Andrew K. Littlefield

Is “Maturing out” of Problematic Alcohol Involvement Related to Personality Change?

Problematic alcohol involvement typically peaks in the early 20s and declines with age. This maturing out of alcohol involvement is usually attributed to individuals attaining adult statuses incompatible with heavy drinking. Nevertheless, little is known about how changes in problematic alcohol use during emerging/early adulthood relate to changes in etiologically relevant personality traits that also change during this period. This study examined the relation between changes in problematic alcohol involvement and personality (measures of impulsivity, neuroticism, and extraversion) from ages 18 to 35 in a cohort of college students (N = 489) at varying risk for alcohol use disorders. Latent growth models indicated that both normative and individual changes in alcohol involvement occur between ages 18 and 35 and that these changes are associated with changes in neuroticism and impulsivity. Moreover, marital and parental role statuses did not appear to be third-variable explanations of the associated changes in alcohol involvement and personality. Findings suggest that personality change may be an important mechanism in the maturing-out effect.

Sexual orientation and substance use trajectories in emerging adulthood

AIMS The current study examined developmental changes in substance use behaviors (SUBS) based upon sexual orientation. The analyses also attempted to address a number of methodological limitations in the extant longitudinal literature (i.e. distinct operationalizations of sexual orientation, timing of sexual orientation assessment with respect to reports of SUBs, non-linear growth). PARTICIPANTS Data were drawn from a longitudinal study of incoming first-time college students at a large public university (n = 3720). DESIGN After a paper-and-pencil assessment just prior to matriculation, participants completed a web-based survey every fall and spring for 4 years (sub-sample n = 2854). FINDINGS Latent growth models revealed that sexual minorities demonstrated significant heterogeneity with regard to substance use trajectories. Initial levels and trajectories of the frequency of substance use for sexual minority individuals were distinct, generally, from their exclusively heterosexual peers. Methodologically, the timing of the assessment of sexual orientation influenced the results, and modeling non-linear components indicated that sexual minorities are at risk for exponential increases in their frequency of certain SUBs over time (i.e. drunkenness; cannabis use). CONCLUSIONS Sexual minority and majority individuals exhibited differences in SUBs during emerging adulthood, especially when using self-identification to define sexual orientation. Individuals who endorsed a sexual minority self-identification at the onset of emerging adulthood, as opposed to 4 years later, evidenced exponential increases in rates of drunkenness and cannabis use. These results support that the timing of assessment is important and that some trajectories of sexual minority SUBs are non-linear during this developmental period.

Developmental Trajectories of Impulsivity and Their Association With Alcohol Use and Related Outcomes During Emerging and Young Adulthood I

BACKGROUND Research has documented normative patterns of personality change during emerging and young adulthood that reflect decreases in traits associated with substance use, such as impulsivity. However, evidence suggests variability in these developmental changes. METHODS This study examined trajectories of impulsivity and their association with substance use and related problems from ages 18 to 35. Analyses were based on data collected from a cohort of college students (N = 489), at high and low risk for AUDs, first assessed as freshmen at a large, public university. RESULTS Mixture modeling identified five trajectory groups that differed in baseline levels of impulsivity and developmental patterns of change. Notably, the trajectory group that exhibited the sharpest declines in impulsivity tended to display accelerated decreases in alcohol involvement from ages 18 to 25 compared to the other impulsivity groups. CONCLUSION Findings highlight the developmental nature of impulsivity across emerging and young adulthood and provide an empirical framework to identify key covariates of individual changes of impulsivity.

Transactional models between personality and alcohol involvement: a further examination.

Although correlated changes between personality and alcohol involvement have been shown, the functional relation between these constructs is also of theoretical and clinical interest. Using bivariate latent difference score models, we examined transactional relations (i.e., personality predicting changes in alcohol involvement, which in turn predicts changes in personality) across two distinct but overlapping developmental time frames (i.e., across college and during young adulthood) using two large, prospective samples. Across college, there was some evidence that alcohol involvement predicted changes in personality; however, these findings were limited to models that included more proximal measures of alcohol use. When examined across a longer timeframe, we found no evidence that alcohol involvement significantly predicted changes in personality but found some evidence that personality predicted changes in alcohol use. We did find reliable evidence of correlated changes between personality and alcohol use, especially during emerging adulthood. The findings from our datasets highlight that the impact of alcohol involvement on personality change may be limited to shorter intervals during specific developmental time-frames and that the relation between changes in personality and alcohol involvement may be best viewed from a noncausal perspective.

The codevelopment of skill at and preference for use of retrieval-based processes for solving addition problems: individual and sex differences from first to sixth grades.

The ability to retrieve basic arithmetic facts from long-term memory contributes to individual and perhaps sex differences in mathematics achievement. The current study tracked the codevelopment of preference for using retrieval over other strategies to solve single-digit addition problems, independent of accuracy, and skilled use of retrieval (i.e., accuracy and reaction time [RT]) from first to sixth grades inclusive (N=311). Accurate retrieval in first grade was related to working memory capacity and intelligence, and it predicted a preference for retrieval in second grade. In later grades, the relation between skill and preference changed such that preference in one grade predicted accuracy and RT in the next grade as RT and accuracy continued to predict future gains in preference. In comparison with girls, boys had a consistent preference for retrieval over other strategies and had faster retrieval speeds, but the sex difference in retrieval accuracy varied across grades. Results indicate that ability influences early skilled retrieval, but both practice and skill influence each other in a feedback loop later in development and provide insights into the source of the sex difference in problem-solving approaches.

Changes in protective behavioral strategies and alcohol use among college students.

BACKGROUND Protective behavioral strategies (PBS) are specific cognitive-behavioral strategies designed to reduce alcohol consumption and resulting negative consequences. A host of studies have examined the cross-sectional relationship between such strategies and alcohol use in the high-risk population of United States college students, but prospective studies on the construct are lacking. The primary purposes of this study were to determine if PBS use prospectively predicted subsequent alcohol use/alcohol-related problems and if changes in PBS use were associated with less alcohol use and fewer problems. METHODS Data were examined from 521 heavy drinking college students (60% male, 84% White, mean age=18.9 years). Participants completed questionnaires assessing alcohol use, alcohol-related problems, and PBS use at baseline, 6-month, and 12-month follow-ups. RESULTS Analysis of residualized change scores indicated that increases in some PBS across time were associated with less alcohol use and fewer alcohol-related problems at follow-up. Findings regarding the prospective relationship between PBS use and subsequent alcohol use/problems were equivocal. DISCUSSION Results from the study suggest that PBS may have value in alcohol-related interventions among college students. Clinicians who help clients increase their use of PBS may help those clients increase the probability of drinking less and experiencing fewer alcohol-related problems in the future.

Did Lifetime Rates of Alcohol Use Disorders Increase by 67% in 10 Years? A Comparison of NLAES and NESARC

Two nationally representative epidemiological samples (the National Longitudinal Alcohol Epidemiological Survey and the National Epidemiological Survey of Alcohol and Related Conditions) have been used to track changes in the prevalence of alcohol use disorders (AUDs) between 1992 and 2002 in the United States. Strikingly, estimates from these two data sets suggest that the lifetime prevalence of AUD increased by approximately 67% (from 18.2% to 30.3%) during this time frame. This article explores potential reasons for these discrepant estimates. Analyses indicated that a vast majority of change in lifetime AUD occurred with respect to alcohol abuse and not alcohol dependence. Most of this increase in abuse was attributable to self-reported changes in hazardous use that did not track with other archival measures of outcomes related to hazardous use in the population. Key methodological differences regarding the frequency requirements for prior-to-past-year alcohol abuse appeared to explain most of the discrepancy in lifetime AUD estimates. These findings, in conjunction with the relative lack of differences in the 12-month prevalence of AUDs, suggest that the discrepant lifetime estimates are likely due to methodological differences between the two surveys. These findings have important implications for substance use and other psychiatric surveillance and epidemiology where meaningful cross-temporal comparisons are desired.

The influence of general identity disturbance on reports of lifetime substance use disorders and related outcomes among sexual minority adults with a history of substance use.

Previous research has shown that sexual minority (i.e., nonheterosexual) individuals report increased problematic substance use involvement, compared with their sexual majority counterparts. We hypothesize that feelings of an unstable sense of self (i.e., identity disturbance) may potentially drive problematic substance use. The purpose of the current study is to examine identity disturbance among sexual minorities as a potential explanatory mechanism of increased sexual minority lifetime rates of substance dependence. Measures of identity disturbance and three indicators of sexual orientation from lifetime female (n = 16,629) and male (n = 13,553) alcohol/illicit drug users in Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) were examined. Findings generally showed that the increased prevalence of alcohol dependence, illicit drug dependence, and combined alcohol/illicit drug dependence as well as a younger age of alcohol use initiation among sexual minority women was associated with elevated levels of identity disturbance. The results were consistent with a mediational role for identity disturbance in explaining the association between sexual minority status and substance dependence and were generally replicated among male sexual minority respondents. The current research suggests that identity disturbance, a predictor of substance use, may contribute to heightened risk for substance dependence among certain subgroups of sexual minority individuals.

Motivational typologies of drinkers: do enhancement and coping drinkers form two distinct groups?

AIMS This study used a person-centered approach to test whether drinking motive typologies could be identified. DESIGN Longitudinal study of college students within the intensive multivariate prospective alcohol college-transitions (IMPACTS) data set. SETTING University campus in the United States. PARTICIPANTS University students (baseline n reporting alcohol motives = 2158; baseline age = 18.60 years old). MEASUREMENTS The drinking motives questionnaire-revised (DMQ-R). FINDINGS Using Steinley & Bruscos cluster analysis approach [based on the theoretical ratio expected between the within sum of squares and the total sum of squares when the data are divided into two clusters when no cluster structure is present; the cut-off for the ratio is 0.25 for uniform (multivariate uniform) distributions and 0.36 for normal (multivariate normal) distributions], we examined whether there was evidence for distinct clusters of individuals that differed on their overall level of motives to drink. We tested the fit of a one-group (cluster) solution compared to multi-cluster solutions. Both cross-sectionally and prospectively, the data could not be partitioned into two or more clusters [regardless of whether the cut-off assuming a multivariate uniform distribution (i.e. 0.25) or the more liberal multivariate normal distribution (i.e., 0.36) was used]. These findings showed that enhancement and coping drinkers do not form two distinct groups but, rather, these motives exist on a continuum such that individuals who are high in one internal motive tend to be high in the other motive. CONCLUSIONS Coping and enhancement drinkers do not form two distinct groups. Variable-centered approaches to drinking motives may be a better alternative to classifying all drinkers as either enhancement or coping drinkers for both clinical and research endeavors.

Smoking Desistance and Personality Change in Emerging and Young Adulthood

INTRODUCTION We attempted to replicate and extend (Welch, P., & Poulton, R. [2009]. Personality influences on change in smoking behavior. Health Psychology, 28, 292-299. doi:10.1037/a0013471) findings regarding the relationship between smoking involvement and personality change. METHODS Two time frames (18-25, 18-35) in a cohort of college students (N = 489 at baseline) followed for 17 years were used. Impulsivity, neuroticism, and 4 measures of smoking involvement were assessed at each time point. RESULTS Individuals who desisted in smoking involvement tended to exhibit the largest decreases in neuroticism and impulsivity from ages 18 to 25. From ages 18 to 35, changes in smoking involvement were only significantly associated with changes in impulsivity. CONCLUSIONS These findings add to the literature demonstrating decreasing neuroticism, and impulsivity correlates with decreased substance involvement during emerging adulthood.