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Maturing out of alcohol involvement: Transitions in latent drinking statuses from late adolescence to adulthood

Published online by Cambridge University Press:  08 November 2013

Matthew R. Lee*
Affiliation:
Arizona State University
Laurie Chassin
Affiliation:
Arizona State University
Ian K. Villalta
Affiliation:
Arizona State University
*
Address correspondence and reprint requests to: Matthew R. Lee, Department of Psychology, Arizona State University, P.O. Box 871104, Tempe, AZ 85287; E-mail: mrlee2@asu.edu.

Abstract

Research has shown a developmental process of “maturing out” of alcohol involvement beginning in young adulthood, but the precise nature of changes characterizing maturing out is unclear. We used latent transition analysis to investigate these changes in a high-risk sample from a longitudinal study of familial alcoholism (N = 844; 51% children of alcoholics; 53% male, 71% non-Hispanic Caucasian, 27% Hispanic). Analyses classified participants into latent drinking statuses during late adolescence (ages 17–22), young adulthood (ages 23–28), and adulthood (ages 29–40), and characterized transitions among these statuses over time. The resulting four statuses were abstainers, low-risk drinkers who typically drank less than weekly and rarely binged or showed drinking problems, moderate-risk drinkers who typically binged less than weekly and showed moderate risk for drinking problems, and high-risk drinkers who typically binged at least weekly and showed high risk for drinking problems. Maturing out between late adolescence and young adulthood was most common among initial high-risk drinkers, but they typically declined to moderate-risk drinking rather than to nonrisky drinking statuses. This suggests that the developmental phenomenon of maturing out pertains primarily to relatively high-risk initial drinkers and that many high-risk drinkers who mature out merely reduce rather than eliminate their risky drinking.

Type
Regular Articles
Copyright
Copyright © Cambridge University Press 2013 

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References

American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.Google Scholar
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.Google Scholar
American Psychiatric Association. (2010). Proposed revision to alcohol-use disorder. Retrieved from http://www.DSM5.org/ProposedRevisions/Pages/proposedrevision.aspx?rid=452Google Scholar
Bachman, J. G., Wadsworth, K. N., O'Malley, P. M., Johnston, L. D., & Schulenberg, J. E. (1997). Smoking, drinking and drug use in young adulthood. Mahwah, NJ: Erlbaum.Google Scholar
Bartholow, B. D., Sher, K. J., & Krull, J. L. (2003). Changes in heavy drinking over the third decade of life as a function of collegiate fraternity and sorority involvement: A prospective, multilevel analysis. Health Psychology, 22, 616626. doi:10.1037/0278-6133.22.6.616CrossRefGoogle ScholarPubMed
Brown, S. A., McGue, M., Maggs, J., Schulenberg, J., Hingson, R., Swartzwelder, S., et al. (2008). A developmental perspective on alcohol and youths 16 to 20 years of age. Pediatrics, 121, S290S310. doi:10.1542/peds.2007-2243DCrossRefGoogle ScholarPubMed
Casey, B. J., Tottenham, N., Liston, C., & Durston, S. (2005). Imaging the developing brain: What have we learned about cognitive development? Trends in Cognitive Science, 9, 104110. doi:10.1016/j.tics.2005.01.011Google Scholar
Casswell, S., Pledger, M., & Pratap, S. (2002). Trajectories of drinking from 18 to 26 years: Identification and prediction. Addiction, 97, 14271437. doi:10.1046/j.1360-0443.2002.00220.xGoogle Scholar
Chassin, L., & Barrera, M. (1993). Substance use escalation and substance use restraint among adolescent children of alcoholics. Psychology of Addictive Behaviors, 7, 320. doi:10.1037/0893-164X.7.1.3Google 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, 316319.Google Scholar
Chassin, L., Flora, D. B., & King, K. M. (2004). Trajectories of alcohol and drug use and dependence from adolescence to adulthood: The effects of familial alcoholism and personality. Journal of Abnormal Psychology, 113, 483498. doi:10.1037/0021-843X.113.4.483CrossRefGoogle ScholarPubMed
Chassin, L., Haller, M., Lee, M. R., Bountress, K., Handley, E., & Beltran, I. (in press). Familial factors influencing offspring substance use and dependence. In Sher, K. (Ed.), Oxford handbook of substance use disorders. Oxford: Oxford University Press.Google Scholar
Chassin, L., Lee, M. R., Cho, Y. I., Wang, F., Agrawal, A., Sher, K. J., et al. (2012). Testing multiple levels of influence in the intergenerational transmission of alcohol disorders from a developmental perspective: The example of alcohol use promoting peers and μ-opioid receptor M1 variation. Development and Psychopathology, 24, 953967.CrossRefGoogle ScholarPubMed
Chassin, L., Pitts, S., DeLucia, C., & Todd, M. (1999). A longitudinal study of children of alcoholics: Predicting young adult substance use disorders, anxiety, and depression. Journal of Abnormal Psychology, 108, 106119. doi:10.1037/0021-843X.108.1.106Google Scholar
Chassin, L., Rogosch, F., & Barrera, M. (1991). Substance use and symptomatology among adolescent children of alcoholics. Journal of Abnormal Psychology, 100, 449463. doi:10.1037/0021-843X.100.4.449CrossRefGoogle ScholarPubMed
Chen, K., & Kandel, D. (1995). The natural history of drug use from adolescence to the mid-thirties in a general population sample. American Journal of Public Health, 85, 4147. doi:10.2105/AJPH.85.1.41Google Scholar
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155159. doi:10.1037/0033-2909.112.1.155Google Scholar
Collins, L. M., Fidler, P. L., Wugalter, S. E., & Long, J. D. (1993). Goodness-of-fit testing for latent class models. Multivariate Behavioral Research, 28, 375389. doi:10.1207/s15327906mbr2803_4CrossRefGoogle ScholarPubMed
DeLucia, C., Belz, A., & Chassin, L. (2001). Do adolescent symptomatology and family environment vary over time with fluctuations in paternal alcohol impairment? Developmental Psychology, 37, 207216. doi:10.1037/0012-1649.37.2.207CrossRefGoogle ScholarPubMed
Endicott, J., Anderson, N., & Spitzer, R. L. (1975). Family history diagnostic criteria. New York: New York Psychiatric Institute, New York Biometrics Research.Google Scholar
Finney, J. W. (2008). Regression to the mean in substance use disorder treatment research. Addiction, 103, 4252. doi:10.1111/j.1360-0443.2007.02032.xGoogle Scholar
Gotham, H. J., Sher, K. J., & Wood, P. K. (2003). Alcohol involvement and developmental task completion during young adulthood. Journal of Studies on Alcohol, 64, 3242.Google Scholar
Haller, M. M., & Chassin, L. (2010). The reciprocal influences of perceived risk for alcoholism and alcohol use over time: Evidence for aversive transmission of parental alcoholism. Journal of Studies on Alcohol and Drugs, 71, 588596.Google Scholar
Harford, T. C., Grant, B. F., Yi, H., & Chen, C. M. (2005). Patterns of DSM-IV alcohol abuse and dependence criteria among adolescents and adults: Results from the 2001 National Household Survey on Drug Abuse. Alcoholism: Clinical and Experimental Research, 29, 810828. doi:10.1097/01.ALC.0000164381.67723.76Google Scholar
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, 219224.CrossRefGoogle ScholarPubMed
Holm, S. (1979). A simple sequentially rejective multiple test procedure. Scandinavian Journal of Statistics, 6, 6570.Google Scholar
Hussong, A. M., Cai, L., Curran, P. J., Flora, D. B., Chassin, L. A., & Zucker, R. A. (2008). Disaggregating the distal, proximal, and time-varying effects of parent alcoholism on children's internalizing symptoms. Journal of Abnormal Child Psychology, 36, 335346. doi:10.1007/s10802-007-9181-9CrossRefGoogle ScholarPubMed
Jackson, K. M., O'Neill, S. E., & Sher, K. J. (2006). Characterizing alcohol dependence: Transitions during young and middle adulthood. Experimental and Clinical Psychopharmacology, 14, 228244. doi:10.1037/1064-1297.14.2.228Google Scholar
Jackson, K. M., & Sher, K. J. (2005). Similarities and differences of longitudinal phenotypes across alternate indices of alcohol involvement: A methodologic comparison of trajectory approaches. Psychology of Addictive Behaviors, 19, 339351. doi:10.1037/0893-164X.19.4.339Google Scholar
Jackson, K. M., Sher, K. J., Gotham, H. J., & Wood, P. K. (2001). Transitioning into and out of large-effect drinking in young adulthood. Journal of Abnormal Psychology, 110, 378391. doi:10.1037/0021-843X.110.3.378CrossRefGoogle ScholarPubMed
Jackson, K. M., Sher, K. J., & Wood, P. K. (2000). Trajectories of concurrent substance use disorders: A developmental, typological approach to comorbidity. Alcoholism: Clinical and Experimental Research, 24, 902913. doi:10.1111/j.1530-0277.2000.tb02072.xCrossRefGoogle ScholarPubMed
Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2007a). Monitoring the Future national survey results on drug use, 1975–2006: Vol. 1. Secondary school students (NIH Publication No. 07-6205). Bethesda, MD: National Institute on Drug Abuse.Google Scholar
Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2007b). Monitoring the Future national survey results on drug use, 1975–2006: Vol. 2. College students and adults ages 19–45 (NIH Publication No. 07-6206). Bethesda, MD: National Institute on Drug Abuse.Google Scholar
Kendler, K. S., Schmitt, J. E., Aggen, S. H., & Prescott, C. A. (2008). Genetic and environmental influences on alcohol, caffeine, cannabis, and nicotine use from early adolescence to middle adulthood. Archives of General Psychiatry, 65, 674682. doi:10.1001/archpsyc.65.6.674Google Scholar
Langeheine, R., Pannekoek, J., & van de Pol, F. (1996). Bootstrapping goodness-of-fit measures in categorical data analysis. Sociological Methods & Research, 24, 249264. doi:10.1177/0049124196024004004Google Scholar
Lanza, S. T., & Collins, L. M. (2008). A new SAS procedure for latent transition analysis: Transitions in dating and sexual risk behavior. Developmental Psychology, 44, 446456. doi:10.1037/0012-1649.44.2.446CrossRefGoogle ScholarPubMed
Lee, M. R., Chassin, L., & MacKinnon, D. (2010). The effect of marriage on young adult heavy drinking and its mediators: Results from two methods of adjusting for selection into marriage. Psychology of Addictive Behaviors, 24, 712718. doi:10.1037/a0020983Google Scholar
Littlefield, A. K., Sher, K. J., & Wood, P. K. (2009). Is “maturing out” of problematic alcohol involvement related to personality change? Journal of Abnormal Psychology, 118, 360374. doi:10.1037/a0015125Google Scholar
Marmorstein, N. R. (2009). Longitudinal associations between alcohol problems and depressive symptoms: Early adolescence through early adulthood. Alcohol Clinical Experimental Research, 33, 4959. doi:10.1111/j.1530-0277.2008.00810.xGoogle Scholar
Masten, A. S., Faden, V. B., Zucker, R. A., & Spear, L. P. (2008). Underage drinking: A developmental framework. Pediatrics, 121 (Suppl. 4), S235S251. doi:10.1542/peds.2007-2243ACrossRefGoogle ScholarPubMed
McDonald, R. A., Seifert, C. F., Lorenzet, S. J., Givens, S., & Jaccard, J. (2002). The effectiveness of methods for analyzing multivariate factorial data. Organizational Research Methods, 5, 255274. doi:10.1177/10928102005003004Google Scholar
Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (2nd ed.). New York: Guilford Press.Google Scholar
Muthén, B., & Satorra, A. (1995). Complex sample data in structural equation modeling. Sociological Methodology, 25, 267316.Google Scholar
Muthén, L. K., & Muthén, B. O. (1998–2007). Mplus user's guide. (5th ed.). Los Angeles: Author.Google Scholar
Nylund, K., Asparouhov, T., & Muthén, B. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Modeling, 14, 535569. doi:10.1080/10705510701575396CrossRefGoogle Scholar
O'Neill, S. E., Parra, G. R., & Sher, K. J. (2001). Clinical relevance of heavy drinking during the college years: Cross-sectional and prospective perspectives. Psychology of Addictive Behaviors, 15, 350359. doi:10.1037/0893-164X.15.4.350Google Scholar
Roberts, W. R., Walton, K. E., & Viechtbauer, W. (2006). Patterns of mean-level change in personality traits across the life course: A meta-analysis of longitudinal studies. Psychological Bulletin, 132, 125. doi:10.1037/0033-2909.132.1Google Scholar
Robins, L. N., Helzer, J. E., Croughan, J. L., & Ratcliff, K. S. (1981). National Institute of Mental Health Diagnostic Interview Schedule: Its history, characteristics, and validity. Archives of General Psychiatry, 38, 381389.CrossRefGoogle ScholarPubMed
Robins, L. N., Helzer, J. E., Ratcliff, K. S., & Seyfried, W. (1982). Validity of the Diagnostic Interview Schedule, version II: DSM-III diagnoses. Psychological Medicine, 12, 855870.Google Scholar
Schulenberg, J., Maggs, J. L., Long, S. W., Sher, K. J., Gotham, H. J., Baer, J. S., et al. (2001). The problem of college drinking: Insights from a developmental perspective. Alcoholism: Clinical and Experimental Research, 25, 473477. doi:10.1111/j.1530-0277.2001.tb02237.xGoogle Scholar
Schulenberg, J., Wadsworth, K. N., O'Malley, P. M., Bachman, J. G., & Johnston, L. D. (1996). Adolescent risk factors for binge drinking during the transition to young adulthood: Variable- and pattern-centered approaches to change. Developmental Psychology, 32, 659674. doi:10.1037/0012-1649.32.4.659Google Scholar
Schwartz, G. (1978). Estimating the dimension of a model. Annals of Statistics, 6, 461464. doi:10.1214/aos/1176344136Google Scholar
Sher, K. J., & Gotham, H. J. (1999). Pathological alcohol involvement: A developmental disorder of young adulthood. Development & Psychopathology, 11, 933956. doi:10.1017/S0954579499002394CrossRefGoogle ScholarPubMed
Staff, J., Schulenberg, J. E., Maslowsky, J., Bachman, J. G., O'Malley, P. M., Maggs, J. L., et al. (2010). Substance use changes and social role transitions: Proximal developmental effects on ongoing trajectories from late adolescence through early adulthood. Development and Psychopathology, 22, 917932. doi:10.1017/S0954579410000544Google Scholar
Steinberg, L. (2007). Risk taking in adolescence: New perspectives from brain and behavioral science. Current Directions in Psychological Science, 16, 5559. doi:10.1111/j.1467-8721.2007.00475.xGoogle Scholar
Tanner, J. L., Reinherz, H. Z., Beardslee, W. R., Fitzmaurice, G. M., Leis, J. A., & Berger, S. R. (2007). Change in prevalence of psychiatric disorders from ages 21 to 30 in a community sample. Journal of Nervous and Mental Disease, 195, 298306. doi:10.1097/01.nmd.0000261952.13887.6eGoogle Scholar
Trim, R. S., & Chassin, L. (2004). Drinking restraint, alcohol consumption and alcohol dependence among children of alcoholics. Journal of Studies on Alcohol, 65, 122125.Google Scholar
Warner, L. A., White, H. R., & Johnson, V. (2007). Alcohol initiation experiences and family history of alcoholism as predictors of problem-drinking trajectories. Journal of Studies on Alcohol and Drugs, 68, 5665.Google Scholar
Wechsler, H., Lee, J. E., Kuo, M., & Lee, H. (2000). College binge drinking in the 1990s: A continuing problem: Results of the Harvard School of Public Health 1999 college alcohol study. Journal of American College Health, 48, 199210. doi:10.1080/07448480009599305Google Scholar
Wells, J. E., Horwood, L. J., & Fergusson, D. M. (2006). Stability and instability in alcohol diagnosis from ages 18 to 21 and ages 21 to 25 years. Drug and Alcohol Dependence, 81, 157165. doi:10.1016/j.drugalcdep.2005.06.006Google Scholar
Yamaguchi, K., & Kandel, D. B. (1985). On the resolution of role incompatibility: A life event history analysis of family roles and marijuana use. American Journal of Sociology, 90, 12841325. doi:10.1086/228211Google Scholar