PEDIATRICS Vol. 106 No. 4 October 2000, pp. 792-797
Received Aug 19, 1999; accepted May 19, 2000.
, §,
, and
From the * Pediatric Psychopharmacology Unit, Massachusetts
General Hospital;
Harvard Institute of Psychiatric Epidemiology and
Genetics; § Harvard School of Medicine; and
Harvard School of Public
Health, Boston, Massachusetts.
Objective. To examine the specificity of risk for alcohol or drug abuse or dependence (substance use disorders [SUDs]) in offspring exposed to particular subtypes of parental SUDs.
Methods. The original sample was derived from 2 groups of index children: 140 attention-deficit/hyperactivity disorder (ADHD) probands and 120 non-ADHD comparison probands. These groups had 174 and 129 biological siblings and 279 and 240 parents, respectively.
Results. Independent of familial risk, exposure to parental SUDs predicted SUDs in the offspring. Controlling for duration of exposure, we found that adolescence was a critical developmental period for exposure to parental SUDs. Because all our analyses controlled for social class, ADHD status, and parental lifetime history of SUDs, these results show that exposure to parental SUDs predicts offspring SUDs independently of these risk factors.
Conclusions. These results support the critical importance of familial environmental risk factors for the development of SUDs in youth in general and particularly in those at high risk for these disorders. These results highlight adolescence as a critical period for the deleterious effects of exposure to parental SUDs, supporting the need to develop preventive and early intervention strategies targeted at adolescents at high risk for SUDs. Key words: substance use, adolescent, exposure, critical period.
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