Personality, Social Factors, Brain Functioning, Familial Risk, and Trajectories of Alcohol Misuse in Adolescence

Author:

Tschorn Mira12,Daedelow Laura234,Szalek Laura1,Banaschewski Tobias25,Bokde Arun L. W.6,Desrivières Sylvane7,Flor Herta89,Grigis Antoine10,Garavan Hugh1112,Gowland Penny13,Martinot Jean-Luc14,Martinot Marie-Laure Paillère1415,Artiges Eric16,Nees Frauke5817,Orfanos Dimitri Papadopoulos10,Poustka Luise18,Hohmann Sarah5,Buechl Christian19,Smolka Michael N.19,Vaidya Nilakshi20,Walter Henrik3,Whelan Robert21,Schumann Gunter2022,Heinz Andreas23,Rapp Michael A.12, ,Robbin Trevor23,Dalley Jeffrey23,Subramaniam Naresh23,Theobald David23,Mann Karl23,Bach Christiane23,Struve Maren23,Rietschel Marcella23,Spanagel Rainer23,Fauth-Bühler Mira23,Millenet Sabina23,Grimmer Yvonne23,Lathrop Mark23,Albrecht Lisa23,Ivanov Nikolay23,Strache Nicole23,Ströhle Andreas23,Reuter Jan23,Gallinat Jürgen23,Gemmeke Isabel23,Genauck Alexander23,Parchetka Caroline23,Weiß Katharina23,Kruschwitz Johann23,Raffaelli Bianca23,Barbot Alexis23,Thyreau Benjamin23,Schwartz Yannick23,Lalanne Christophe23,Frouin Vincent Frouin25,23,Rogers John23,Ireland James23,Lanzerath Dirk23,Feng Jianfeng23,Bricaud Zuleima23,Gollier Briand Fanny23,LemaÎtre Hervé23,Miranda Ruben23,Massicotte Jessica23,Vulser Helene23,Pentillä Jani23,Filippi Irina23,Galinowski André23,Bezivin Pauline23,Cattrell Anna23,Jia Tianye23,Werts Helen23,Topper Lauren23,Reed Laurence23,Andrew Chris23,Mallik Catherine23,Ruggeri Barbara23,Barker Gareth23,Nymberg Charlotte23,Conrod Patricia J.23,Smith Lindsay23,Loth Eva23,Havatzias Stephanie23,Kitson Emily23,Robinson Alice23,Hall Deborah23,Rubino Chiara23,Wright Hannah23,Stueber Kerstin23,Hanratty Eanna23,Kennedy Eleanor23,de Carvahlo Fabiana Mesquita23,Stringaris Argyris23,Ing Alex23,Robert Gabriel23,Macare Christine23,Xu Bing23,Yu Tao23,Burke Quinlan Erin23,Constant Patrick23,Aydin Semiha23,Brühl Ruediger23,Ihlenfeld Albrecht23,Walaszek Bernadeta23,Ittermann Bernd23,Smolka Michael23,Hübner Thomas23,Müller Kathrin23,Ripke Stephan23,Jurk Sarah23,Mennigen Eva23,Schmidt Dirk23,Vetter Nora23,Ziesch Veronika23,Fröhner Juliane H.23,Carter Daniel23,O’Driscoll Susanne23,Walsh Emily23,Agan Maria Leonora Fatimah23,McMorrow Mairead23,Nugent Sinead23,Connolly Colm23,Dooley Eoin23,Cremen Clodagh23,Jones Jennifer23,O’Keefe John23,O’Connor Martin23,Poline Jean-Baptiste23,Bromberg Uli23,Fadai Tahmine23,Yacubian Juliana23,Schneider Sophia23,Lobatcheva Maria23,Lawrence Claire23,Newman Craig23,Head Kay23,Stedman Alicia23,Heym Nadja23,Kaviani Mehri23,Paus Tomáš23,Stephens Dai23,Pausova Zdenka23,Tahmasebi Amir23

Affiliation:

1. Division of Social and Preventive Medicine, Department of Sports and Health Sciences, Intrafaculty unit of Cognitive Sciences, Faculty of Human Science, and Faculty of Health Sciences Brandenburg, Research Area Services Research and e-Health, University of Potsdam, Potsdam, Germany

2. German Center for Mental Health (DZPG), Berlin and Potsdam, Germany

3. Department of Psychiatry and Psychotherapy Campus Charité Mitte, Charité–Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Berlin, Germany

4. Department of Psychology, Humboldt-University Berlin, Germany

5. Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany

6. Discipline of Psychiatry, School of Medicine, Trinity College Institute of Neuroscience, Trinity College, Dublin, Ireland

7. Centre for Population Neuroscience and Precision Medicine, Institute of Psychiatry, Psychology & Neuroscience, Social, Genetic, and Developmental Psychiatry Centre, King’s College London, London, United Kingdom

8. Institute of Cognitive and Clinical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany

9. Department of Psychology, School of Social Sciences, University of Mannheim, Mannheim, Germany

10. NeuroSpin, CEA, Université Paris-Saclay, Gif-sur-Yvette, France

11. Department of Psychiatry, University of Vermont, Burlington

12. Department of Psychology, University of Vermont, Burlington

13. Sir Peter Mansfield Imaging Centre School of Physics and Astronomy, University of Nottingham, University Park, Nottingham, United Kingdom

14. Institut National de la Santé et de la Recherche Médicale, INSERM U 1299 Trajectoires Développementales & Psychiatrie, Ecole Normale Supérieure Paris-Saclay, Centre Borelli, University Paris Saclay, Centre National de la Recherche Scientifique, Gif-sur-Yvette, France

15. Department of Child and Adolescent Psychiatry, Pitié-Salpêtrière Hospital, Assistance Publique–Hôpitaux de Paris Sorbonne University, Paris, France

16. Institut National de la Santé et de la Recherche Médicale, Ecole Normale Supérieure Paris-Saclay, University Paris Saclay, Centre Borelli, CNRS, and Psychiatry Department, Établissement Public de Santé Barthélémy Durand, Etampes, France

17. Institute of Medical Psychology and Medical Sociology, University Medical Center Schleswig Holstein, Kiel University, Kiel, Germany

18. Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Centre Göttingen, Göttingen, Germany

19. Department of Psychiatry and Psychotherapy, Technische Universität Dresden, Dresden, Germany

20. Centre for Population Neuroscience and Stratified Medicine (PONS), Department of Psychiatry and Neuroscience, Charité Universitätsmedizin Berlin, Germany

21. School of Psychology, Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland

22. Centre for Population Neuroscience and Precision Medicine (PONS), Institute for Science and Technology of Brain-Inspired Intelligence (ISTBI), Fudan University, Shanghai, China

23. for the IMAGEN Consortium

Abstract

ImportanceThe development of an alcohol use disorder in adolescence is associated with increased risk of future alcohol dependence. The differential associations of risk factors with alcohol use over the course of 8 years are important for preventive measures.ObjectiveTo determine the differential associations of risk-taking aspects of personality, social factors, brain functioning, and familial risk with hazardous alcohol use in adolescents over the course of 8 years.Design, Setting, and ParticipantsThe IMAGEN multicenter longitudinal cohort study included adolescents recruited from European schools in Germany, the UK, France, and Ireland from January 2008 to January 2019. Eligible participants included those with available neuropsychological, self-report, imaging, and genetic data at baseline. Adolescents who were ineligible for magnetic resonance imaging or had serious medical conditions were excluded. Data analysis was conducted from July 2021 to September 2022.ExposurePersonality testing, psychosocial factors, brain functioning, and familial risk of alcohol misuse.Main Outcome and MeasuresHazardous alcohol use as measured with the Alcohol Use Disorders Identification Test scores, a main planned outcome of the IMAGEN study. Alcohol misuse trajectories at ages 14, 16, 19, and 22 years were modeled using latent growth curve models.ResultsA total of 2240 adolescents (1110 female [49.6%] and 1130 male [50.4%]) were included in the study. There was a significant negative association of psychosocial resources (β = −0.29; SE = 0.03; P < .001) with the general risk of alcohol misuse as well as a significant positive association of the risk-taking aspects of personality with the intercept (β = 0.19; SE = 0.04; P < .001). Furthermore, there were significant positive associations of the social domain (β = 0.13; SE = 0.02; P < .001) and the personality domain (β = 0.07; SE = 0.02; P < .001) with trajectories of alcohol misuse development over time (slope). Family history of substance misuse was negatively associated with general risk of alcohol misuse (β = −0.04; SE = 0.02; P = .045) and its development over time (β = −0.03; SE = 0.01; P = .01). Brain functioning showed no significant association with intercept or slope of alcohol misuse in the model.Conclusions and RelevanceThe findings of this cohort study suggest known risk factors of adolescent drinking may contribute differentially to future alcohol misuse. This approach may inform more individualized preventive interventions.

Publisher

American Medical Association (AMA)

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