Working memory ability predicts trajectories of early alcohol use in adolescents: the mediational role of impulsivity.

Aims (i) To evaluate the role of pre-existing weakness in working memory ability ( WM) as a risk factor for early alcohol use as mediated by different forms of impulsivity and (ii) to assess the adverse effects of progressive alcohol use on variations in WM over time. Design, setting and participant...

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Publicado en:Addiction Vol. 108; no. 3; pp. 506 - 516
Autores principales: Khurana, Atika, Romer, Dan, Betancourt, Laura M., Brodsky, Nancy L., Giannetta, Joan M., Hurt, Hallam
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2013
      vid: 108
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Working memory ability predicts trajectories of early alcohol use in adolescents: the mediational role of impulsivity.
      aug:
        au:
          Khurana, Atika
          Romer, Dan
          Betancourt, Laura M.
          Brodsky, Nancy L.
          Giannetta, Joan M.
          Hurt, Hallam
        affil: Annenberg Public Policy Center, The University of Pennsylvania
      sug:
        subj:
          Alcohol Abuse Risk Factors
          Memory
          Alcohol Abuse Complications
          Risk Taking Behavior
          Human
          Funding Source
          Descriptive Statistics
          Adolescence
          Female
          Male
          Prospective Studies
          Models, Theoretical
          Pennsylvania
          Data Collection, Computer Assisted
          Clinical Assessment Tools
          Scales
          Self Report
          Confidence Intervals
          Chi Square Test
          Data Analysis Software
          Adolescent: 13-18 years
          Female
          Male
      ab: Aims (i) To evaluate the role of pre-existing weakness in working memory ability ( WM) as a risk factor for early alcohol use as mediated by different forms of impulsivity and (ii) to assess the adverse effects of progressive alcohol use on variations in WM over time. Design, setting and participants A community sample of 358 adolescents [48% males, meanage(baseline) = 11.4 ± 0.87 years] from a longitudinal cohort design, assessed annually over 4 consecutive years with less than 6% attrition. Measurements Repeated assessments were conducted for the following key variables: WM (based on performance on four separate tasks), frequency of alcohol use ( AU) and three forms of impulsivity, namely sensation seeking ( SS), acting without thinking ( AWT) and delay discounting ( DD). Latent growth curve modeling procedures were used to identify individual trajectories of change for all key variables. Findings Weakness in WM (at baseline) predicted significantly both concurrent alcohol use and increased frequency of use over the four waves ( P < 0.05). This effect was entirely mediated by two forms of impulsivity, AWT and DD, both of which were characterized by underlying weakness in WM. No individual variation was observed in the slopes of WM, which suggests that individual variations in alcohol use were not associated with changes in WM in our early adolescent sample. Conclusions Early adolescent alcohol use may be a consequence of (pre-existing) weaknesses in working memory ( WM) rather than a cause of it. Efforts to reduce early alcohol use should consider the distinct roles of different impulsivity dimensions, in addition to WM, as potential targets of intervention.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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