Diminished alternative reinforcement as a mechanism linking conduct problems and substance use in adolescence: a longitudinal examination.

ABSTRACT:

Aims

To determine whether diminished alternative reinforcement (i.e. engagement and enjoyment from substance-free activities) mediated the longitudinal association of conduct problems with substance use in early-mid-adolescence.

Design

Structural equation modeling tested whether the association between wave 1 (baseline) conduct problems and wave 3 (24-month follow-up) substance use outcomes was mediated by diminished alternative reinforcement at wave 2 (12-month follow-up). Additional analyses tested whether sex and socio-economic status moderated this association.

Setting

Ten high schools in Los Angeles, CA, USA, 2013-15.

Participants

Students (n = 3396, 53.5% female, mean [standard deviation (SD)] age at wave 1 baseline = 14.1 (0.42) years).

Measurements</

SUBMITTER: Khoddam R 

PROVIDER: S-EPMC5938106 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature