Psychological Pathways from Adverse Childhood Experiences to Cigarette, Marijuana, and Excessive Alcohol Use in Early Middle Adulthood: A Longitudinal Examination.
Previous studies have demonstrated that adverse childhood experiences (ACEs) are associated with subsequent substance use, yet the pathways through which they are connected remain understudied. This study investigated how ACEs and substance use behaviors in early middle adulthood are connected throu...
| Publicado en: | International Journal of Mental Health & Addiction Vol. 24; no. 1; pp. 332 - 347 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Springer Nature
Feb2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=191498562&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 191498562 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 15571874 46AW jtl: International Journal of Mental Health & Addiction issn: 15571874 maglogo: N pubinfo: dt: Feb2026 vid: 24 iid: 1 pid: 237 pub: Springer Nature artinfo: ui: 191498562 10.1007/s11469-024-01410-0 ppf: 332 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P size: 917KB tig: atl: Psychological Pathways from Adverse Childhood Experiences to Cigarette, Marijuana, and Excessive Alcohol Use in Early Middle Adulthood: A Longitudinal Examination. aug: au: Ou, Tzung-Shiang Huber, Lesa Macy, Jonathan T. Chow, Angela Lin, Hsien-Chang affil: https://ror.org/00h6set76 Department of Kinesiology and Health Science, Utah State University, Logan, UT, USA https://ror.org/01kg8sb98 Department of Applied Health Science, Indiana University School of Public Health, Bloomington, IN, USA https://ror.org/0264fdx42 Department of Child and Family Development, San Diego State University, San Diego, CA, USA su: Adverse childhood experiences Substance abuse Externalizing behavior Cognition Marijuana abuse Tobacco use Internalizing behavior Longitudinal method sug: subj: Adverse childhood experiences Substance abuse Externalizing behavior Cognition Marijuana abuse Tobacco use Internalizing behavior Longitudinal method keyword: Externalizing problems Internalizing problems Medical and Health Sciences Public Health and Health Services Sequential mediation Substance use Externalizing problems Internalizing problems Medical and Health Sciences Public Health and Health Services Sequential mediation Substance use ab: Previous studies have demonstrated that adverse childhood experiences (ACEs) are associated with subsequent substance use, yet the pathways through which they are connected remain understudied. This study investigated how ACEs and substance use behaviors in early middle adulthood are connected through a sequential psychological pathway from internalizing problems to externalizing problems. Participants (N = 2308) from the National Longitudinal Study of Adolescent to Adult Health Waves I–V (1994–2018) were included. Generalized structural equation modeling was conducted to investigate the sequential mediation relationships. ACEs were positively associated with past 30-day cigarette use, marijuana use, and co-use of cigarette and marijuana (Wave V) (ORs = 1.50, 1.13, 1.01 respectively; all ps < 0.01). Internalizing problems (Wave III) and externalizing problems (Wave IV) sequentially mediated the aforementioned associations (all ps < 0.001). These findings underscore the importance of addressing internalizing problems and later externalizing problems to prevent substance use in early middle adulthood among individuals who were exposed to ACEs. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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