Trajectories of childhood aggression and inattention/hyperactivity: Differential effects on substance abuse in adolescence

Jennifer M. Jester, Joel Nigg, Anne Buu, Leon I. Puttler, Jennifer M. Glass, Mary M. Heitzeg, Hiram E. Fitzgerald, Robert A. Zucker

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

Objective: Aggression and hyperactivity/inattention each are linked to risk of alcohol use disorder (AUD), but their unique contributions remain ambiguous. The present study disaggregated these two domains developmentally and examined the relation between childhood behavior trajectories and adolescent substance use. Method: A total of 335 children of alcoholic and nonalcoholic fathers were studied prospectively. Parallel process latent trajectory class analysis was developed with behavioral ratings by parents and teachers of aggression and inattention/hyperactivity across ages 7 to 16. Membership in the four latent classes was used as a predictor for problem adolescence alcohol use and substance onset. Results: Youths in the four latent trajectory classes differed in number of alcohol problems at age 16: healthy class (39% of sample, mean 2.1 alcohol-related problems), inattentive/hyperactive but not aggressive (33%; mean 2.7 problems), aggressive but not inattentive/hyperactive (4%, mean 5.0 problems), and comorbid (24%; mean 4.0 problems). Survival analysis revealed that the aggressive, comorbid, and inattentive/hyperactive classes had significantly earlier onsets of drinking, drunkenness, and marijuana use than the healthy class. Illicit drug use was also significantly increased in the comorbid, aggressive, and inattentive/hyperactive classes compared to the healthy class. Conclusions: Three levels of behavioral risk of substance abuse exist, the highest having trajectories of increased aggressive and inattentive/hyperactive problems throughout childhood, the next involving only an increased inattentive/hyperactive behavioral trajectory, and the lowest involving those with neither type of problem. Children with both inattention/hyperactivity and aggression have the greatest need for childhood intervention to prevent substance abuse in adolescence.

Original languageEnglish (US)
Pages (from-to)1158-1165
Number of pages8
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume47
Issue number10
DOIs
StatePublished - Oct 2008
Externally publishedYes

Fingerprint

Aggression
Substance-Related Disorders
Alcohols
Alcoholic Intoxication
Adolescent Behavior
Street Drugs
Cannabis
Survival Analysis
Fathers
Drinking
Parents

Keywords

  • Attention problems
  • Behavior trajectories
  • Externalizing behavior
  • Growth mixture modeling
  • Substance abuse

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Developmental and Educational Psychology

Cite this

Trajectories of childhood aggression and inattention/hyperactivity : Differential effects on substance abuse in adolescence. / Jester, Jennifer M.; Nigg, Joel; Buu, Anne; Puttler, Leon I.; Glass, Jennifer M.; Heitzeg, Mary M.; Fitzgerald, Hiram E.; Zucker, Robert A.

In: Journal of the American Academy of Child and Adolescent Psychiatry, Vol. 47, No. 10, 10.2008, p. 1158-1165.

Research output: Contribution to journalArticle

Jester, Jennifer M. ; Nigg, Joel ; Buu, Anne ; Puttler, Leon I. ; Glass, Jennifer M. ; Heitzeg, Mary M. ; Fitzgerald, Hiram E. ; Zucker, Robert A. / Trajectories of childhood aggression and inattention/hyperactivity : Differential effects on substance abuse in adolescence. In: Journal of the American Academy of Child and Adolescent Psychiatry. 2008 ; Vol. 47, No. 10. pp. 1158-1165.
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AU - Glass, Jennifer M.

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AB - Objective: Aggression and hyperactivity/inattention each are linked to risk of alcohol use disorder (AUD), but their unique contributions remain ambiguous. The present study disaggregated these two domains developmentally and examined the relation between childhood behavior trajectories and adolescent substance use. Method: A total of 335 children of alcoholic and nonalcoholic fathers were studied prospectively. Parallel process latent trajectory class analysis was developed with behavioral ratings by parents and teachers of aggression and inattention/hyperactivity across ages 7 to 16. Membership in the four latent classes was used as a predictor for problem adolescence alcohol use and substance onset. Results: Youths in the four latent trajectory classes differed in number of alcohol problems at age 16: healthy class (39% of sample, mean 2.1 alcohol-related problems), inattentive/hyperactive but not aggressive (33%; mean 2.7 problems), aggressive but not inattentive/hyperactive (4%, mean 5.0 problems), and comorbid (24%; mean 4.0 problems). Survival analysis revealed that the aggressive, comorbid, and inattentive/hyperactive classes had significantly earlier onsets of drinking, drunkenness, and marijuana use than the healthy class. Illicit drug use was also significantly increased in the comorbid, aggressive, and inattentive/hyperactive classes compared to the healthy class. Conclusions: Three levels of behavioral risk of substance abuse exist, the highest having trajectories of increased aggressive and inattentive/hyperactive problems throughout childhood, the next involving only an increased inattentive/hyperactive behavioral trajectory, and the lowest involving those with neither type of problem. Children with both inattention/hyperactivity and aggression have the greatest need for childhood intervention to prevent substance abuse in adolescence.

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KW - Growth mixture modeling

KW - Substance abuse

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