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At-Risk Depressive Symptoms and Alcohol Use Trajectories in Adolescence: A Person-Centred Analysis of Co-Occurrence

Journal of Youth and Adolescence volume 44, pages 793–805 (2015)Cite this article

Abstract

Long-term longitudinal studies that examine whether there are distinct trajectories of at-risk depressive symptoms and alcohol use across the high school years (e.g., high co-occurrence) are rare in normative samples of adolescent boys and girls; yet, this assessment is of critical importance for developing effective prevention and intervention strategies. Moreover, the role of self-regulation and novelty-seeking behavior in differentiating among distinct subgroups of adolescents is not clear. To address these gaps, the present study sought to identify subgroups of adolescent boys and girls that indicated at-risk trajectories across the high school years for both depressive symptoms and alcohol use, and examined the role of delay of gratification and novelty seeking at baseline in differentiating among the subgroups. Canadian adolescents (N = 4,412; 49 % female) were surveyed at four time points (grades 9, 10, 11, and 12). Parallel process latent class growth analyses revealed four distinct subgroups for both boys and girls, encompassing high co-occurrence, depressive symptoms only, alcohol use only, and low co-occurrence. Across gender, delay of gratification at baseline differentiated among the four subgroups, with the High Co-Occurrence Group group scoring the lowest and the Low Co-Occurrence Group the highest. Lower novelty-seeking scores at baseline were associated more with being in the Depressive Symptoms Only Group relative to the other groups, particularly the Alcohol Use Only Group for boys. Thus, delay of gratification and novelty seeking may be useful in identifying youth at risk for co-occurring depressive symptoms and alcohol use trajectories, as well as at-risk trajectories for only one of these behaviors.

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References

  • Adlaf, E. M., Ivis, F. J., & Smart, R. G. (1997). Ontario student drug use survey, 1977–1997. Toronto, Ontario: Addiction Research Foundation.

    Google Scholar 

  • Block, J., & Block, J. H. (1980). The role of ego-control and ego-resiliency in the organization of behavior. In W. A. Collins (Ed.), Development of cognition, affect, and social relations: The Minnesota symposia on child psychology. NJ: Erlbaum.

    Google Scholar 

  • Block, J. H., & Kremen, A. M. (1996). IQ and ego-resiliency: Conceptual and empirical connections and separateness. Journal of Personality and Social Psychology, 70, 349–361. doi:10.1037/0022-3514.70.2.349.

    Article  PubMed  Google Scholar 

  • Chen, K., Sheth, A., Elliott, D., & Yeager, A. (2004). Prevalence and correlates of past-year substance use, abuse, and dependence in a suburban community sample of high-school students. Addictive Behaviors, 29, 413–423. doi:10.1016/j.addbeh.2003.08.013.

    Article  PubMed  Google Scholar 

  • Chen, R., & Simons-Morton, B. (2009). Concurrent changes in conduct problems and depressive symptoms in early adolescents: A developmental person-centered approach. Development and Psychopathology, 21, 285–307. doi:10.1017/S0954579409000169.

    Article  PubMed Central  PubMed  Google Scholar 

  • Cranford, J. A., Nolen-Hoeksema, S., & Zucker, R. A. (2011). Alcohol involvement as a function of co-occurring alcohol use disorders and major depressive episode: Evidence from the National Epidemiological Survey on Alcohol and Related Conditions. Drug and Alcohol Dependence, 117, 145–151. doi:10.1016/j.drugalcdep.2011.01.011.

    Article  PubMed Central  PubMed  Google Scholar 

  • Crews, F. T., Braun, C. J., Hoplight, B., Switzer, R. C., & Knapp, D. J. (2000). Binge ethanol consumption causes differential brain damage in young adolescent rats compared with adult rats. Alcoholism, Clinical and Experimental Research, 24, 1712–1723. doi:10.1111/j.1530-0277.2000.tb01973.x.

    Article  PubMed  Google Scholar 

  • Duncan, T. E., Duncan, S. C., Strycker, L. A., Li, F., & Alpert, A. (2006). An introduction to latent variable growth curve modeling: Concepts, issues, and applications (2nd ed.). NJ: Erlbaum.

    Google Scholar 

  • Eaton, W. W., Muntaner, C., Ybarra, M., Smith, C. B., & Tien, A. Y. (2004). Revision of the Center for Epidemiologic Studies Depression (CESD) scale. In M. Maruish (Ed.), The use of psychological testing for treatment planning and outcomes assessment. NJ: Erlbaum.

    Google Scholar 

  • Eisenberg, N., Cumberland, A., Spinrad, T. L., Fabes, R. A., Shephard, S. A., Reiser, M., et al. (2001). The relations of regulation and emotionality to children’s externalizing and internalizing problem behavior. Child Development, 72, 1112–1134. doi:10.1111/1467-8624.00337.

    Article  PubMed  Google Scholar 

  • Eisenberg, N., Edwards, A., Spinrad, T. L., Sallquist, J., Eggum, N. D., & Reiser, M. (2013). Are effortful and reactive control unique constructs in youth children? Developmental Psychology, 49, 2082–2094. doi:10.1037/a0031745.

    Article  PubMed  Google Scholar 

  • Ernst, M., Luckenbaugh, D. A., Moolchan, E. T., Leff, M. K., Allen, R., Eshel, N., et al. (2006). Behavioral predictors of substance-use initiation in adolescence with and without attention deficity/hyperactivity disorder. Pediatrics, 117, 2030–2039. doi:10.1542/peds.2005-0704.

    Article  PubMed  Google Scholar 

  • Fergusson, D. B., Boden, J. M., & Horwood, L. J. (2009). Tests of causal links between alcohol use or dependence and major depression. Archives of General Psychiatry, 66, 260–266. doi:10.1001/archgenpsychiatry.2008.543.

    Article  PubMed  Google Scholar 

  • Fleming, C. B., Mason, W. A., Mazza, J. J., Abbott, R. D., & Catalano, R. F. (2008). Latent growth modeling of the relationship between depressive symptoms and substance use during adolescence. Psychology of Addictive Behaviors, 22, 186–197. doi:10.1037/0893-164X.22.2.186.

    Article  PubMed  Google Scholar 

  • Forbes, E. E., Hariri, A. R., Martin, S. L., Silk, J. S., Moyles, D. L., Fisher, P. M., et al. (2009). Altered striatal activation predicting real-world positive affect in adolescent major depressive disorder. American Journal of Psychiatry, 166, 64–73. doi:10.1176/appi.ajp.2008.07081336.

    Article  PubMed Central  PubMed  Google Scholar 

  • Harden, K. P., & Tucker-Drob, E. M. (2011). Individual differences in the development of sensation seeking and impulsivity during adolescence: Further evidence for a dual systems model. Developmental Psychology, 47, 739–746. doi:10.1037/a0023279.

    Article  PubMed  Google Scholar 

  • Hooshmand, S., Willoughby, T., & Good, M. (2012). Does the direction of effects in the association between depressive symptoms and health-risk behaviors differ by behavior? A longitudinal study across the high school years. Journal of Adolescent Health, 50, 140–147. doi:10.1016/j.jadohealth.2011.05.016.

    Article  PubMed  Google Scholar 

  • Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. doi:10.1080/10705519909540118.

    Article  Google Scholar 

  • Huckle, T., You, R. Q., & Casswell, S. (2010). Socio-economic status predicts drinking patterns but not alcohol-related consequences independently. Addiction, 105, 1192–1202. doi:10.1111/j.1360-0443.2010.02931.x.

    Article  PubMed  Google Scholar 

  • Hyde, J. S., & Petersen, J. L. (2009). A longitudinal investigation of peer sexual harassment victimization in adolescence. Journal of Adolescence, 32, 1173–1188. doi:10.1016/j.adolescence.2009.01.011.

    Article  PubMed  Google Scholar 

  • Jung, T., & Wickrama, K. (2008). An introduction to latent class growth analysis and growth mixture modeling. Social and Personality Psychology Compass, 2, 302–317. doi:10.1111/j.1751-9004.2007.00054.x.

    Article  Google Scholar 

  • Kandel, D. B., & Davies, M. (1982). Epidemiology of depressive mood in adolescents: An empirical study. Archives of General Psychiatry, 39, 1205–1212.

    Article  PubMed  Google Scholar 

  • Kim, S. Y., & Ge, X. (2000). Parenting and adolescent depressive symptoms in Chinese American families. Journal of Family Psychology, 14, 420–435. doi:10.1037/0893-3200.14.3.420.

    Article  PubMed  Google Scholar 

  • Lewinsohn, P. M., Hops, H., Roberts, R. E., Seeley, J. R., & Andrews, J. A. (1993). Adolescent psychopathology: I. Prevalence of incidence of depression and other DSM -III -R disorders in high school students. Journal of Abnormal Psychology, 102, 133–144.

    Article  PubMed  Google Scholar 

  • Lewinsohn, P. M., Pettit, G. S., Joiner, J., Thomas, E., & Seeley, J. R. (2003). The symptomatic expression of major depressive disorder in adolescents and young adults. Journal of Abnormal Psychology, 112, 244–252. doi:10.1037/0021-843X.112.2.244.

    Article  PubMed  Google Scholar 

  • Locke, T. F., & Newcomb, M. D. (2001). Alcohol involvement and dysphoria: A longitudinal examination of gender differences from late adolescence to adulthood. Psychological and Addictive Behaviors, 15, 227–236. doi:10.1037/0893-164X.15.3.227.

    Article  Google Scholar 

  • López-Caneda, E., Holquin, S. R., Cadaveia, F., Corral, M., & Doallo, S. (2013). Impact of alcohol use on inhibitory control (and vice versa) during adolescence and young adulthood: A review. Alcohol and Alcoholism,. doi:10.1093/alcalc/agt168.

    Google Scholar 

  • Lorant, V., Deliége, D., Eaton, W., Robert, A., Philippt, P., & Ansseau, M. (2003). Socioeconomic inequalities in depression: A meta-analysis. American Journal of Epidemiology, 157, 98–112. doi:10.1093/aje/kwf182.

    Article  PubMed  Google Scholar 

  • Marmorstein, N. R. (2010). Longitudinal associations between depressive symptoms and alcohol problems: The influence of comorbid delinquent behavior. Addictive Behaviors, 35, 564–571. doi:10.1016/j.addbeh.2010.01.004.

    Article  PubMed Central  PubMed  Google Scholar 

  • Measelle, J. R., Stice, E., & Hogansen, J. M. (2006). Developmental trajectories of co- occurring depressive, eating, antisocial, and substance abuse problems in female adolescents. Journal of Abnormal Psychology, 115, 524–538. doi:10.1037/0021-843X.115.3.524.

    Article  PubMed Central  PubMed  Google Scholar 

  • Miller, J. W., Naimi, T. S., Brewer, R. D., & Jones, S. E. (2007). Binge drinking and health risk behaviors among high school students. Pediatrics, 119, 76–85. doi:10.1542/peds.2006-1517.

    Article  PubMed  Google Scholar 

  • Mischel, W., Shoda, Y., & Rodriguez, M. L. (1989). Delay of gratification in children. Science, 244, 933–938.

    Article  PubMed  Google Scholar 

  • Moriya, J., & Tanno, Y. (2008). Relationships between negative emotionality and attentional control in effortful control. Personality and Individual Differences, 44, 1348–1355. doi:10.1016/j.paid.2007.12.003.

    Article  Google Scholar 

  • Murray, K. T., & Kochanska, G. (2002). Effortful control: Factor structure and relation to externalizing and internalizing behaviors. Journal of Abnormal Child Psychology, 30, 503–514.

    Article  PubMed  Google Scholar 

  • Muthén, B. O. (2005). Retrieved from http://www.statmodel.com/discussion/messages/14/738.html?1130249370.

  • Muthén, L. K., & Muthén, B. O. (1998–2012). Mplus user’s guide (7th ed.). Los Angeles, CA: Muthén & Muthén.

  • Nagin, D. S. (2005). Group-based modelling of development. Cambridge: Harvard Press.

    Google Scholar 

  • Needham, B. L. (2007). Gender differences in trajectories of depressive symptomatology and substance use during the transition from adolescence to young adulthood. Social Science and Medicine, 65, 1166–1179.

    Article  PubMed  Google Scholar 

  • Nylund, K. L., Asparouohov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A monte carlo simulation study. Structural Equation Modeling, 14, 535–569.

    Article  Google Scholar 

  • Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.

    Article  Google Scholar 

  • Radloff, L. S. (1991). The use of the Center for Epidemiological Studies Depression Scale in adolescents and young adults. Journal of Youth and Adolescence, 20, 149–166.

    Article  PubMed  Google Scholar 

  • Rohde, P., Beevers, C. G., Stice, E., & O’Neil, K. (2009). Major and minor depression in female adolescents: Onset, course, symptom presentation, and demographic associations. Journal of Clinical Psychology, 65, 1339–1349. doi:10.1002/jclp.20629.

    Article  PubMed Central  PubMed  Google Scholar 

  • Rohde, P., Lewinsohn, P. M., Klein, D. N., Seeley, J. R., & Gau, J. M. (2013). Key characteristics of major depressive disorder occurring in childhood, adolescence, emerging adulthood, and adulthood. Clinical Psychological Science, 1(41), 53. doi:10.1177/2167702612457599.

    Google Scholar 

  • Rohde, P., Lewinsohn, P. M., & Seeley, J. R. (1996). Psychiatric comorbidity with problematic alcohol use in high school students. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 101–109. doi:10.1097/00004583-199601000-00018.

    Article  PubMed  Google Scholar 

  • Rothbart, M. K., & Bates, J. E. (2006). Temperament. In N. Eisenberg & W. Damon (Eds.), Handbook of child psychology: vol 3. Social, emotional, and personality development (6th ed., pp. 99–166). NY: Wiley.

    Google Scholar 

  • Ruchkin, V., Sukhodolsky, D. G., Vermeiren, R., Koposov, R. A., & Schwab-Stone, M. (2006). Depressive symptoms and associated psychopathology in urban adolescents: A cross-cultural study of 3 countries. The Journal of Nervous and Mental Disease, 194, 106–113. doi:10.1097/01.nmd.0000198142.26754.18.

    Article  PubMed  Google Scholar 

  • Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7, 147–177. doi:10.1037/1082-989X.7.2.147.

    Article  PubMed  Google Scholar 

  • Simons, J. S., & Carey, K. B. (2002). Risk and vulnerability for marijuana use problems: The role of affect dysregulation. Psychology of Addictive Behaviors, 16, 72–75. doi:10.1037/0893-164X.16.1.72.

    Article  PubMed  Google Scholar 

  • Smoski, M. J., Felder, J., Bizzell, J., Green, S. R., Ernst, M., Lynch, T. R., et al. (2009). fMRI of alterations in reward selection, anticipation, and feedback in major depressive disorder. Journal of Affective Disorders, 118, 69–78. doi:10.1016/j.jad.2009.01.034.

    Article  PubMed Central  PubMed  Google Scholar 

  • Spear, J. P. (2000). The adolescent brain and age-related behavioral manifestations. Neuroscience and Biobehavioral Reviews, 24, 417–463. doi:10.1016/S0149-7634(00)00014-2.

    Article  PubMed  Google Scholar 

  • Statistics Canada. (2006). Population by ethnic origin [Online]. Available at http://www12.statcan.gc.ca/tables-tableaux/sum-som/l01/cst01/demo26a-eng.htm.

  • Steinberg, L. (2010). A dual systems model of adolescent risk-taking. Developmental Psychobiology, 52, 216–224. doi:10.1002/dev.20445.

    PubMed  Google Scholar 

  • Steinberg, L., Albert, L., Cauffman, E., Banich, M., Graham, S., & Woolard, J. (2008). Age differences in sensation seeking and impulsivity as indexed by behavior and self-report: Evidence for a dual systems model. Developmental Psychology, 44(6), 1764–1778. doi:10.1037/a0012955.

    Article  PubMed  Google Scholar 

  • Swendsen, J. D., & Merikangas, K. R. (2000). The comorbidity of depression and substance use disorders. Clinical Psychology Review, 20, 173–189. doi:10.1016/S0272-7358(99)00026-4.

    Article  PubMed  Google Scholar 

  • Tice, D. M., Bratslavsky, E., & Baumeister, R. F. (2001). Emotional distress regulation takes precedence over impulse control: If you feel bad, do it! Journal of Personality and Social Psychology, 80, 53–67. doi:10.1037/0022-3514.80.1.53.

    Article  PubMed  Google Scholar 

  • Van Dam, N. T., & Earleywine, M. (2011). Validation of the Center for Epidemiologic Studies Depression Scale-Revised (CESD-R): Pragmatic depression assessment in the general population. Psychiatry Research, 186, 128–132. doi:10.1016/j.psychres.2010.08.018.

    Article  PubMed  Google Scholar 

  • Verstraeten, K., Vasey, M., Raes, F., & Bijttebier, P. (2009). Temperament and risk for depressive symptoms in adolescence: Mediation by rumination and moderation by effortful control. Journal of Abnormal Child Psychology, 37, 349–361. doi:10.1007/s10802-008-9293-x.

    Article  PubMed  Google Scholar 

  • Wang, M. T., Brinkworth, M., & Eccles, J. (2012). Moderating effects of teacher–student relationship in adolescent trajectories of emotional and behavioral adjustment. Developmental Psychology,. doi:10.1037/a0027916.

    PubMed Central  Google Scholar 

  • Willoughby, T., Chalmers, H., & Busseri, M. (2004). Where is the syndrome? Examining co-occurrence among multiple problem behaviors in adolescence. Journal of Consulting and Clinical Psychology, 72, 1022–1037.

    Article  PubMed  Google Scholar 

  • Wills, T. A., Cleary, S., Filer, M., Shinar, O., Mariani, J., & Spera, K. (2001). Temperament related to early-onset substance use: Test of a developmental model. Prevention Science, 2, 145–163. doi:10.1023/A:1011558807062.

    Article  PubMed  Google Scholar 

  • Wills, T. A., & Stoolmiller, M. (2002). The role of self-control in early escalation of substance use: A time-varying analysis. Journal of Consulting and Clinical Psychology, 70, 986–997. doi:10.1037/0022-006X.70.4.986.

    Article  PubMed  Google Scholar 

  • Wills, T. A., Windle, M., & Cleary, S. D. (1998). Temperament and novelty seeking in adolescent substance use: Convergence of dimensions of temperament with constructs from Cloninger’s theory. Journal of Personality and Social Psychology, 74, 387–406.

    Article  PubMed  Google Scholar 

  • Wilson, A. C., Lengua, L. J., Tininenko, J., Taylor, A., & Trancik, A. (2009). Physiological profiles during delay of gratification: Associations with emotionality, self-regulation, and adjustment problems. Journal of Applied Developmental Psychology, 30, 780–790. doi:10.1016/j.appdev.2009.05.002.

    Article  PubMed Central  PubMed  Google Scholar 

  • Windle, M., & Davies, P. T. (1999). Depression and heavy alcohol use among adolescents: Concurrent and prospective relations. Development and Psychopathology, 11, 823–844.

    Article  PubMed  Google Scholar 

  • Windle, M., & Lerner, R. M. (1986). Reassessing the dimensions of temperamental individuality across the life span: The Revised Dimensions of Temperament Survey (DOTS-R). Journal of Adolescent Research, 1(2), 213–230.

    Article  Google Scholar 

  • Windle, M., Spear, L. P., Fuligni, A. J., Angold, A., Brown, J. D., Pine, D., et al. (2008). Transitions into underage and problem drinking: Summary of developmental processes and mechanisms: Ages 10–15. Pediatrics, 121, S273–S289. doi:10.1542/peds.2007-2243C.

    Article  PubMed Central  PubMed  Google Scholar 

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Acknowledgments

Funding for this longitudinal project was provided by the Social Sciences and Humanities Research Council of Canada to Teena Willoughby.

Author contributions

T.W conceived of the study, participated in the design and coordination of the study, performed the statistical analyses, collected the data, and participated in the drafting of the manuscript; A.F participated in the design, performed the statistical analyses, and participated in the drafting of the manuscript. Both authors read and approved the final manuscript.

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  1. Department of Psychology, Brock University, St. Catharines, ON, L2S 3A1, Canada

    Teena Willoughby & Adrian Fortner

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  1. Teena Willoughby
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Correspondence to Teena Willoughby.

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Willoughby, T., Fortner, A. At-Risk Depressive Symptoms and Alcohol Use Trajectories in Adolescence: A Person-Centred Analysis of Co-Occurrence. J Youth Adolescence 44, 793–805 (2015). https://doi.org/10.1007/s10964-014-0106-y

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Keywords

  • Co-occurrence
  • Depressive symptoms
  • Alcohol use
  • Delay of gratification
  • Novelty seeking
  • Adolescence