Alcohol and Cannabis Use Disorder Symptom Severity, Conduct Disorder, and Callous-Unemotional Traits and Impairment in Expression Recognition
Open Access
- 20 September 2021
- journal article
- research article
- Published by Frontiers Media SA in Frontiers in Psychiatry
Abstract
Background: Alcohol and cannabis are commonly used by adolescents in the United States. Both alcohol use disorder (AUD) and cannabis use disorder (CUD) have been associated with reduced emotion expression recognition ability. However, this work has primarily occurred in adults and has not considered neuro-cognitive risk factors associated with conduct problems that commonly co-occur with, and precede, substance use. Yet, conduct problems are also associated with reduced emotion expression recognition ability. The current study investigated the extent of negative association between AUD and CUD symptom severity and expression recognition ability over and above any association of expression recognition ability with conduct problems [conduct disorder (CD) diagnostic status]. Methods: In this study, 152 youths aged 12.5–18 years (56 female; 60 diagnosed with CD) completed a rapid presentation morphed intensity facial expression task to investigate the association between relative severity of AUD/CUD and expression recognition ability. Results: Cannabis use disorder identification test (CUDIT) scores were negatively associated with recognition accuracy for higher intensity (particularly sad and fearful) expressions while CD diagnostic status was independently negatively associated with recognition of sad expressions. Alcohol use disorder identification test (AUDIT) scores were not significantly associated with expression recognition ability. Conclusions: These data indicate that relative severity of CUD and CD diagnostic status are statistically independently associated with reduced expression recognition ability. On the basis of these data, we speculate that increased cannabis use during adolescence may exacerbate a neuro-cognitive risk factor for the emergence of aggression and antisocial behavior.Funding Information
- National Institute on Drug Abuse
This publication has 84 references indexed in Scilit:
- Withdrawal-Associated Increases and Decreases in Functional Neural Connectivity Associated with Altered Emotional Regulation in AlcoholismNeuropsychopharmacology, 2012
- Neural activation during inhibition predicts initiation of substance use in adolescenceDrug and Alcohol Dependence, 2011
- Developmental pathways to adolescent cannabis abuse and dependence: Child maltreatment, emerging personality, and internalizing versus externalizing psychopathology.Psychology of Addictive Behaviors, 2011
- Lifetime Prevalence of Mental Disorders in U.S. Adolescents: Results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A)Journal of the American Academy of Child & Adolescent Psychiatry, 2010
- Altered affective response in marijuana smokers: An FMRI studyDrug and Alcohol Dependence, 2009
- Alcoholism and Dampened Temporal Limbic Activation to Emotional FacesAlcohol: Clinical and Experimental Research, 2009
- Deficits in facial affect recognition among antisocial populations: A meta-analysisNeuroscience & Biobehavioral Reviews, 2008
- Prevalence and comorbidity of major internalizing and externalizing problems among adolescents and adults presenting to substance abuse treatmentJournal of Substance Abuse Treatment, 2008
- Likelihood of developing an alcohol and cannabis use disorder during youth: Association with recent use and ageDrug and Alcohol Dependence, 2008
- The reactive–proactive aggression questionnaire: differential correlates of reactive and proactive aggression in adolescent boysAggressive Behavior, 2006