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Internalizing Pathways to Adolescent Substance Use from Adverse Childhood Experiences

Author

Listed:
  • Michelle G. Villar

    (Wien Center for Alzheimer’s, Mount Sinai Medical Center, 4300 Alton Rd, Miami, FL 33140, USA)

  • Nicole M. Fava

    (Center for Children and Families, Florida International University, 11200 SW 8th Street, Miami, FL 33139, USA
    Robert Stempel College of Public Health & Social Work, Florida International University, 11200 SW 8th Street, Miami, FL 33139, USA)

  • Robert A. Zucker

    (Department of Psychiatry, University of Michigan, 4250 Plymouth Road, Ann Arbor, MI 48109, USA)

  • Elisa M. Trucco

    (Center for Children and Families, Florida International University, 11200 SW 8th Street, Miami, FL 33139, USA
    Department of Psychiatry, University of Michigan, 4250 Plymouth Road, Ann Arbor, MI 48109, USA
    Department of Psychology, Florida International University, 11200 SW 8th Street, Miami, FL 33199, USA)

Abstract

The mediating role of anxious, depressive, and somatic symptoms was examined in the association between adverse childhood experiences (ACEs) and adolescent substance use, with attention to the unique effects of each set of symptoms within the same model. Adolescents (n = 701) were assessed over time (ages 3–17) in a majority male (70.5%) and white (89.9%) sample. Findings indicate that depressive symptoms mediated the association between ACEs and adolescent cigarette and marijuana use. Although significant indirect effects remained when accounting for externalizing behavior, a novel protective pathway emerged through parent-reported youth anxiety and alcohol use. Assessing internalizing symptoms as separate facets within the same model is critical if we are to inform prevention programs that are tailored to the individual needs of youth who have experienced ACEs.

Suggested Citation

  • Michelle G. Villar & Nicole M. Fava & Robert A. Zucker & Elisa M. Trucco, 2024. "Internalizing Pathways to Adolescent Substance Use from Adverse Childhood Experiences," IJERPH, MDPI, vol. 21(11), pages 1-19, October.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:11:p:1408-:d:1505891
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    References listed on IDEAS

    as
    1. Kim, Isak & Galván, Angélica & Kim, Nayoung, 2021. "Independent and cumulative impacts of adverse childhood experiences on adolescent subgroups of anxiety and depression," Children and Youth Services Review, Elsevier, vol. 122(C).
    2. Bowen, E.A. & Murshid, N.S., 2016. "Trauma-informed social policy: A conceptual framework for policy analysis and advocacy," American Journal of Public Health, American Public Health Association, vol. 106(2), pages 223-229.
    3. Blake, Austin J. & Tung, Irene & Langley, Audra K. & Waterman, Jill M., 2018. "Substance use in youth adopted from foster care: Developmental mechanisms of risk," Children and Youth Services Review, Elsevier, vol. 85(C), pages 264-272.
    Full references (including those not matched with items on IDEAS)

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