Individual traits and family contexts predict sons' externalizing behavior and preliminary relative risk ratios for conduct disorder and substance use disorder outcomes.

An ontogenetic framework for elucidating the etiology of substance use disorders (SUD) requires identifying how individual traits and family contexts combine to increase risk for SUD outcomes. In this study, we examine individual traits in family context to identify processes that account for the relationship between fathers' SUD + status and sons' externalizing behaviors. Results obtained from SUD + (n = 89) and SUD - (n = 139) families show that fathers' abusive propensities toward their sons mediated the relationship between fathers' SUD + status and sons' externalizing behavior scale (EBS) scores 2 years later. Moreover, individual traits, family contextual variables and deviant peer affiliations accounted for 58% of the variance on sons' EBS scores. Also, high risk cluster (HRC) and low risk cluster (LRC) memberships were derived from cluster analyses of the continuous risk factor scores that predicted sons' EBS scores. Preliminary relative risk ratios show that sons classified into the HRC at age 10-12 were at greater risk for DSM-III-R conduct disorder and SUD outcomes at age 16 than sons assigned to the LRC, SUD + or SUD - groups. Implications for selected family-based prevention initiatives are presented.

Child abuse potential in parents with histories of substance use disorder.

OBJECTIVE: To examine the relationship between parental history of substances use disorders (SUDs) and abuse potential. METHOD: Milner's (1986) Child Abuse Potential Inventory (CAPI) was administered to fathers and mothers (with and without histories of SUDs) of 10- to 12-year-old boys. RESULTS: Fathers and mothers with lifetime histories of SUDs had higher Abuse Scale scores and were more likely to score in the Elevated range (as determined by clinically significant cutoff scores) than parents without such histories. No differences were found between parents with current diagnoses of SUD and those with past (but not current) histories of SUD. Fathers and mothers with a partner who had a history of SUD were more likely to score in the Elevated range, regardless of their own SUD histories. Separate regression models revealed that, for both fathers and mothers, emotional dysregulation (positive and negative affectivity) predicted Abuse Scale scores. Additional contributors to Abuse Scale scores were SUD status in fathers, and lack of involvement with the child in mothers. CONCLUSIONS: History of SUDs in both fathers and mothers increases abuse potential. Contributors to abuse potential differed in fathers and mothers, underscoring the importance of examining parents separately in child maltreatment research.

Interaction between childhood temperament and parental discipline practices on behavioral adjustment in preadolescent sons of substance abuse and normal fathers.

We conducted this study with a sample of sons of fathers having a Psychoactive Substance Use Disorder (PSUD+, n = 55) and sons of fathers who did not qualify for a PSUD (PSUD-, n = 97). Parental discipline practice from the child's perspective was investigated in relation to the child's difficult temperament to determine their association with sons' externalizing and internalizing behavior problems reported by mothers. PSUD+ status, difficult temperament in the boys, and their ratings of parental discipline practices accounted for a significant proportion of variance with respect to their externalizing behavior (11%), but only PSUD+ status had a main effect on internalizing behavior. However, the main finding of this study was that the interaction of parental discipline and difficult temperament in the child moderated both externalizing and internalizing behavior problems, accounting for an additional 5% of an explained variance. Thus, this study illustrates the importance of the conjoint influence of children's temperament characteristics and parental discipline practices on the children's adjustment. These results support the findings from previous studies showing that a difficult temperament disposition places the child at risk for maltreatment by parents and for development of a disruptive behavior disorder. Both outcomes have been found in many investigations to presage alcohol and drug abuse in adolescence. The findings also underscore the importance of both individual and contextual variables for understanding the development of psychopathology. In this regard, the results show the need for prevention and treatment to encompass strategies directed at disaggregating the basis of maladaptive family interaction patterns.

Temperament and IQ mediate the effects of family history of substance abuse and family dysfunction on academic achievement.

In this study of sons of substance-abusing (n = 57) and normal (n = 71) fathers, it was hypothesized that sons' positive affective temperament (PAT) and intellectual ability (FSIQ) would mediate the effects of paternal substance abuse and family dysfunction on sons' reading achievement scores. Hierarchical, linear, and path analytic regression analyses were computed to test the hypotheses. It was found that (1) sons' FSIQ and PAT each partially mediated the effects of paternal substance abuse on sons' reading achievement scores and (2) that sons' PAT mediated the relationship between family dysfunction and their reading achievement scores. Because reading achievement is pivotal to academic success and school failure is associated with early age substance use, the importance of identifying processes that promote academic success is discussed.

Temperament: a salient correlate of risk factors for alcohol and drug abuse.

A sample of sons of substance abusing (SA+; n = 39) and normal fathers (SA-; n = 45) were studied to determine the relative contribution of temperament characteristics and paternal lifetime history of substance abuse as factors that are putatively linked to risk for substance abuse. Cluster analyses of sons' and fathers' scores on the Revised Dimensions of Temperament Survey (DOTS-R) yielded 'difficult' temperament and normative temperament clusters. In a comparison of risk liability associated with SA+/SA- status versus temperament cluster membership, boys in the difficult temperament cluster were differentiated from boys in the normative temperament cluster on cognitive, behavior, family and peer affiliation risk factors. In subsequent logistic regression analyses, 85% of sons in the difficult temperament cluster and 72% of sons in the normative temperament cluster were correctly classified by their risk factor scores.

Individual, family, and peer affiliation factors predisposing to early-age onset of alcohol and drug use.

In this study, a multifactorial model of liability to early-age alcohol and drug use was elucidated on a sample of sons of substance-abusing fathers (n = 59) and sons of normal fathers (n = 71) at time 1 when the boys were 10-12 years of age. Three hierarchical regression analyses were computed to test models to identify salient risk characteristics associated with sons' perception of family dysfunction unconventional activities among peers, and affiliation with peers engaged in delinquent behaviors. The respective models explained 28% of the variance on sons' Dysfunctional Family Index scores, 21% of the variance on sons' Conventional Activities of Friends Scale scores, and 53% of the variance was accounted for on sons' Peer Delinquency Scale scores. In subsequent logistic regression analyses, a multifactorial model comprised of individual, family, and peer risk characteristics obtained at time 1 correctly predicted 83.7% of sons who had used alcohol and/or drugs by time 2 when they were 12-14 years old. The findings also suggest that temperament phenotype influences family interaction patterns that in turn influence the psychosocial development of the child.

Aggressivity, inattention, hyperactivity, and impulsivity in boys at high and low risk for substance abuse.

Aggressivity, inattention, hyperactivity, and impulsivity are cardinal dimensions of externalizing behavior problems of childhood. They are diagnostic and clinical features of childhood disorders, and are thought to be linked to the subsequent development of adult disorders such as substance abuse (SA). Little is known, however, about the convergent and discriminant validity of these four constructs. We used multiple measures to develop indices of aggressivity, inattention, hyperactivity, and impulsivity in a sample of 10- to 12-year-old boys (N = 183) with and without a family history of SA. Data were taken from mother reports, child reports, teacher reports, and laboratory tasks. The study aims were (1) to test the convergent and discriminant validity of aggressivity, inattention, hyperactivity, and impulsivity; (2) to examine whether the data were consistent with a model specifying the four constructs as indicators of one superordinate factor; and (3) to differentiate boys with and without a family history of SA in construct scores. The results supported the convergent and discriminant validity of the four constructs. Although discriminable, the constructs covaried strongly and were consistent with a model specifying them as indicators of a single superordinate factor. Boys with a family history of substance abuse scored higher than control boys on aggressivity, inattention, and impulsivity scores, but the groups did not differ on hyperactivity scores. The results are discussed in terms of the role of childhood behavior problems in vulnerability to SA.

Temperament-induced father-son family dysfunction: etiological implications for child behavior problems and substance abuse.

The impact on family dysfunction and child behavior problems of difficult affective temperament in fathers and sons was investigated. In preadolescent sons of both substance-abusing and non-substance-abusing fathers, temperament was found to mediate the relationship between family history of substance abuse and family dysfunction.

Heightened motor activity level in male offspring of substance abusing fathers.

Heightened activity level has been implicated in the liability for substance abuse, but no prior research has directly examined motor activity in a sample of prepubertal boys at high-risk for substance abuse. The magnitude of behavioral activity of 10-12 year-old sons of substance abusing fathers (SA +) (n = 42) and controls (SA -) (n = 60) was assessed using a microprocessor-based activity monitor during tasks that demanded significant concentration, effort, and constraint on motor activity, and when no such demands were present. Psychiatric status, measures of temperament traits, and measures of internalizing and externalizing behaviors were also obtained on the boys. Although the groups did not differ during the lower demand task, SA + boys showed significantly greater motor activity than SA - boys during the tasks that required concerted effort, attention, and behavioral suppression. Multiple regression analysis indicated that under the low-demand condition, the presence of an anxiety disorder in the boy was the only significant predictor of activity level. However, under the conditions that demanded effort, concerted attention and behavioral suppression, SA + group membership, and having low rhythmicity (as a temperament trait) predicted heightened activity. Statistically controlling for rhythmicity, the SA + boys were estimated to have about 24% higher activity than control boys. The results suggest that heightened motor activity may be associated with susceptibility to substance abuse.