Developmental Pathways to Substance Abuse
Abstract
This chapter discusses the magnitude of the problem of substance use and abuse in adolescence. It explains the risk factors for initiating substance use, including comorbid conditions, and similarly those factors that are either risky or protective for a trajectory to substance abuse. The chapter suggests two complementary models for these trajectories, one that emphasizes the pathway to use and abuse and a second that illustrates the factors leading to a transition from abuse to dependence. The factors explaining these trajectories are multivariate and interactive. Given the many potential trajectories to drug use initiation, the concepts of equifinality and multifinality are particularly relevant to research and intervention development that aim to understand and alter adverse trajectories toward adolescent substance abuse and dependence. The chapter concludes with a summary of possible future directions to elucidate further adolescent trajectories to substance use and dependence.
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The exclusion of substance misuse problems could be seen as a limitation of the study due to its high prevalence in adolescence.
“the exclusion of substance misuse problems could be seen as a limitation of this study due to its high prevalence in adolescence”
From What are the barriers, facilitators and interventions targeting help-seeking behaviours for common mental health problems in adolescents? A systematic review (2020) · cites this paper as [136]
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- Authors
- Mayes, L. C., & Suchman, N. E.
- Affiliations
- Yale University (US)
- Venue
- Developmental Psychopathology
- Publisher
- Wiley
- Published
- 2015-09-05
- Pages
- 599-619
- OpenAlex
- W1909231708
- Cited by
- 54
- References
- 159
- Citations by year
- 2026: 1 · 2025: 4 · 2023: 1 · 2022: 3 · 2020: 5 · 2019: 5 · 2018: 2 · 2016: 2 · 2015: 3 · 2013: 6 · 2012: 2
- Type
- other
- Language
- en
- Open access
- closed
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Demography › Youth, Drugs, and Violence
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- adolescent substance abuse, substance use initiation, developmental trajectories, risk factors, protective factors, comorbidities, substance dependence, equifinality, multifinality, intervention development
About these checks
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