TY - JOUR PY - 2003// TI - Influence of language abilities and alcohol expectancies on the persistence of heavy drinking in youth JO - Journal of studies on alcohol A1 - Tapert, Susan F. A1 - McCarthy, Denis M. A1 - Aarons, Gregory A. A1 - Schweinsburg, Alecia D. A1 - Brown, Sandra A. SP - 313 EP - 321 VL - 64 IS - 3 N2 - OBJECTIVE: It has been suggested that neuropsychological functioning and cognitive factors influence substance use and treatment outcomes in youth. This study examined a model in which language skills moderate the extent to which expectancies about the positive effects of alcohol predict the persistence of alcohol involvement in youth over an 8-year period. METHOD: Participants were substance use disordered adolescents recruited from inpatient alcohol and drug treatment centers (N = 139). Exclusion criteria included major head trauma, neurological illness and psychiatric disorders. Participants were administered neuropsychological tests, expectancy questionnaires and substance involvement interviews that spanned an 8-year period from ages 16 to 24 on average. Substance involvement was assessed by self-report, collateral reports and urine toxicology screens. RESULTS: Using latent class growth analysis of alcohol use over 8 years, participants were classified as abstainers, infrequent users, worse with time or frequent users. Language x Expectancy interactions were significant at all time points (p range .05 to .0001, effect size eta2 range 0.03 to 0.20). This interaction significantly predicted 8-year alcohol dependence symptoms over and above effects accounted for by covariates or main effects (F = 2.98, 5/100 df, p < .05; R2delta = 4%, beta = 0.21, p <.05). CONCLUSIONS: For youths with above average language skills, positivealcohol expectancies predicted alcohol use frequency and dependence symptoms in the 8 years following treatment; expectancies were less related to outcomes for youths with poorer language scores. Results suggest that verbal skills may magnify the relationship between alcohol expectancies and drinking behavior.

Language: en

LA - en SN - 0096-882X UR - http://dx.doi.org/ ID - ref1 ER -