Psychological Dysregulation During Adolescence Mediates the Association of Parent-child Attachment in Childhood and Substance Use Disorder in Adulthood

Overview

Journal Am J Drug Alcohol Abuse

Publisher Informa Healthcare

Specialty Psychiatry

Date 2013 Dec 24

PMID 24359508

Citations 7

Authors

Zu Wei Zhai

Levent Kirisci

Ralph E Tarter

Ty A Ridenour

Affiliations

Soon will be listed here.

Abstract

Objective: This prospective study tested the hypothesis that psychological dysregulation in mid-adolescence (age 16) mediates the association between parent-child attachment in late childhood (age 10-12) and development of substance use disorder (SUD) in adulthood (age 22).

Method: The Youth Attachment to Parents Scale (YAPS) was developed in 10-12-year-old boys and girls (N = 694) at baseline residing in western Pennsylvania. Psychological dysregulation was measured by the neurobehavior disinhibition trait. Substance use was assessed at ages 10-12, 12-14, 16 and 19. SUD was diagnosed at age 22 using the Structured Clinical Interview for DSM Disorders. The mediation of parent-child attachment and SUD by neurobehavior disinhibition was tested separately for mothers and fathers while controlling for baseline substance use.

Results: Psychological dysregulation mediates the association between attachment to mothers and SUD, and partially mediates the association between attachment to fathers and SUD. Significant mediation effects remains after controlling for baseline substance use.

Conclusion: Optimal prevention of SUD should include ameliorating both psychological dysregulation predisposing to SUD and quality of the parent-child relationship.

Citing Articles

Substance use disorder is the outcome of deviant socialization: A prospective investigation spanning childhood to adulthood.

Reynolds M, Kirisci L, Zhai Z, Tarter R Pharmacol Biochem Behav. 2023; 227-228:173585.

PMID: 37308041 PMC: 10357486. DOI: 10.1016/j.pbb.2023.173585.

The Mediational Effect of Affect Dysregulation on the Association Between Attachment to Parents and Oppositional Defiant Disorder Symptoms in Adolescents.

Craig S, Sierra Hernandez C, Moretti M, Pepler D Child Psychiatry Hum Dev. 2020; 52(5):818-828.

PMID: 32959143 DOI: 10.1007/s10578-020-01059-5.

Attachment and Substance Use Disorders-Theoretical Models, Empirical Evidence, and Implications for Treatment.

Schindler A Front Psychiatry. 2019; 10:727.

PMID: 31681039 PMC: 6803532. DOI: 10.3389/fpsyt.2019.00727.

Family Dynamics May Influence an Individual's Substance Use Abstinence Self-Efficacy.

Ram D, Whipple C, Jason L J Addict Prev Med. 2017; 2(1).

PMID: 28868520 PMC: 5578465. DOI: 10.19104/japm.2016.106.

The Influence of Supervisory Neglect on Subtypes of Emerging Adult Substance Use After Controlling for Familial Factors, Relationship Status, and Individual Traits.

Snyder S, Merritt D Subst Abus. 2015; 36(4):507-14.

PMID: 25775372 PMC: 4861633. DOI: 10.1080/08897077.2014.997911.

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