An internalizing pathway to alcohol use and disorder.
- 1 September 2011
- journal article
- review article
- Published by American Psychological Association (APA) in Psychology of Addictive Behaviors
- Vol. 25 (3), 390-404
- https://doi.org/10.1037/a0024519
Abstract
Research emanating from the field of developmental science indicates that initial risk factors for alcohol use and disorder can be evident in early childhood. One dominant developmental pathway connecting these initial risk factors with subsequent alcohol involvement focuses on the central role of disinhibited or externalizing behaviors. In the current paper, we delineate a second pathway that focuses on internalizing symptomatology. Several studies indicate that internalizing symptoms in early and middle childhood predict alcohol involvement in adolescence and young adulthood. We use a developmental psychopathology framework to describe a risk model that traces the potential developmental markers of this internalizing pathway and to consider the relation between the internalizing pathway and the more widely researched externalizing pathway. We outline the markers of risk in this pathway and conclude with a discussion of the implications of this model for prevention efforts and future research. In this manner, we strive for a translational goal, linking our existing understanding of internalizing processes and alcohol use and disorder with our efforts to develop effective prevention programs.Keywords
Funding Information
- National Institute on Drug Abuse (R01DA015398)
This publication has 84 references indexed in Scilit:
- Anticipating problem alcohol use developmentally from childhood into middle adulthood: what have we learned?Addiction, 2008
- When the Evidence Says, “Yes, No, and Maybe So”Current Directions in Psychological Science, 2008
- Telescoped trajectories from alcohol initiation to disorder in children of alcoholic parents.Journal of Abnormal Psychology, 2008
- Defining risk heterogeneity for internalizing symptoms among children of alcoholic parentsDevelopment and Psychopathology, 2008
- Externalizing symptoms among children of alcoholic parents: Entry points for an antisocial pathway to alcoholism.Journal of Abnormal Psychology, 2007
- Changing Environmental Influences on Substance Use Across DevelopmentTwin Research and Human Genetics, 2007
- Temperament and behavioral problems among infants in alcoholic familiesInfant Mental Health Journal, 2001
- Development of Psychiatric Comorbidity With Substance Abuse in Adolescents: Effects of Timing and SexJournal of Clinical Child Psychology, 1999
- Cognitive Motivations for Drinking among Alcoholics: Factor Structure and CorrelatesThe American Journal of Drug and Alcohol Abuse, 1992
- Genetic Heterogeneity and the Classification of AlcoholismAdvances in Alcohol & Substance Abuse, 1988