Adolescent drinking and midlife outcomes: A prospective cotwin control study

原始大小电子游戏 青春期是许多人开始尝试饮酒的时期，有些人会逐渐酗酒。 迅速酗酒。与青少年大量饮酒有关的严重问题（例如， 酒精中毒、性侵害、汽车事故）都有很好的记录;不太确定的是， 青少年饮酒是否也有长期后果。最近三次审查有关 文献也得出了类似的结论：青少年饮酒与成年人的功能有关， 现有的文献并没有告诉我们这些联系是否是因果关系，或者这些联系的后果是否是 青少年饮酒是长期的。我们建议通过前瞻性研究来解决这些局限性 一群独特的双胞胎这些双胞胎最初在17岁时接受评估，当时处于酒精的早期阶段 在20岁时，也就是青春期饮酒的高峰期。他们随后被 在24岁和29岁进行评估，这是一个以生活角色转变为特征的时期。我们现在建议评估 他们在中年（平均年龄42岁），一个发展时期的特点是稳定， 年轻人酗酒的适度模式现场评估将涵盖4个主要领域 功能：1）心理健康，包括物质使用和滥用，2）身体健康和行为，3） 神经认知功能，以及4）心理社会结果，包括教育和职业 成就和关系质量。我们估计将有1130对双胞胎参加（超过90%的双胞胎将参加）。 原始队列中的幸存成员）进行面对面评估，其中910名 配偶/伴侣也将填写一份简短的邮件调查。数据分析将记录以下范围： 成年人的结果与青少年饮酒，并评估三种替代模型，以解释 这些影响：1）导致青少年早期和大量饮酒的因素也会增加青少年的饮酒率。 成年期缺陷的可能性（即，混杂），2）青少年酗酒者往往成为成年人 重度饮酒者（即，3）青少年饮酒扰乱了成年人的正常进程。 创新的cotwin控制设计，控制遗传和共享的环境因素， 结果，将有助于隔离青少年饮酒对中年功能的可能因果影响。的 对该队列的广泛早期评估将为倾向评分提供丰富的信息 D 相关性（参见说明）： 该项目跟踪了一大批17岁至36-44岁的双胞胎，以确定 在青春期酗酒和滥用酒精来影响中年生活。该项目旨在确定 青少年饮酒对心理健康、身体健康、认知和社交的影响程度 在中年的功能和任何影响可以通过戒酒改善的程度。

ORIGINAL ABSTRACT Adolescence is a period when many individuals begin to experiment with alcohol, with some progressing rapidly to abusive drinking. The acute problems associated with heavy adolescent alcohol use (e.g., alcohol poisoning, sexual victimization, automobile accidents) have been well documented; less certain is whether adolescent alcohol use also has long-term consequences. Three recent reviews of the relevant literature have come to similar conclusions: adolescent drinking is associated with adult functioning, but the existing literature does not tell us whether these associations are causal or whether the consequences of adolescent drinking are long-lasting. We propose to address these limitations with a prospective study of a unique cohort of twins. These twins were initially assessed at age 17, at the early stages of alcohol use, and again at age 20, the period in adolescence when alcohol use peaks. They were subsequently assessed at ages 24 and 29, a period characterized by life-role transition. We now propose to assess them at mid-life (average age of 42 years), a developmental period characterized by stability and for most a moderation of youthful patterns of heavy drinking. The in-person assessment will cover 4 major domains of functioning: 1) mental health, including substance use and abuse, 2) physical health and behavior, 3) neurocognitive function, and 4) psychosocial outcomes including educational and occupational achievement and relationship quality. We estimate that 1130 twins will participate (greater than 90% of the surviving members of the original cohort) in the in-person assessment and that 910 of their spouses/partners will also complete a brief mail survey. Analysis of the data will document the range of adult outcomes associated with adolescent drinking and evaluate three alternative models to account for these effects: 1) the factors that lead to early and heavy drinking in adolescence also increase the likelihood of deficits in adulthood (i.e., confounding), 2) adolescent heavy drinkers tend to become adult heavy drinkers (i.e., drinking persistence), and 3) adolescent drinking upsets the normal course of adult. The innovative cotwin control design, which controls for genetic and shared environmental factors on outcomes, will help isolate possible causal effects of adolescent drinking on midlife functioning. The extensive earlier assessments of this cohort will provide a wealth of information for propensity score D RELEVANCE (See instructions): The project follows a large cohort of twins from age 17 to age 36-44 to identify the consequences of heavy and abusive drinking in adolescence for functioning in mid-life. The project seeks to determine the extent to which adolescent drinking impacts mental health, physical health, cognitive and social functioning in mid-life and the extent to which any effects can be ameliorated by drinking desistence.