Journal of Abnormal Child Psychology

, Volume 26, Issue 6, pp 453–466

Pathways of Risk for Accelerated Heavy Alcohol Use Among Adolescent Children of Alcoholic Parents

  • Andrea M. Hussong
  • Patrick J. Curran
  • Laurie Chassin


The current study examined two questions. First, do internalizing symptoms and externalizing behavior each mediate the relations between parent psychopathology (alcoholism, antisocial personality disorder, and affective disorder) and growth in adolescent heavy alcohol use? Second, are there gender differences in these mediated pathways? Using latent curve analyses, we examined these questions in a high-risk sample of 439 families (53% children of alcoholic parents; 47% female). Collapsing across gender, adolescent-reported externalizing behavior mediated both the relation between parent alcoholism and growth in heavy alcohol use and the relation between parent antisociality and growth in heavy alcohol use. Parent-reported externalizing behavior only mediated the relation between parent antisociality and growth in heavy alcohol use in males. No support was found for internalizing symptoms as a mediator of these relations. Avenues are suggested for further exploring and integrating information about different mediating processes accounting for children of alcoholics' risk for heavy alcohol use.

Parent alcoholism adolescent alcohol use externalizing behavior internalizing symptoms gender 


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  1. Achenbach, T. M. (1982). Assessment and taxonomy of children's behavior disorders. In B. B. Lahey & A. E. Kazdin (Eds.), Advances in clinical child psychology (vol. 5, pp. 1–38). New York: Plenum Press.Google Scholar
  2. Achenbach, T. M., & Edelbrock, C. S. (1981). The classification of child psychopathology: A review and analysis of empirical efforts. Psychological Bulletin, 85, 1275–1301.Google Scholar
  3. American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.Google Scholar
  4. Andreasen, N. C., Endicott, J., Spitzer, R. L., & Winokur, G. (1977). The family history method using diagnostic criteria: Reliability and validity. Archives of General Psychiatry, 34, 1229–1235.Google Scholar
  5. Aneshensel, C. S., & Huba, G. J. (1983). Depression, alcohol use, and smoking over one year: A four-wave longitudinal causal model. Journal of Abnormal Psychology, 92, 134–150.Google Scholar
  6. Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246.Google Scholar
  7. Bentler, P. M. (1989). EQS: Structural equations program manual. Los Angeles, CA: BMDP Statistical Software.Google Scholar
  8. Bollen, K. A. (1989). Structural equations with latent variables. New York, John Wiley & Sons.Google Scholar
  9. Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. Bollen & K Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park, CA: Sage.Google Scholar
  10. Byrne, B. M. (1989). A primer of LISREL: Basic applications and programming for confirmatory factor analytic models. New York, Springer-Verlag.Google Scholar
  11. Byrne, B. M., Shavelson, R. J., & Muthen, B. (1989). Testing for equivalence of factor covariance and mean structures: the issue of partial measurement invariance. Psychological Bulletin, 105, 456–466.Google Scholar
  12. Cadoret, R. J., Yates, W. R., Troughton, E., Woodworth, G., & Stewart, M. A. (1995). Adoption study demonstrating two genetic pathways to drug abuse. Archives of General Psychiatry, 52, 42–52.Google Scholar
  13. Chambless, D. L., Cherney, J., Caputo, G. C., Rheinstein, B. J. G. (1987). Anxiety disorders and alcoholism: A study with inpatient alcoholics. Journal of Anxiety Disorders, 1, 29–40.Google Scholar
  14. Chassin, L., Barrera, M., Jr., 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, 316–319.Google Scholar
  15. Chassin, L., Curran, P. J., Hussong, A. M., & Colder, C. R. (1996). The relation of parent alcoholism to adolescent substance use: A longitudinal follow-up study. Journal of Abnormal Psychology, 105, 70–80.Google Scholar
  16. Chassin, L. A., Rogosch, R., & Barrera, M., Jr. (1991). Substance use and symptomatology among adolescent children of alcoholics. Journal of Abnormal Psychology, 100, 449–463.Google Scholar
  17. Cloninger, C. R. (1987). Neurogenetic adaptive mechanisms in alcoholism. Science, 236, 410–416.Google Scholar
  18. Cooper, M. L., Frone, M. R., Russell, M., & Mudar, P. (1995). Drinking to regulate positive and negative emotions: A motivational model of alcohol use. Journal of Personality and Social Psychology, 69, 990–1005.Google Scholar
  19. Crick, N. R., & Grotpeter, J. K. (1995). Relational aggression, gender, and social-psychological adjustment. Child Development, 66, 710–722.Google Scholar
  20. Curran, P. J., Stice, E., & Chassin, L. (1997). The relation between adolescent and peer alcohol use: A longitudinal random coefficients model. Journal of Consulting and Clinical Psychology, 65, 130–140.Google Scholar
  21. Downey, G., & Coyne, J. C. (1990). Children of depressed parents: An integrative review. Psychological Bulletin, 108, 50–76.Google Scholar
  22. Earls, F., Reich, W., Jung, K. G., & Cloninger, R. (1988). Psychopathology in children of alcoholic and antisocial parents. Alcoholism: Clinical and Experimental Research, 12, 481–487.Google Scholar
  23. Ensminger, M. E., Brown, C. H., & Kellam, S. G. (1982). Sex differences in antecedents of substance use among adolescents. Journal of Social Issues, 38, 25–42.Google Scholar
  24. Fitzgerald, H. E., Sullivan, L. A., Ham, H. P., Zucker, R. A., Bruckel, S., & Schneider, A. M. (1993). Predictors of behavior problems in three-year-old sons of alcoholics: Early evidence for the onset of risk. Child Development, 64, 110–123.Google Scholar
  25. Frick, P. J., Lahey, B. B., Loeber, R., Stouthamer-Loeber, M., Christ, M. A. G., & Hanson, K. (1992). Familial risk factors to oppositional defiant disorder and conduct disorder: Parental psychopathology and maternal parenting. Journal of Consulting and Clinical Psychology, 60, 49–55.Google Scholar
  26. Helzer, J. E., & Pryzbeck, T. R. (1988). The co-occurrence of alcoholism with other psychiatric disorders in the general population and its impact on treatment. Journal of Studies on Alcohol, 49, 219–224.Google Scholar
  27. Henry, B., Feehan, M., McGee, R., Stanton, W., Moffitt, T. E., & Silva, P. (1993). The importance of conduct problems and depressive symptoms in predicting adolescent substance use. Journal of Abnormal Child Psychology, 21, 469–480.Google Scholar
  28. Hussong, A. M., & Chassin, L. A. (1994). The stress-negative affect model of adolescent alcohol use: Disaggregating negative affect. Journal of Studies on Alcohol, 55, 707–718.Google Scholar
  29. Jansen, R. E., Fitzgerald, H. E., Ham, H. P., & Zucker, R. A. (1995). Pathways into risk: Temperament and behavior problems in three-and five-year-old sons of alcoholics. Alcoholism: Clinical and Experimental Research, 19, 501–509.Google Scholar
  30. Johnson, S. L., & Jacob, T. (1995). Psychosocial functioning in children of alcoholic fathers. Psychology of Addictive Behaviors, 9, 101–113.Google Scholar
  31. Kaplan, H. B. (1980). Deviant behavior in defense of self. New York, Academic Press.Google Scholar
  32. Loeber, R. (1988). Natural histories of conduct problems, delinquency, and associated substance use: Evidence for developmental progressions. In B. B. Lahey & A. E. Kazdin (Eds.), Advances in clinical psychology, Vol. 11, (pp. 73–125). New York, Plenum Press.Google Scholar
  33. McArdle, J. J. (1989). Structural modeling experiments using multiple growth functions. In P. Ackerman, R. Kanfer & R. Cudeck (Eds.), Learning and individual differences: Abilities, Motivation and Methodology (pp. 71–117). Hillsdale, NJ: Erlbaum.Google Scholar
  34. McArdle, J. J., & Epstein, D. (1987). Latent growth curves within developmental structural equation models. Child Development, 58, 110–133.Google Scholar
  35. Meredith, W., & Tisak, J. (1990). Latent curve analysis. Psychometrika, 55, 107–122.Google Scholar
  36. Merikangas, K. R., & Risch, N. J., & Weissman, M. M. (1994). Comorbidity and co-transmission of alcoholism, anxiety and depression. Psychological Medicine, 24, 69–80.Google Scholar
  37. Rhode, 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.Google Scholar
  38. Robins, L. N., Helzer, J. E., Croughan, J., & Ratcliff, K. S. (1981). National Institute of Mental Health Diagnostic Interview Schedule: Its history, characteristics, and validity. Archives of General Psychiatry, 38, 381–389.Google Scholar
  39. Roosa, M. W., Beals, J., Sandler, I. N., & Pillow, D. R. (1990). The role of risk and protective factors in predicting symptomatology in adolescent self-identified children of alcoholic parents. American Journal of Community Psychology, 18, 725–741.Google Scholar
  40. Savin-Williams, R. C. (1979). Dominance hierarchies in groups of early adolescents. Child Development, 50, 923–935.Google Scholar
  41. Shedler, J., & Block, J. (1990). Adolescent drug use and psychological health: A longitudinal inquiry. American Psychologist, 45, 612–630.Google Scholar
  42. Sher, K. J. (1991). Children of Alcoholics: A critical appraisal of theory and research. Chicago: University of Chicago Press.Google Scholar
  43. Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equations models. In S. Leinhart (Ed.), Sociological Methodology 1982 (pp. 290–312). San Francisco: Jossey-Bass.Google Scholar
  44. Steiger, J. H., & Lind, J. C. (1980, May). Statistically based tests for the number of common factors. Paper presented at the annual meeting of the Psychometric Society, Iowa City, IA.Google Scholar
  45. Stoolmiller, M. (1994). Antisocial behavior, delinquent peer association, and unsupervised wandering for boys: Growth and change from childhood to early adolescence. Multivariate Behavioral Research, 29, 263–288.Google Scholar
  46. Swaim, R. C., Oetting, E. R., Edwards, R. W., & Beauvais, F. (1989). Links from emotional distress to adolescent drug use: A path model. Journal of Consulting and Clinical Psychology, 57, 227–231.Google Scholar
  47. Tucker, L. R., & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1–10.Google Scholar
  48. Van Kammen, W. B., Loeber, R., & Stouthamer-Loeber, M. (1991). Substance use and its relationship to conduct problems and delinquency in young boys. Journal of Youth and Adolescence, 20, 399–413.Google Scholar
  49. West, M. O., & Prinz, R. J. (1987). Parental alcoholism and childhood psychopathology. Psychological Bulletin, 102, 204–218.Google Scholar
  50. Windle, M. (1990). A longitudinal study of antisocial behaviors in early adolescence as predictors of late adolescent substance use: Gender and ethnic group differences. Journal of Abnormal Psychology, 99, 86–91.Google Scholar
  51. Windle, M. (1994, June). Vulnerability to drug abuse: A person-environment transactional perspective. Invited paper presented at the Society for Prevention Research, West Palm Beach, FL.Google Scholar
  52. Windle, M., & Barnes, G. M. (1988). Similarities and differences in correlates of alcohol consumption and problem behaviors among male and female adolescents. The International Journal of the Additions, 2, 707–728.Google Scholar
  53. Zucker, R. A. (1986). The four alcoholisms: A developmental account of the etiologic process. Nebraska Symposium on Motivation, 34, 27–83.Google Scholar

Copyright information

© Plenum Publishing Corporation 1998

Authors and Affiliations

  • Andrea M. Hussong
    • 1
  • Patrick J. Curran
    • 2
  • Laurie Chassin
    • 3
  1. 1.Department of PsychologyThe University of North Carolina at Chapel HillChapel Hill
  2. 2.Duke UniversityDurham
  3. 3.Arizona State UniversityTempe

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