Examining protective factors for substance use problems and self-harm behavior during adolescence: A longitudinal co-twin control study

Sports participation, physical activity, and friendship quality are theorized to have protective effects on the developmental emergence of substance use and self-harm behavior in adolescence, but existing research has been mixed. This ambiguity could reflect, in part, the potential for confounding o...

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Veröffentlicht in:Development and psychopathology 2022-12, Vol.34 (5), p.1781-1802
Hauptverfasser: O’Reilly, Lauren, Elam, Kit K., Quinn, Patrick D., Adams, Sydney, Chirica, Marianne G., Klonsky, E. David, Pettersson, Erik, Lundström, Sebastian, Larsson, Henrik, Lichtenstein, Paul, D’Onofrio, Brian
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container_issue 5
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container_title Development and psychopathology
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creator O’Reilly, Lauren
Elam, Kit K.
Quinn, Patrick D.
Adams, Sydney
Chirica, Marianne G.
Klonsky, E. David
Pettersson, Erik
Lundström, Sebastian
Larsson, Henrik
Lichtenstein, Paul
D’Onofrio, Brian
description Sports participation, physical activity, and friendship quality are theorized to have protective effects on the developmental emergence of substance use and self-harm behavior in adolescence, but existing research has been mixed. This ambiguity could reflect, in part, the potential for confounding of observed associations by genetic and environmental factors, which previous research has been unable to rigorously rule out. We used data from the prospective, population-based Child and Adolescent Twin Study in Sweden (n = 18,234 born 1994–2001) and applied a co-twin control design to account for potential genetic and environmental confounding of sports participation, physical activity, and friendship quality (assessed at age 15) as presumed protective factors for adolescent substance use and self-harm behavior (assessed at age 18). While confidence intervals widened to include the null in numerous co-twin control analyses adjusting for childhood psychopathology, parent-reported sports participation and twin-reported positive friendship quality were associated with increased odds of alcohol problems and nicotine use. However, parent-reported sports participation, twin-reported physical activity, and twin-reported friendship quality were associated with decreased odds of self-harm behavior. The findings provide a more nuanced understanding of the risks and benefits of putative protective factors for risky behaviors that emerge during adolescence.
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subjects Addictive behaviors
Adolescence
Adolescents
adulthood
Alcohol use
alcohol-use disorders
Child development
Children
Children & youth
co-twin control
disorders identification test
Drug use
Environmental factors
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Friendship
Girls
illicit drug-use
longitudinal
Medicin och hälsovetenskap
multiple imputation
participation
Peer relationships
Peers
Personal health
Physical activity
Physiology
Psychology
Psychopathology
Public Health, Global Health, Social Medicine and Epidemiology
risk
Self destructive behavior
self-harm behavior
Self-injury
Social integration
Social support
Socialization
Special Issue Article
Substance use
Substance use disorder
Suicidal behavior
suicidal ideation
Suicides & suicide attempts
Teenagers
Twin studies
young
Young adults
title Examining protective factors for substance use problems and self-harm behavior during adolescence: A longitudinal co-twin control study
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