Abstract
Underage drinking is associated with a wide range of negative consequences, including alterations in brain development and poor cognitive functioning. Personality traits linked to drinking include impulsivity, sensation seeking and risk taking. The present study examined, separately in preadolescents (11 to 13 years old) and adolescents (14 to 16 years old), the bivariate and multivariate relationship between impulsivity, risk taking, cognitive flexibility and alcohol consumption. Preadolescents and adolescents (n = 974; M age = 13.30 ± 0.955; 54.5% women; 56.5% preadolescents) of Cordoba (Argentina) completed a survey assessing trait-like impulsivity (UPPS-P Scale) and alcohol use. They also underwent the Balloon Analogue Risk Task, the Go/No-Go Task and the Wisconsin Card Sorting Test. Trait-like impulsivity was significantly associated to substance use behaviors in preadolescents and adolescents. In the younger, but not in the older group, higher scores in risk taking and inattention explained higher frequency of alcohol use. In contrast, alcohol use in the adolescents was associated with diminished cognitive flexibility. The present study helps disentangle predictors of underage drinking at two stages of adolescence. Prevention and intervention strategies should attend the noted differences between preadolescents and adolescents.
References
Aiken, A., Clare, P. J., Wadolowski, M., Hutchinson, D., Najman, J. M., Slade, T., Bruno, R., McBride, N., Kypri, K., & Mattick, R. P. (2018). Age of alcohol initiation and progression to binge drinking in adolescence: a prospective cohort study. Alcoholism: Clinical and Experimental Research, 42(1), 100-110. https://doi.org/10.1111/acer.13525
Asociación Psicológica Americana, APA (2016). Publication Manual of the American Psychological Association (6th Ed.). Washington: American Psychological Association.
Asociación Médica Mundial (2017). Declaración de Helsinki – Principios éticos para las investigaciones médicas en seres humanos. Recuperado de: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos
Bava, S., & Tapert, S. F. (2010). Adolescent brain development and the risk for alcohol and other drug problems. Neuropsychology Review, 20(4), 398-413. https://doi.org/10.1007/s11065-010-9146-6
Bezdjian, S., Baker, L. A., Lozano, D. I., & Raine, A. (2009). Assessing inattention and impulsivity in children during the Go/NoGo task. British Journal of Developmental Psychology, 27(2), 365-383. https://doi.org/10.1348/026151008X314919
Boelema, S. R., Harakeh, Z., Van Zandvoort, M. J., Reijneveld, S. A., Verhulst, F. C., Ormel, J., & Vollebergh, W. A. (2015). Adolescent heavy drinking does not affect maturation of basic executive functioning: longitudinal findings from the TRAILS study. PLoS One, 10(10), e0139186. https://doi.org/10.1371/journal.pone.0139186
Caneto, F., Pilatti, A., Cupani, M., & Pautassi, R. M. (2020). Validación de la versión breve en español de la escala UPPS-P de impulsividad para niños y adolescentes (BUPPS-P NA). Journal of Psychopathology and Clinical Psychology/ Revista de Psicopatología y Psicología Clínica, 25(3), 175-185. https://doi.org/10.5944/rppc.26249
Chung, T., Creswell, K. G., Bachrach, R., Clark, D. B., & Martin, C. S. (2018). Adolescent binge drinking: Developmental context and opportunities for prevention. Alcohol Research: Current Reviews, 39(1), 5–15.
CIOMS, OMS & OPS (2016). Pautas éticas internacionales para la investigación relacionada con la salud con seres humanos. Recuperado de https://cioms.ch/wp-content/uploads/2017/12/CIOMS-EthicalGuideline_SP_INTERIOR-FINAL.pdf
Collado, A., Felton, J. W., MacPherson, L., & Lejuez, C. W. (2014). Longitudinal trajectories of sensation seeking, risk taking propensity, and impulsivity across early to middle adolescence. Addictive Behaviors, 39(11), 1580-1588. https://doi.org/10.1016/j.addbeh.2014.01.024
Curtis, A. C. (2015). Defining adolescence. Journal of Adolescent and Family Health, 7(2), 1-39.
Cyders, M. A., & Coskunpinar, A. (2011). Measurement of constructs using self-report and behavioral lab tasks: is there overlap in nomothetic span and construct representation for impulsivity?. Clinical Psychology Review, 31(6), 965–982. https://doi.org/10.1016/j.cpr.2011.06.001
De Boer, A., Peeters, M., & Koning, I. (2017). An experimental study of risk taking behavior among adolescents: A closer look at peer and sex influences. The Journal of Early Adolescence, 37(8), 1125-1141. https://doi.org/10.1177/0272431616648453
De Wit, H. (2008). Impulsivity as a determinant and consequence of drug use: a review of underlying processes. Addiction Biology, 14, 22-31. https://doi.org/10.1111/j.1369-1600.2008.00129.x
Dom, G., De Wilde, B., Hulstijn, W., & Sabbe, B. (2007). Dimensions of impulsive behaviour in abstinent alcoholics. Personality and Individual Differences, 42(3), 465-476. https://doi.org/10.1016/j.paid.2006.08.007
Donoghue, K., Rose, H., Boniface, S., Deluca, P., Coulton, S., Alam, M. F. Gilvarry, E., Kaner, E., Lynch, E., Maconochie, I., McArdle, P., McGovern, R., Newbury-Birch, D., Patton, R., Phillips, C. J., Phillips, T., Russell, I., Strang, J., & Drummond, C. (2017). Alcohol consumption, early-onset drinking, and health-related consequences in adolescents presenting at emergency departments in England. Journal of Adolescent Health, 60(4), 438-446. https://doi.org/10.1016/j.jadohealth.2016.11.017
Doumas, D. M., Miller, R., & Esp, S. (2017). Impulsive sensation seeking, binge drinking, and alcohol-related consequences: Do protective behavioral strategies help high risk adolescents?. Addictive Behaviors, 64, 6-12. https://doi.org/10.1016/j.addbeh.2016.08.003
Elkins, I. J., Saunders, G. R., Malone, S. M., Keyes, M. A., McGue, M., & Iacono, W. G. (2018). Associations between childhood ADHD, gender, and adolescent alcohol and marijuana involvement: A causally informative design. Drug and Alcohol Dependence, 184, 33-41. https://doi.org/10.1016/j.drugalcdep.2017.11.011
Fernie, G., Peeters, M., Gullo, M., Christiansen, P., Cole, J., Sumnall, H., & Field, M. (2013). Multiple behavioural impulsivity tasks predict prospective alcohol involvement in adolescents. Addiction, 108, 1916–1923. https://doi.org/10.1111/add.12283
Grant, D., & Berg, E. (1948). A behavioral analysis of degree of reinforcement and ease of shifting to new responses in a Weigl-type card-sorting problem. Journal of Experimental Psychology, 38(4), 404-411. https://doi.org/10.1037/h0059831
Gunn, R., & Smith, G. (2010). Risk factors for elementary school drinking: Pubertal status, personality, and alcohol expectancies concurrently predict fifth grade alcohol consumption. Psychology of Addictive Behaviors, 24(4), 617-627. https://doi.org/10.1037/a0020334
Harden, K. P., & Tucker-Drob, E. M. (2011). Individual differences in the development of sensation seeking and impulsivity during adolescence: further evidence for a dual systems model. Developmental Psychology, 47(3), 739-746. https://doi.org/10.1037/a0023279
Heaton, R., Chelune, G., Talley, J., Kay, G., & Curtiss, G. (1993). Wisconsin Card Sorting Test Manual: Revised and expanded. Odessa: Psychological Assessment Resources Inc.
Henrich, J., Heine, S., & Norenzayan, A. (2010). Most people are not WEIRD. Nature, 466, 29. https://doi.org/10.1038/466029a
Honorable Congreso de la Nación Argentina (2000). Ley 25326: Protección de datos personales. Recuperado de: https://www.argentina.gob.ar/normativa/nacional/ley-25326-64790
IAAP & IUPsyS (2008). Universal Declaration of Ethical Principles for Psychologists. Disponible en the International Union of Psychological Science Web site: https://www.iupsys.net/about/governance/universal-declaration-of-ethical-principles-for-psychologists.html
Jacobus, J., Thayer, R. E., Trim, R. S., Bava, S., Frank, L. R., & Tapert, S. F. (2013). White matter integrity, substance use, and risk taking in adolescence. Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors, 27(2), 431–442. https://doi.org/10.1037/a0028235
Lees, B., Meredith, L. R., Kirkland, A. E., Bryant, B. E., & Squeglia, L. M. (2020). Effect of alcohol use on the adolescent brain and behavior. Pharmacology Biochemistry and Behavior,192, 172906. https://doi.org/10.1016/j.pbb.2020.172906
Lejuez, C., Aklin, W., Zvolensky, M., & Pedulla, C. (2003). Evaluation of the Balloon Analogue Risk Task (BART) as a predictor of adolescent real-world risk-taking behaviours. Journal of Adolescence, 26(4), 475-479. https://doi.org/10.1016/S0140-1971(03)00036-8
López-Caneda, E., Rodríguez Holguín, S., Cadaveira, F., Corral, M., & Doallo, S. (2014). Impact of Alcohol Use on Inhibitory Control (and Vice Versa) During Adolescence and Young Adulthood: A Review. Alcohol and Alcoholism, 49(2), 173-181. https://doi.org/10.1093/alcalc/agt168
Lynam, D. R., Smith, G. T., Whiteside, S. P., & Cyders, M. A. (2006). The UPPS–P: Assessing five personality pathways to impulsive behavior (Tech. Rep.). West Lafayette, IN: Purdue University.
MacPherson, L., Magidson, J. F., Reynolds, E. K., Kahler, C. W., & Lejuez, C. W. (2010). Changes in sensation seeking and risk-taking propensity predict increases in alcohol use among early adolescents. Alcoholism, Clinical and Experimental Research, 34(8), 1400–1408. https://doi.org/10.1111/j.1530-0277.2010.01223.x
Martínez Loredo, V., & Fernández Hermida, J. R. (2019). Impulsivity-targeted selective preventive interventions and treatments in addictive behaviors. Revista de Psicología Clínica con Niños y Adolescentes, 6(3), 1-7. https://doi.org/10.21134/rpcna.2019.06.2.4
Martínez-Loredo, V., Fernández-Hermida, J., Fernández-Artamendi, S., Carballo, J., García-Cueto, E., & García-Rodríguez, O. (2015). The association of both self-reported and behavioral impulsivity with the annual prevalence of substance use among early adolescents. Substance Abuse Treatment, Prevention, and Policy, 10, 23. https://doi.org/10.1186/s13011-015-0019-0
Mueller, S. T., & Piper, B. J. (2014). The Psychology Experiment Building Language (PEBL) and PEBL test battery. Journal of Neuroscience Methods, 222, 250-259. https://doi.org/10.1016/j.jneumeth.2013.10.024
National Institute on Alcohol Abuse and Alcoholism (2017). Underage drinking. Recuperado de: https://pubs.niaaa.nih.gov/publications/underagedrinking/Underage_Fact.pdf
Patrick, M. E., & Schulenberg, J. E. (2013). Prevalence and predictors of adolescent alcohol use and binge drinking in the United States. Alcohol Research: Current Reviews, 35(2), 193–200.
Peeters, M., Vollebergh, W., Wiers, R., & Field, M. (2013). Psychological Changes and Cognitive Impairments in Adolescent Heavy Drinkers. Alcohol and Alcoholism, 49, 182-186. https://doi.org/10.1093/alcalc/agt162
Pilatti, A., Fernández, C., Viola, A., García, J. S., & Pautassi, R. M. (2017). Efecto recíproco de impulsividad y consumo de alcohol en adolescentes argentinos. Salud y Drogas, 17(1), 107-120.
Pilatti, A., Godoy, J. C., Brussino, S., & Pautassi, R. M. (2013). Underage drinking: prevalence and risk factors associated with drinking experiences among Argentinean children. Alcohol, 47(4), 323-331. https://doi.org/10.1016/j.alcohol.2013.02.001
Pilatti, A., Rivarola Montejano, G., Lozano, O., & Pautassi, R. (2016). Relación entre impulsividad y consumo de alcohol en hombres y mujeres argentinos. Quaderns de Psicología, 18, 75-91. https://doi.org/10.5565/rev/qpsicologia.1329
Pingault, J. B., Côté, S. M., Galéra, C., Genolini, C., Falissard, B., Vitaro, F., & Tremblay, R. E. (2013). Childhood trajectories of inattention, hyperactivity and oppositional behaviors and prediction of substance abuse/dependence: a 15-year longitudinal population-based study. Molecular Psychiatry, 18(7), 806-812. https://doi.org/10.1038/mp.2012.87
Riley, E. N. (2015) The reciprocal predictive relationship between personality and risky behaviors: an 8-wave longitudinal study in early adolescents. (Tesis de Maestría) Recuperado de: https://uknowledge.uky.edu/psychology_etds/67
Secretaría de Políticas Integrales sobre Drogas de la Nación Argentina [SEDRONAR] (2018). Estudio epidemiológico en población de educación secundaria. Recuperado de: https://observatorio.gov.ar/media/k2/attachments/EstudioZepidemiolgicoZenZpoblacionesZdeZenseanzaZmedia.pdf
Settles, R. E., Zapolski, T. C., & Smith, G. T. (2014). Longitudinal test of a developmental model of the transition to early drinking. Journal of Abnormal Psychology, 123(1), 141–151. https://doi.org/10.1037/a0035670
Smith, A. R., Chein, J., & Steinberg, L. (2014). Peers increase adolescent risk taking even when the probabilities of negative outcomes are known. Developmental Psychology, 50(5), 1564. https://doi.org/10.1037/a0035696
Sociedad Interamericana de Psicología, SIP (1978). Resolución sobre la práctica psicológica y los derechos humanos. Revista Latinoamericana de Psicología, 10(2), 298-299.
Sociedad Interamericana de Psicología, SIP (2008). Consideraciones Éticas de la SIP. Retrieved from https://archive.org/details/sip-2008b-declaracion-sobre-principios-eticos
Spear, L. P. (2018). Effects of adolescent alcohol consumption on the brain and behaviour. Nature Reviews Neuroscience, 19(4), 197-214. https://doi.org/10.1038/nrn.2018.10
Squeglia, L. M., Ball, T. M., Jacobus, J., Brumback, T., McKenna, B. S., Nguyen-Louie, T. T., Sorg, S. F., Paulus, M. P., & Tapert, S. F. (2017). Neural Predictors of Initiating Alcohol Use During Adolescence. The American Journal of Psychiatry, 174(2), 172–185. https://doi.org/10.1176/appi.ajp.2016.15121587
Squeglia, L. M., Jacobus, J., Nguyen-Louie, T. T., & Tapert, S. F. (2014). Inhibition during early adolescence predicts alcohol and marijuana use by late adolescence. Neuropsychology, 28(5), 782–790. https://doi.org/10.1037/neu0000083
Stautz, K., & Cooper, A. (2013). Impulsivity-related personality traits and adolescent alcohol use: A meta-analytic review. Clinical Psychology Review, 33(4), 574-592. https://doi.org/10.1016/j.cpr.2013.03.003
Steele, D. W., Becker, S. J., Danko, K. J., Balk, E. M., Adam, G. P., Saldanha, I. J., & Trikalinos, T. A. (2020). Brief behavioral interventions for substance use in adolescents: a meta-analysis. Pediatrics, 146(4), e20200351. https://doi.org/10.1542/peds.2020-0351
Thoma, R. J., Monnig, M. A., Lysne, P. A., Ruhl, D. A., Pommy, J. A., Bogenschutz, M., Tonigan, J. S., & Yeo, R. A. (2011). Adolescent substance abuse: the effects of alcohol and marijuana on neuropsychological performance. Alcoholism: Clinical and Experimental Research, 35(1), 39-46. https://doi.org/10.1111/j.1530-0277.2010.01320.x
Waller, R., Murray, L., Shaw, D. S., Forbes, E. E., & Hyde, L. W. (2019). Accelerated alcohol use across adolescence predicts early adult symptoms of alcohol use disorder via reward-related neural function. Psychological Medicine, 49(4), 675-684. https://doi.org/10.1017/S003329171800137X
Wetherill, R. R., Squeglia, L. M., Yang, T. T., & Tapert, S. F. (2013). A longitudinal examination of adolescent response inhibition: neural differences before and after the initiation of heavy drinking. Psychopharmacology, 230(4), 663-671. https://doi.org/10.1007/s00213-013-3198-2
Willoughby, T., Good, M., Adachi, P. J., Hamza, C., & Tavernier, R. (2014). Examining the link between adolescent brain development and risk taking from a social–developmental perspective (reprinted). Brain and Cognition, 89, 70-78. https://doi.org/10.1016/j.bandc.2014.07.006
Xu, S., Korczykowski, M., Zhu, S., & Rao, H. (2013). Assessment of risk-taking and impulsive behaviors: A comparison between three tasks. Social Behavior and Personality, 41(3), 477–486. https://doi.org/10.2224/sbp.2013.41.3.477
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2022 Gabriela Rivarola Montejano, Angelina Pilatti, Ricardo Marcos Pautassi