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Childhood Neglect, Internalizing Symptoms and Adolescent Substance Use: Does the Neighborhood Context Matter?

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Abstract

Childhood neglect is associated with risk behaviors in adolescence, including substance use. There is evidence that internalizing behaviors may serve as a mechanism linking childhood neglect and substance use; however, further research is needed to examine this developmental pathway. According to developmental and ecological approaches, the neighborhood context and the developmental timing of maltreatment should both be considered when examining the sequelae of childhood neglect. Hence, the present study uses a longitudinal sample of youth (N = 965, 49.1% female, 59.2% African-American) to examine the influence of timing in the relationship between childhood neglect and adolescent psychopathology, and to examine the indirect effects of child neglect on substance use via internalizing symptoms in adolescence. Furthermore, the role of neighborhood disorder in this indirect effect was tested. Five data collection time points were used: Time 1(M age  = 4.557, SD age  = .701), Time 2 (M age  = 6.422, SD age  = .518), Time 3 (M age  = 12.370, SD age  = .443), Time 4 (M age  = 14.359, SD age  = .452), and Time 5 (M age  = 16.316, SD age  = .615). The findings showed that internalizing problems mediated the link between the severity of neglect in early childhood and adolescent substance use, and this pathway was moderated by neighborhood disorder. These results have implications for preventative interventions aimed toward reducing substance use for at-risk adolescents.

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Acknowledgements

The data used in this publication were made available by the National Data Archive on Child Abuse and Neglect, Cornell University, Ithaca, NY, and have been used with permission. Data from Longitudinal Studies of Child Abuse and Neglect (LONGSCAN) Assessments 0–12 were originally collected by Desmond K. Runyan, Howard Dubowitz, Diana J. English, Jonathan Kotch, Alan Litrownik, Richard Thompson and Terri Lewis & The LONGSCAN Investigator Group. Funding for the project was provided by the Office on Child Abuse and Neglect (OCAN), Children’s Bureau, Administration for Children and Families, Dept. of Health and Human Services (The National Center on Child Abuse and Neglect (NCCAN), under the Office of Human Services funded this consortium of studies during the early years of data collection from 04/01/1991 until NCCAN became part of OCAN in 1998. The collector of the original data, the funder, NDACAN, Cornell University and their agents or employees bear no responsibility for the analyses or interpretations presented here.

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There are no funding sources to disclose for the present study.

Author Contributions

E.D. conceived of the study, analyzed data, and drafted the manuscript; A.O. participated in conception of the study, interpretation of results, and critically revised the manuscript; M.C. contributed to interpretation of data and critically revised the manuscript. All authors gave final approval of the manuscript.

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  1. The Youth Development Institute, Human Development and Family Science, University of Georgia, Athens, GA, USA

    Erinn B. Duprey, Assaf Oshri & Margaret O. Caughy

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  1. Erinn B. Duprey
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Correspondence to Erinn B. Duprey.

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Informed consent and assent was obtained from all individual participants included in the LONGSCAN study.

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Duprey, E.B., Oshri, A. & Caughy, M.O. Childhood Neglect, Internalizing Symptoms and Adolescent Substance Use: Does the Neighborhood Context Matter?. J Youth Adolescence 46, 1582–1597 (2017). https://doi.org/10.1007/s10964-017-0672-x

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