Dissociable psychosocial profiles of adolescent substance users.

OBJECTIVE:Alcohol, tobacco and cannabis use in adolescence is associated with adverse outcomes. Characterizing adolescent substance misusers, however, is difficult due to the wide range of risk and protective factors linked to substance use. The aim of the present study was to examine the role of th...

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Main Authors: Amanda Fitzgerald, Naoise Mac Giollabhui, Louise Dolphin, Robert Whelan, Barbara Dooley
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC6116932?pdf=render
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author Amanda Fitzgerald
Naoise Mac Giollabhui
Louise Dolphin
Robert Whelan
Barbara Dooley
author_facet Amanda Fitzgerald
Naoise Mac Giollabhui
Louise Dolphin
Robert Whelan
Barbara Dooley
author_sort Amanda Fitzgerald
collection DOAJ
description OBJECTIVE:Alcohol, tobacco and cannabis use in adolescence is associated with adverse outcomes. Characterizing adolescent substance misusers, however, is difficult due to the wide range of risk and protective factors linked to substance use. The aim of the present study was to examine the role of the Individual, Family, School, Peer, and Social Environment on alcohol (lifetime and risky), tobacco (risky only), and cannabis use (lifetime and riskiness). METHOD:Data were analyzed from a national sample of 5,680 adolescents, capturing substance use behavior alongside risk and protective factors across Individual, Family, School, Peer and Social domains. We applied a sophisticated machine learning classifier to develop models of alcohol, tobacco and cannabis initiation and misuse. RESULTS:We found highly accurate (area under curve of receiver-operator-characteristic for out-of-sample performance was > .88) and replicable (over multiple iterations and in comparison with permuted outcomes) dissociable psychosocial profiles of alcohol, tobacco and cannabis use. Alongside common predictors (peer relations and externalizing behavior), dissociable risk and resilience factors were observed. Adolescent profiles of alcohol use were distinguished by the contribution of multiple domains. In contrast, tobacco use was characterized by a small number of individual variables, including female gender and poor perceived academic position. Cannabis use was differentiated by the distinct contribution of Individual risk factors, in particular male gender and feelings of anger. Differential associations were also evident, with the strength and direction of association differing substantially across substances. CONCLUSION:This study indicates that the relationship between the environment and substance use is more complex than previously thought.
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spelling doaj.art-30b4fa0081604cbea8874638a123e2942022-12-22T02:27:41ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01138e020249810.1371/journal.pone.0202498Dissociable psychosocial profiles of adolescent substance users.Amanda FitzgeraldNaoise Mac GiollabhuiLouise DolphinRobert WhelanBarbara DooleyOBJECTIVE:Alcohol, tobacco and cannabis use in adolescence is associated with adverse outcomes. Characterizing adolescent substance misusers, however, is difficult due to the wide range of risk and protective factors linked to substance use. The aim of the present study was to examine the role of the Individual, Family, School, Peer, and Social Environment on alcohol (lifetime and risky), tobacco (risky only), and cannabis use (lifetime and riskiness). METHOD:Data were analyzed from a national sample of 5,680 adolescents, capturing substance use behavior alongside risk and protective factors across Individual, Family, School, Peer and Social domains. We applied a sophisticated machine learning classifier to develop models of alcohol, tobacco and cannabis initiation and misuse. RESULTS:We found highly accurate (area under curve of receiver-operator-characteristic for out-of-sample performance was > .88) and replicable (over multiple iterations and in comparison with permuted outcomes) dissociable psychosocial profiles of alcohol, tobacco and cannabis use. Alongside common predictors (peer relations and externalizing behavior), dissociable risk and resilience factors were observed. Adolescent profiles of alcohol use were distinguished by the contribution of multiple domains. In contrast, tobacco use was characterized by a small number of individual variables, including female gender and poor perceived academic position. Cannabis use was differentiated by the distinct contribution of Individual risk factors, in particular male gender and feelings of anger. Differential associations were also evident, with the strength and direction of association differing substantially across substances. CONCLUSION:This study indicates that the relationship between the environment and substance use is more complex than previously thought.http://europepmc.org/articles/PMC6116932?pdf=render
spellingShingle Amanda Fitzgerald
Naoise Mac Giollabhui
Louise Dolphin
Robert Whelan
Barbara Dooley
Dissociable psychosocial profiles of adolescent substance users.
PLoS ONE
title Dissociable psychosocial profiles of adolescent substance users.
title_full Dissociable psychosocial profiles of adolescent substance users.
title_fullStr Dissociable psychosocial profiles of adolescent substance users.
title_full_unstemmed Dissociable psychosocial profiles of adolescent substance users.
title_short Dissociable psychosocial profiles of adolescent substance users.
title_sort dissociable psychosocial profiles of adolescent substance users
url http://europepmc.org/articles/PMC6116932?pdf=render
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AT naoisemacgiollabhui dissociablepsychosocialprofilesofadolescentsubstanceusers
AT louisedolphin dissociablepsychosocialprofilesofadolescentsubstanceusers
AT robertwhelan dissociablepsychosocialprofilesofadolescentsubstanceusers
AT barbaradooley dissociablepsychosocialprofilesofadolescentsubstanceusers