Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-16T23:38:25.487Z Has data issue: false hasContentIssue false

The Effect of Childhood Conduct Disorder and Cognitive Functioning on Adolescent Substance Use

Published online by Cambridge University Press:  07 November 2014

Abstract

Objective: To assess the impact of childhood conduct disorder (CD) and intelligence quotient (IQ) on later substance use in adolescence.

Methods: Neuropsychological and structured diagnostic evaluations were initially administered to 32 children with disruptive behavior disorder when they were 7–11 years of age. They were then re-evaluated on average 6.7 years later using an array of interviews and rating scales with a focus on substance use.

Results: Early CD and IQ scores together accounted for a significant proportion of the variance in later substance use (R2=.248). In addition, there was a significant CD and Verbal IQ interaction (R2=.164) such that high Verbal IQ was linked to increased substance use in adolescents who had childhood CD.

Conclusion: These data indicate that the presence of conduct disorder may interact with high Verbal IQ during childhood in such a way as to predict later adolescent substance use in disruptive behavior disorder populations.

Type
Original Research
Copyright
Copyright © Cambridge University Press 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Barkley, RA. Attention Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment. 2nd ed. New York, NY: The Guilford Press; 1998.Google Scholar
2. Fischer, M, Barkley, RA, Fletcher, KE, Smallish, L. The stability of dimensions of behavior in adhd and normal children over an 8 year followup. J Abnorm Child Psychol. 1993;21:315337.CrossRefGoogle ScholarPubMed
3. Taylor, E, Chadwick, O, Heptinstall, E, Danckaerts, M. Hyperactivity and conduct problems as risk factors for adolescent development. J Am Acad Child Adolesc Psychiatry. 1996;35:12131226.CrossRefGoogle ScholarPubMed
4. Mannuzza, S, Klein, RG, Bessler, A, Malloy, P, Hynes, ME. Educational and Occupational outcome of hyperactive boys grown up. J Am Acad Child Adolesc Psychiatry. 1997;36:1222–127.CrossRefGoogle ScholarPubMed
5. Fischer, M, Barkley, RA, Edelbrock, CS, Smallish, L. The adolescent outcome of hyperactive children diagnosed by research criteria: II. Academic, attentional, and neuropsychological status. J Consult Clin Psychol. 1990;58:580588.CrossRefGoogle ScholarPubMed
6. McGee, R, Partridge, F, Williams, S, Silva, PA. A twelve year follow-up of preschool hyperactive children. J Am Acad Child Adolesc Psychiatry. 1991;30:224232.CrossRefGoogle ScholarPubMed
7. Mannuzza, S, Klein, R, Konig, PH, Giampino, TL. Hyperactive boys almost-grown up. IV. Criminality and its relationship to psychiatric status. Arch Gen Psychiatry. 1989;46:10731079.CrossRefGoogle ScholarPubMed
8. Lambert, NM, Hartsough, CS, Sassone, D, Sandoval, J. Persistence of hyperactivity symptoms from childhood to adolescence and associated outcomes. Am J Orthopsychiatry. 1987;57:2232.CrossRefGoogle ScholarPubMed
9. Barkley, RA, Fischer, M, Edelbrock, CS, Smallish, L. The adolescent outcome of hyperactive children diagnosed by research criteria: I. An 8-year prospective follow-up study. J Am Acad Child Adolesc Psychiatry. 1990;29:546557.CrossRefGoogle ScholarPubMed
10. MacDonald, VM, Achenbach, TM. Attention problems versus conduct problems as six-year predictors of problem scores in a national sample. J Am Acad Child Adolesc Psychiatry. 1996;35:12371246.CrossRefGoogle ScholarPubMed
11. Mannuzza, S, Klein, RG, Bonagura, N, Konig, PH, Shenker, R. Hyperactive boys almost grown up. II: Status of subjects without a mental disorder. Arch Gen Psychiatry. 1988;45:1318.CrossRefGoogle ScholarPubMed
12. Boyle, MH, et al. Predicting substance use in early adolescence based on parent and teacher assessments of childhood psychiatric disorder: results from the Ontario Child Health Study follow-up. J Child Psychol Psychiatry. 1993;34:535544.CrossRefGoogle ScholarPubMed
13. Biederman, J, Wilens, T, Mick, E, et al. Is ADHD a risk factor for psychoactive substance use disorders? Findings from a four-year prospective follow-up study. J Am Acad Child Adolesc Psychiatry. 1997;36:2129.CrossRefGoogle ScholarPubMed
14. Flory, K, Milich, R, Lynman, DR, Leukefeld, C, Clayton, R. Relation between childhood disruptive behavior disorders and substance use and dependence symptoms in young adulthood: individuals with symptoms of attention-deficit/hyperactivity disorder and conduct disorder are uniquely at risk. Psychol Addict Behav. 2003;17:151158.CrossRefGoogle ScholarPubMed
15. Molina, BSG, Pelham, WE Jr.Childhood predictors of adolescent substance use in a longitudinal study of children with ADHD. J Abnorm Psychol. 2003;112:497507.CrossRefGoogle Scholar
16. Mannuzza, S, Klein, RG, Bonagura, N, Malloy, P, Giampino, TL, Addalli, KA. Hyperactive boys almost grown up. V: Replication of psychiatric status. Arch Gen Psychiatry. 1991;48:7783.CrossRefGoogle ScholarPubMed
17. Schubiner, H, Tzelepis, A, Milberger, S, et al. Prevelance of attention-deficit/hyperactivity disorder and conduct disorder among substance abusers. J Clin Psychiatry. 2000;61:244251.CrossRefGoogle Scholar
18. Boyle, MH, Offord, DR, Racine, YA, Szatmari, P, Fleming, JE, Links, PS. Predicting substance use in late adolescence: results from the Ontario Child Health Study follow-up. Am J Psychiatry. 1992;149:761767.Google ScholarPubMed
19. Crowley, TJ, Mikulich, SK, MacDonald, M, Young, SE, Zerbe, GO. Substance-dependent, conduct-disordered adolescent males: severity of diagnosis predicts 2-year outcome. Drug Alcohol Depend. 1998;49:225237.CrossRefGoogle ScholarPubMed
20. Windle, M. A longitudinal study of antisocial behaviors in early adolescence as predictors of late adolescent substance use: gender and ethnic group differences. J Abnorm Psychol. 1990;99:8691.CrossRefGoogle ScholarPubMed
21. Elkins, IJ, Iacono, WG, Doyle, AE, McGue, M. Characteristics associated with the persistence of antisocial behavior: results from recent longitudinal research. Aggress Violent Behav. 1997;2:101124.CrossRefGoogle Scholar
22. Hinshaw, SP. Externalizing behavior problems and academic underachievement in childhood and adolescence: causal relationships and underlying mechanisms. Psychol Bull. 1992;111:127155.CrossRefGoogle ScholarPubMed
23. Lynam, D, Moffitt, T, Stouthamer-Loeber, M. Explaining the relation between IQ and delinquency: class, race, test motivation, school failure, or self-control? J Abnorm Psychol. 1993;102:187196.CrossRefGoogle ScholarPubMed
24. Bassarath, L. Conduct disorder: a biopsychosocial review. Can J Psychiatry. 2001;46:609616.CrossRefGoogle ScholarPubMed
25. Flemming, JP, Kellam, SG, Brown, CH. Early predictors of age at first use of alcohol, marijuana, and cigarettes. Drug Alcohol Depend. 1982;9:285303.CrossRefGoogle Scholar
26. Grant, BF, Dawson, DA. Age of onset of drug use and its association with DSM-IV drug abuse and dependence: results from the National Longitudinal Alcohol Epidemiologic Survey. J Subst Abuse. 1998;10:163173.CrossRefGoogle ScholarPubMed
27. Span, SA, Earleywine, M. Cognitive functioning moderates the relation between hyperactivity and drinking habits. Alcohol Clin Exp Res. 1999;23:224229.CrossRefGoogle ScholarPubMed
28. Block, RI, Erwin, WJ, Ghoneim, MM. Chronic drug use and cognitive impairments. Pharmacol Biochem Behav. 2002;73:491504.CrossRefGoogle ScholarPubMed
29. Halperin, JM, Sharma, V, Siever, LJ, et al. Serotonergic function in aggressive and nonaggressive boys with attention deficit hyperactivity disorder. Am J Psychiatry. 1994;151:243248.Google ScholarPubMed
30. Diagnostic and Statistical Manual of Mental Disorders. 3rd ed. rev. Washington, DC: American Psychiatric Association; 1987.Google Scholar
31. Ivanov, I, Schulz, K, Kalmar, J, Newcorn, J, Halperin, J. Stimulant treatment for childhood and adolescent substance use outcome. Poster presented at: the annual meeting of the American Academy of Child and Adolescent Psychiatry; October 14–19, 2003: Miami, FL.Google Scholar
32. Rourke, BP. Socioemotional disturbances of learning disabled children. J Consult Clin Psychol. 1988;56:801810.CrossRefGoogle ScholarPubMed