vocabulary size at school entry and vocabulary growth prior to school entry, but growth rate differences were no longer present following school entry. Taken together, results suggest that which languages children speak may matter more than being multilingual per se

Academic, socioeconomic and interpersonal consequences of cannabis use : a narrative review

This article reviews the literature on the association between cannabis use (CU) and psychosocial functioning, operationalized here as academic achievement, economic prospects, social relationships and quality of life. So far, study results have been inconsistent. To clarify whether CU has an impact on psychosocial functioning, this article mainly reviewed prospective and longitudinal studies published since 2000 and examined whether studies controlled for confounding factors (e.g. socio-demographics, other substance use, psychopathology, social environment). The review suggested that when confounding variables are controlled for, the association between CU and psychosocial outcomes is generally small or non-significant. When significant associations remain, they are for chronic, dependent or early onset CU specifically, suggesting that the frequency of use and age of onset may be necessary elements to detect persistent, however small, psychosocial consequences. These results illustrate the importance of controlling for intra- and inter-individual differences to examine the link between CU and later psychosocial functioning. Results also suggest that policy and prevention efforts should consider targeting the individual and environmental factors (e.g. early academic and cognitive functioning, social disadvantage, family functioning, personality, smoking) that account for much of the association between CU and later psychosocial problems, rather than, or in addition to, CU itself

The impact of youth internalising and externalising symptom severity on the effectiveness of brief personality-targeted interventions for substance misuse : a cluster randomised trial

Highlights : Personality-targeted interventions reduce binge drinking in high-risk youth ; Youth with high (vs. low) externalising symptoms benefitted more from the intervention ; Personality-targeted interventions may effectively treat dually diagnosed youth ; The presence of high internalising symptoms didn't moderate intervention effects

Age of cannabis use onset and adult drug abuse symptoms : a prospective study of common risk factors and indirect effects

Objective: The present study examined (1) whether the associations between cannabis use (CU) age of onset and drug abuse by 28 years remain when controlling for risk factors in childhood, adolescence and early adulthood; and (2) developmental pathways from early risk factors to drug abuse problems. Method: Participants from a longitudinal sample of low SES boys (N=1030) were followed from 6 to 28 years. Self-reported CU onset between 13 and 17 years of age and drug abuse symptoms by 28 years were examined. Results: The odds of developing any drug abuse symptoms by 28 years were reduced by 31% for each year of delayed CU onset (OR = 0.69). Cannabis, alcohol and other drug frequency at 17 years mediated this association. Still, even when taking that frequency of use into account, adolescents who started using cannabis before 15 years were at higher risk of developing drug abuse symptoms by age 28. Significant indirect effects were found from early adolescent delinquency and affiliation with deviant friends to drug abuse symptoms at 28 years through CU age of onset and substance use frequency at 17 years. Conclusions: Results suggest more clearly than before that prevention programs should aim at delaying CU onset in order to prevent or reduce drug abuse in adulthood. Furthermore, prevention programs targeting delinquency and/or affiliation with deviant friends in childhood or early adolescence could indirectly reduce substance abuse in adulthood without addressing substance use specifically

Differential susceptibility to environmental influences : Interactions between child temperament and parenting in adolescent alcohol use

Temperament and parental practices (PP) are important predictors of adolescent alcohol use (AU); however, less is known about how they combine to increase or decrease risk of AU. This study examined whether age 6 temperament (i.e., impulsivity and inhibitory control) interacted with age 6 coercive PP and/or age 14 parental monitoring to predict AU at 15 years among 209 adolescents. Results showed that low parental monitoring was associated with more frequent AU and that coercive PP interacted with impulsivity to predict AU. This interaction was examined as a function of two models that were not studied before in the prediction of AU: the diathesis-stress model (i.e., impulsive children are more "vulnerable" to adverse PP than those with an easy temperament); and the differential susceptibility model (i.e., impulsive children are also more likely to benefit from good PP). Results supported the differential susceptibility model by showing that impulsive children were not only at higher risk for AU when combined with high coercive PP but also benefit from the absence of coercive PP. This supports the suggestion that the conception of certain temperament characteristics, or in this case impulsivity, as a "vulnerability" for adolescent AU, may need revision because it misrepresents the malleability it may imply