Early alcohol use and psychopathological symptoms in university students
- Carina Carbia 1
- Montserrat Corral 1
- Luis Miguel García-Moreno 2
- Fernando Cadaveira 1
- Francisco Caamaño-Isorna 1
- 1 Universidade de Santiago de Compostela (España)
- 2 Universidad Complutense de Madrid (España)
ISSN: 0214-9915
Year of publication: 2016
Volume: 28
Issue: 3
Pages: 247-252
Type: Article
More publications in: Psicothema
Abstract
Background: Adolescent brain may be particularly vulnerable to alcohol. Plus, psychopathological disorders tend to emerge in this period. Consequently, early alcohol use may increase the risk of psychopathological disorders, with time and sex-dependent effects. However, few studies have analyzed the relationship between alcohol consumption and adolescent psychopathology in the general population. The objective was to determine the association between age of onset of alcohol use and psychopathological symptoms in university students, separately for both sexes. Method: A cross-sectional study involving first-year university students (n = 3,696) was conducted. Symptoms were measured by the Symptom Checklist-R (SCL-90-R). The independent variable was age of first alcohol use. Dependent variables were the SCL-90-R dimensions, dichotomized. Alcohol consumption was considered a mediator variable. Data were analyzed separately for males and females. Results: The findings showed that a younger age of onset is a risk factor for the following global indexes: Global Severity Index, Positive Symptom Total for females, and Positive Symptom Distress Index, for males. Alcohol consumption showed a higher mediator effect for females than for males. Conclusion: Early age of alcohol use is associated with increased psychopathological symptomatology in both sexes during the college freshman year. The pattern of symptomatology is different in each sex.
Bibliographic References
- Armstrong, T. D., & Costello, E. J. (2002). Community studies on adolescent substance use, abuse, or dependence and psychiatric comorbidity. Journal of Consulting and Clinical Psychology, 70(6), 1224-1239.
- Bava, S., & Tapert, S. F. (2010). Adolescent brain development and the risk for alcohol and other drug problems. Neuropsychology Review, 20(4), 398-413.
- Blakemore, S. J., Burnett, S., & Dahl, R. E. (2010). The role of puberty in the developing adolescent brain. Human Brain Mapping, 31(6), 926-933.
- Blumenthal, H., Leen-Feldner, E. W., Badour, C. L., & Babson, K. A. (2011). Anxiety psychopathology and alcohol use among adolescents: A critical review of the empirical literature and recommendations for future research. Journal of Experimental Psychopathology, 2(3), 318-353.
- Casey, B. J., Jones, R. M., & Hare, T. a. (2008). The adolescent brain. Annals of the New York Academy of Sciences, 1124, 111-126.
- Chassin, L., Sher, K. J., Hussong, A., & Curran, P. (2013). The developmental psychopathology of alcohol use and alcohol disorders: Research achievements and future directions. Development and Psychopathology, 25, 1567-1584.
- Clark, D. B., & Bukstein, O. G. (1998). Psychopathology in adolescent alcohol abuse and dependence. Alcohol Health and Research World, 22(2), 117-121.
- Costello, E. J., Copeland, W., & Angold, A. (2011). Trends in psychopathology across the adolescent years: What changes when children become adolescents, and when adolescents become adults? Journal of Child Psychology and Psychiatry and Allied Disciplines, 52(10), 1015-1025.
- Couwenbergh, C., Van Den Brink, W., Zwart, K., Vreugdenhil, C., Van Wijngaarden-Cremers, P., & Van Der Gaag, R. J. (2006). Comorbid psychopathology in adolescents and young adults treated for substance use disorders: A review. European Child and Adolescent Psychiatry, 15(6), 319-328.
- Dawson, D. A., Goldstein, R. B., Chou, S. P., Ruan, W. J., & Grant, B. F. (2008). Age at first drink and the first incidence of adult-onset DSMIV alcohol use disorders. Alcoholism, Clinical and Experimental Research, 32(12), 2149-2160.
- Derogatis, L. R. (1983). SCL-90-R. Administration, scoring and procedures manual II for the revised version of the SCL-90-R. Baltimore: John Hopkins University Press.
- DeWit, D. J., Adlaf, E. M., Offord, D. R., & Ogborne, a C. (2000). Age at first alcohol use: A risk factor for the development of alcohol disorders. The American Journal of Psychiatry, 157(5), 745-750.
- Falk, D. E., Yi, H. Y., & Hilton, M. E. (2008). Age of onset and temporal sequencing of lifetime DSM-IV alcohol use disorders relative to comorbid mood and anxiety disorders. Drug and Alcohol Dependence, 94(1), 234-245.
- Geier, C. F. (2013). Adolescent cognitive control and reward processing: Implications for risk taking and substance use. Hormones and Behavior, 64(2), 333-342.
- Giedd, J. N., Clasen, L. S., Lenroot, R., Greenstein, D., Wallace, G. L., Ordaz, S., …, Chrousos, G. P. (2006). Puberty-related infl uences on brain development. Molecular and Cellular Endocrinology, 254-255, 154-162.
- Giedd, J. N., Keshavan, M., & Paus, T. (2008). Why do many psychiatric disorders emerge during adolescence? Nature Reviews. Neuroscience, 9(12), 947-957.
- Graber, J. A. (2013). Pubertal timing and the development of psychopathology in adolescence and beyond. Hormones and Behavior, 64(2), 262-269.
- González de Rivera, J. L. (2002). SCL-90-R. Cuestionario de 90 síntomas [Symptom Checklist 90]. Madrid: TEA.
- Hibell, B., Guttormsson, U., Ahlström, S., Balakireva, O., Bjarnason, T., Kokkevi, A., & Kraus, L. (2012). The 2011 ESPAD Report. Substance Use Among Students in, 36, 123-134.
- Hingson, R. W., Heeren, T., & Winter, M. R. (2006). Age at drinking onset and alcohol dependence: Age at onset, duration, and severity. Archives of Pediatrics & Adolescent Medicine, 160(7), 739-746.
- Jacobus, J., & Tapert, S. F. (2013). Neurotoxic effects of alcohol in adolescence. Annual Review of Clinical Psychology, 9, 703-721.
- Janssen, S. M., Chessa, A. G., & Murre, J. M. (2006). Memory for time: How people date events. Memory & Cognition, 34(1), 138-147.
- Kushner, M. G., Abrams, K., & Borchardt, C. (2000). The relationship between anxiety disorders and alcohol use disorders: A review of major perspectives and fi ndings. Clinical Psychology Review, 20(2), 149-171.
- Lenroot, R. K., & Giedd, J. N. (2010). Sex differences in the adolescent brain.Brain and Cognition, 72(1), 46-55.
- Marshall, E. J. (2014). Adolescent alcohol use: Risks and consequences. Alcohol and Alcoholism, 49(2), 160-164.
- O’Neil, K. A., Conner, B. T., & Kendall, P. C. (2011). Internalizing disorders and substance use disorders in youth: Comorbidity, risk, temporal order, and implications for intervention. Clinical Psychology Review, 31(1), 104-112.
- Sharrett-Field, L., Butler, T. R., Reynolds, A. R., Berry, J. N., & Prendergast, M. A. (2013). Sex differences in neuroadaptation to alcohol and withdrawal neurotoxicity. Pfl ugers Archiv European Journal of Physiology, 465(5), 643-654.
- Szklo, M., & Nieto, J. (2013). Epidemiology: Beyond the Basics (3th ed.). Boston, MA: Jones & Bartlett Publishers.
- Smith, A. R., Chein, J., & Steinberg, L. (2013). Impact of socio-emotional context, brain development, and pubertal maturation on adolescent risk-taking. Hormones and Behavior, 64(2), 323-332.
- Spear, L. P. (2013). Adolescent neurodevelopment. Journal of Adolescent Health, 52(2), S7-S13.
- Spear, L. P. (2015). Adolescent alcohol exposure: Are there separable vulnerable periods within adolescence? Physiology & Behavior, 148, 122-130.
- Storr, C. L., Pacek, L. R., & Martins, S. S. (2012). Substance use disorders and adolescent psychopathology. Public Health Reviews, 34(2), 442-484
- White, A., & Hingson, R. (2014). The burden of alcohol use: Excessive alcohol consumption and related consequences among college students.Alcohol Research : Current Reviews, 35(2), 201-218.
- Wicki, M., Kuntsche, E., & Gmel, G. (2010). Drinking at European universities? A review of students’ alcohol use. Addictive Behaviors, 35(11), 913-924.
- Yurgelun-Todd, D. (2007). Emotional and cognitive changes during adolescence. Current Opinion in Neurobiology, 17(2), 251-257.
- Zahn-Waxler, C., Shirtcliff, E. A., & Marceau, K. (2008). Disorders of childhood and adolescence: Gender and psychopathology. Annual Review of Clinical Psychology, 4, 275-303.