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Early adolescent through young adult alcohol and marijuana use trajectories: Early predictors, young adult outcomes, and predictive utility

Published online by Cambridge University Press:  13 April 2004

KATE FLORY ,
DONALD LYNAM ,
RICHARD MILICH ,
CARL LEUKEFELD  and
RICHARD CLAYTON
KATE FLORY
Affiliation:
University of Kentucky
DONALD LYNAM
Affiliation:
University of Kentucky
RICHARD MILICH
Affiliation:
University of Kentucky
CARL LEUKEFELD
Affiliation:
University of Kentucky
RICHARD CLAYTON
Affiliation:
University of Kentucky
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Abstract

The present study takes a developmental approach to subgrouping and examines the trajectories of substance use from early adolescence through young adulthood among a community sample of 481 individuals. The patterns of use were examined, subgroups were identified separately for men and women and for alcohol and marijuana, and psychosocial predictors and psychopathology outcomes that differentiated the groups were identified. The results revealed three substantially overlapping subgroups for both alcohol and marijuana: early onset, late onset, and nonuser. Although the general patterns of which dependent variables were related to group were similar for alcohol and marijuana, a closer examination revealed important subgroup differences. For alcohol use, the early-onset group was more dysfunctional in terms of predictors and outcomes whereas the late-onset and nonuser groups were better adjusted. In contrast, for marijuana, the early- and late-onset groups were both more dysfunctional than the nonuser group. In a final analysis, we examined the predictive utility of our developmental approach to subgrouping compared to a traditional, static approach.This research was supported by NIH National Research Service Award DA07304 from NIDA, Grant DA05312-10 from NIDA, NIH General Clinical Research Center Grant M01 RR026202, and a University of Kentucky Research Challenge Trust Fund Fellowship awarded to Kate Flory.

Type
Research Article
Information
Development and Psychopathology , Volume 16 , Issue 1 , March 2004 , pp. 193 - 213
Copyright
© 2004 Cambridge University Press

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