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Mother and Father Prescription Opioid Misuse, Alcohol Use Disorder, and Parent Knowledge in Pathways to Adolescent Alcohol Use

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Abstract

Parenting during early adolescence is key in protecting adolescents against substance use initiation and patterned use. Parental alcohol use disorder is a robust risk factor for maladaptive parenting and adolescent alcohol use. However, it is unclear what effect parent prescription opioid misuse has on parenting and adolescent alcohol use. Associations were examined among parent alcohol use disorder, prescription opioid misuse, and parent knowledge of adolescent activities in early adolescence and their prediction of adolescent alcohol use approximately five years later. The current sample consisted of mothers (N = 457) and fathers (N = 368) drawn from a large longitudinal sample (The Adult and Family Development Project: AFDP). The average age was 11.68 in early adolescence and 16.22 in adolescence and 47% of adolescents were female. Parent knowledge was tested as a mediator of the effects of parent alcohol disorder and parent opioid misuse on adolescence alcohol use. This model was examined separately in mothers and fathers. For mothers, alcohol use disorder and prescription opioid misuse both predicted adolescent alcohol use indirectly via parent knowledge. Mothers’ alcohol use disorder also directly predicted adolescent alcohol use. For fathers, no direct or indirect effects of alcohol use disorder or prescription opioid misuse were detected although a covariate effect of illicit drug use on parent knowledge emerged. The results are discussed with regards to the processes that may explain how alcohol disorder or prescription opioid misuse affect mothers’ knowledge and increase risk for adolescent alcohol use.

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References

  • Austin, A. E., & Shanahan, M. E. (2017). Prescription opioid use among young parents in the United States: results from the National Longitudinal Study of Adolescent to Adult Health. Pain Medicine, 18, 2361–2368.

    PubMed  Google Scholar 

  • Back, S. E., Payne, R. L., Simpson, A. N., & Brady, K. T. (2010). Gender and prescription opioids: findings from the National Survey on Drug Use and Health. Addictive Behaviors, 35(11), 1001–1007.

    PubMed  PubMed Central  Google Scholar 

  • Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice-Hall.

  • Barnard, M., & McKeganey, N. (2004). The impact of parental problem drug use on children: what is the problem and what can be done to help? Addiction, 99, 552–559.

    PubMed  Google Scholar 

  • Baumrind, D. (1991). The influence of parenting style on adolescent competence and substance use. The Journal of Early Adolescence, 11, 56–95.

    Google Scholar 

  • Bolland, K. A., Bolland, J. M., Tomek, S., Devereaux, R. S., Mrug, S., & Wimberly, J. C. (2016). Trajectories of adolescent alcohol use by gender and early initiation status. Youth & Society, 48, 3–32.

    Google Scholar 

  • Bountress, K., Chassin, L., & Lemery-Chalfant, K. (2017). Parent and peer influences on emerging adult substance use disorder: a genetically informed study. Development and Psychopathology, 29, 121–142.

    PubMed  Google Scholar 

  • Chassin, L., Barrera, M., Bech, K., & Kossak-Fuller, J. (1992). Recruiting a community sample of adolescent children of alcoholics: a comparison of three subject sources. Journal of Studies on Alcohol, 53, 316–320.

    PubMed  Google Scholar 

  • Chassin, L., Pillow, D. R., Curran, P. J., Molina, B. S., & Barrera, Jr, M. (1993). Relation of parental alcoholism to early adolescent substance use: a test of three mediating mechanisms. Journal of Abnormal Psychology, 102(1), 3–19.

    PubMed  Google Scholar 

  • Chassin, L., Pitts, S. C., Delucia, C., & Todd, M. (1999). A longitudinal study of children of alcoholics: predicting young adult substance abuse disorders, anxiety, and depression. Journal of Abnormal Psychology, 108, 106–119.

    PubMed  Google Scholar 

  • Chassin, L., Rogosch, F., & Barrera, M. (1991). Substance use and symptomatology among adolescent children of alcoholics. Journal of Abnormal Psychology, 100, 449–463.

    PubMed  Google Scholar 

  • 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.

    PubMed  PubMed Central  Google Scholar 

  • Cheng, H. G., & Anthony, J. C. (2016). Does our legal minimum drinking age modulate risk of first heavy drinking episode soon after drinking onset? Epidemiological evidence for the United States, 2006–2014. Peer J, 4, e2153.

    PubMed  Google Scholar 

  • Cioffi, C. C., Leve, L. D., & Seeley, J. R. (2019). Accelerating the pace of science: improving parenting practices in parents with opioid use disorder. Parenting, 19, 244–266.

    PubMed  Google Scholar 

  • Duncan, S. C., Duncan, T. E., & Strycker, L. A. (2006). Alcohol use from ages 9 to 16: a cohort-sequential latent growth model. Drug and Alcohol Dependence, 81, 71–81.

    PubMed  Google Scholar 

  • Elam, K. K., Chassin, L., Lemery‐Chalfant, K., Pandika, D., Wang, F. L., Bountress, K., & Agrawal, A. (2017). Affiliation with substance‐using peers: examining gene‐environment correlations among parent monitoring, polygenic risk, and children’s impulsivity. Developmental Psychobiology, 59, 561–573.

    PubMed  PubMed Central  Google Scholar 

  • Elam, K. K., Chassin, L., & Pandika, D. (2018). Polygenic risk, family cohesion, and adolescent aggression in Mexican American and European American families: developmental pathways to alcohol use. Development and Psychopathology, 30(5), 1715–1728.

    PubMed  PubMed Central  Google Scholar 

  • Grant, B. F., Chou, S. P., Saha, T. D., Pickering, R. P., Kerridge, B. T., Ruan, W. J., & Hasin, D. S. (2017). Prevalence of 12-month alcohol use, high-risk drinking, and DSM-IV alcohol use disorder in the United States, 2001-2002 to 2012-2013: results from the National Epidemiologic Survey on Alcohol and Related Conditions. JAMA Psychiatry, 74, 911–923.

    PubMed  PubMed Central  Google Scholar 

  • Griesler, P. C., Hu, M. C., Wall, M. M., & Kandel, D. B. (2019). Nonmedical prescription opioid use by parents and adolescents in the US. Pediatrics, 143, e20182354.

    PubMed  PubMed Central  Google Scholar 

  • Hogan, D. (2007). The impact of opioid dependence on parenting processes: contextual, physiological and psychological factors. Addiction Research & Theory, 15, 617–635.

    Google Scholar 

  • Holst, C., Tolstrup, J. S., Sørensen, H. J., Pisinger, V. S. C., & Becker, U. (2019). Parental alcohol use disorder with and without other mental disorders and offspring alcohol use disorder. Acta Psychiatrica Scandinavica, 139, 508–517.

    PubMed  Google Scholar 

  • Lamborn, S. D., Mounts, N. S., Steinberg, L., & Dornbusch, S. M. (1991). Patterns of competence and adjustment among adolescents from authoritative, authoritarian, indulgent, and neglectful families. Child Development, 62, 1049–1065.

    PubMed  Google Scholar 

  • Latendresse, S. J., Rose, R. J., Viken, R. J., Pulkkinen, L., Kaprio, J., & Dick, D. M. (2008). Parenting mechanisms in links between parents’ and adolescents’ alcohol use behaviors. Alcoholism: Clinical and Experimental Research, 32, 322–330.

    Google Scholar 

  • Kandel, D. B., & Andrews, K. (1987). Processes of adolescent socialization by parents and peers. International Journal of the Addictions, 22, 319–342.

    PubMed  Google Scholar 

  • Kerr, M., Stattin, H., & Burk, W. J. (2010). A reinterpretation of parental monitoring in longitudinal perspective. Journal of Research on Adolescence, 20, 39–64.

    Google Scholar 

  • Kerr, D. K., Tiberio, S. S., Capaldi, D. M., & Owen, L. D. (2020). Paternaland maternal prescription opioid use and misuse: general and specific risks for early adolescents’ substance use. Addictive Behaviors, 103, 106248

    PubMed  Google Scholar 

  • Kiesner, J., Dishion, T. J., Poulin, F., & Pastore, M. (2009). Temporal dynamics linking aspects of parent monitoring with early adolescent antisocial behavior. Social Development, 18, 765–784.

    PubMed  Google Scholar 

  • Mayes, L., & Truman, S. (2002). Substance abuse and parenting. In M. Bornstein (Ed.), Handbook of parenting, volume 4: social conditions and applied parenting. 2nd ed. (pp. 329–359). Mahwah, NJ: Lawerence Erlbaum Associates. vol. 4.

    Google Scholar 

  • McCabe, S. E., West, B. T., Veliz, P., McCabe, V. V., Stoddard, S. A., & Boyd, C. J. (2017). Trends in medical and nonmedical use of prescription opioids among US adolescents: 1976–2015. Pediatrics, 139, e2016–e2387.

    Google Scholar 

  • Muthén, L. K., & Muthén, B. O. (2007). Mplus user’s guide (Sixth edition). Los Angeles, CA: Muthén & Muthén.

    Google Scholar 

  • National Institute on Drug Abuse (2018). Opioid Overdose Crisis. https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis

  • Peisch, V., Sullivan, A. D., Breslend, N. L., Benoit, R., Sigmon, S. C., Forehand, G. L., & Forehand, R. (2018). Parental opioid abuse: a review of child outcomes, parenting, and parenting interventions. Journal of Child and Family Studies, 27, 2082–2099.

    Google Scholar 

  • Robins, L. N., Cottler, L. B., Bucholz, K. K., Compton, W. B., North, C. S., & Rourke, K. M. (2000). Diagnostic interview schedule for DSM-IV. St. Louis: Washington University School of Medicine.

    Google Scholar 

  • Rogers, A. A., Elam, K. K., Chassin, L., Sternberg, A., & Bui, L. (2018). Proximal and distal effects of sensation seeking and parenting environments on alcohol use trajectories from early adolescence to early adulthood. Journal of Youth and Adolescence, 47(10), 2206–2219.

    PubMed  PubMed Central  Google Scholar 

  • Salo, S., Politi, J., Tupola, S., Biringen, Z., Kalland, M., Halmesmäki, E., & Kivitie‐Kallio, S. (2010). Early development of opioid‐exposed infants born to mothers in buprenorphine‐replacement therapy. Journal of reproductive and infant psychology, 28, 161–179.

    Google Scholar 

  • Sher, K.J. (1993). Alcohol, health, and behavior study. Unpublished manuscript. Columbia, MO: University of Missouri-Columbia.

  • Sher, K. J., Walitzer, K. S., Wood, P. K., & Brent, E. E. (1991). Characteristics of children of alcoholics: putative risk factors, substance use and abuse, and psychopathology. Journal of Abnormal Psychology, 100, 427.

    PubMed  Google Scholar 

  • Sternberg, A., Pandika, D., Elam, K. K., & Chassin, L. (2018). The relation of parent alcohol disorder to young adult drinking outcomes mediated by parenting: effects of developmentally limited versus persistent parent alcohol disorder. Drug and Alcohol Dependence, 188, 224–231.

    PubMed  PubMed Central  Google Scholar 

  • Steinberg, L., & Silk, J. S. (2002). Parenting adolescents. Handbook of parenting, 1, 103–133.

    Google Scholar 

  • Tofighi, D., & MacKinnon, D. P. (2011). RMediation: an R package for mediation analysis confidence intervals. Behavior Research Methods, 43, 692–700.

    PubMed  PubMed Central  Google Scholar 

  • Velleman, R., & Templeton, L. (2007). Understanding and modifying the impact of parents’ substance misuse on children. Advances in Psychiatric Treatment, 13, 79–89.

    Google Scholar 

  • Wilens, T. E., Biederman, J., Kiely, K., Bredin, E., & Spencer, T. J. (1995). Pilot study of behavioral and emotional disturbances in the high-risk children of parents with opioid dependence. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 779–785.

    PubMed  Google Scholar 

  • Windle, M. (2003). Alcohol use among adolescents and young adults. Alcohol Research & Health, 27, 79.

    Google Scholar 

  • Witkiewitz, K., & Vowles, K. E. (2018). Alcohol and opioid use, co-use, and chronic pain in the context of the opioid epidemic: a critical review. Alcoholism: Clinical and Experimental Research, 42, 478–488.

    Google Scholar 

  • White, H. R., McMorris, B. J., Catalano, R. F., Fleming, C. B., Haggerty, K. P., & Abbott, R. D. (2006). Increases in alcohol and marijuana use during the transition out of high school into emerging adulthood: the effects of leaving home, going to college, and high school protective factors. Journal of studies on alcohol, 67, 810–822.

    PubMed  PubMed Central  Google Scholar 

  • White, H. R., Johnson, V., & Buyske, S. (2000). Parental modeling and parenting behavior effects on offspring alcohol and cigarette use: a growth curve analysis. Journal of Substance Abuse, 12(3), 287–310.

    PubMed  Google Scholar 

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Acknowledgements

This research was supported by grants from the National Institute of Alcohol Abuse and Alcoholism (AA016213 and AA022097 to L.C. and AA026763 to A.S.) and the National Institute on Drug Abuse and National Institutes of Health: Office of the Director, and Office of Behavioral and Social Sciences Research (K01DA042828 to K.E.). We thank the research staff and participants for their time and effort.

Funding

AA016213 and AA022097 to L.C., AA026763 to A.S., K01DA042828 to K.E. This research was supported by grants from the National Institute of Alcohol Abuse and Alcoholism (AA016213 and AA022097 to L.C. and AA026763 to A.S.) and the National Institute on Drug Abuse and National Institutes of Health: Office of the Director, and Office of Behavioral and Social Sciences Research (K01DA042828 to K.E.).

Data Sharing and Declaration

The datasets analyzed for the current study are not publicly available but are available from the principal investigator, Dr. Laurie Chassin, on reasonable request.

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Authors and Affiliations

  1. Department of Applied Health Science, Indiana University, 1025 E. 7th St., Suite 116, Bloomington, IN, 47405, USA

    Kit K. Elam

  2. Department of Psychology, Arizona State University, PO Box 871104, Tempe, AZ, 85287, USA

    Ariel Sternberg, Jack T. Waddell, Austin J. Blake & Laurie Chassin

Authors
  1. Kit K. Elam
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  2. Ariel Sternberg
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  4. Austin J. Blake
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  5. Laurie Chassin
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Contributions

K.E. contributed to conceptualization and design of the study, performed all analyses, and contributed to writing of the manuscript; A.S., J.W., and A.B. conducted literature searches, organized data, coordinated research efforts, and contributed to writing of the manuscript; L.C. contributed to conceptualization and design of the study and writing of the manuscript. All authors contributed to and have approved the final manuscript.

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Correspondence to Kit K. Elam.

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The authors declare that they have no conflict of interest.

Ethical Approval

The Arizona State University Institutional Review Board approved all study protocols.

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Adults consented, and adolescents assented to participate in the study.

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Elam, K.K., Sternberg, A., Waddell, J.T. et al. Mother and Father Prescription Opioid Misuse, Alcohol Use Disorder, and Parent Knowledge in Pathways to Adolescent Alcohol Use. J Youth Adolescence 49, 1663–1673 (2020). https://doi.org/10.1007/s10964-020-01266-2

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  • DOI: https://doi.org/10.1007/s10964-020-01266-2

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