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Impact of Adolescent Alcohol and Drug Use on Neuropsychological Functioning in Young Adulthood: 10-Year Outcomes

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Hanson, Karen L., Medina, Krista Lisdahl, Padula, Claudia B., Tapert, Susan F., Brown, Sandra A.·2011·Journal of Child & Adolescent Substance Abuse

DOI 10.1080/1067828x.2011.555272PMC PMC3083020

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Abstract

BACKGROUND: Alcohol and other substance use disorders (AUD/SUD) are common among youth and often continue into adulthood; therefore, the neurocognitive effects of substance use are of great concern. Because neuromaturation continues into young adulthood, youth with AUD/SUD may be at risk for lasting cognitive decrements. This study prospectively examines neuropsychological functioning over 10 years as a function of AUD/SUD history and outcomes. METHODS: The 51 participants consisted of 18 youth with persisting AUD/SUD, 19 youth with remitted AUD/SUD, and 14 community youth with no AUD/SUD history followed over 10 years (ages 16 to 27 on average) with neuropsychological testing and substance use interviews on 8 occasions. Neuropsychological performance from baseline to 10-year follow-up was compared between the three groups. RESULTS: Despite scoring higher than controls at intake, both AUD/SUD groups showed a relative decline in visuospatial construction at 10-year follow-up (p=.001). Regressions showed that alcohol use (β=-.33, p < .01) and drug withdrawal symptoms (β=-.31, p<.05) over follow-up were predictive of year 10 visuospatial function. Alcohol use also predicted verbal learning and memory (β=-.28, p<.05), while stimulant use predicted visual learning and memory function (β=-.33, p=.01). More recent substance use was associated with poorer executive function (β=.28, p<.05). DISCUSSION: These findings confirm prior studies suggesting that heavy, chronic alcohol and other substance use persisting from adolescence to young adulthood may produce cognitive disadvantages, primarily in visuospatial and memory abilities. Youth who chronically consume heavy quantities of alcohol and/or experience drug withdrawal symptoms may be particularly at risk for cognitive deterioration by young adulthood.

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Authors: Hanson, K. L., Medina, K. L., Padula, C. B., Tapert, S. F., & Brown, S. A.
Affiliations: University of California San Diego (US)
University of Cincinnati
VA San Diego Healthcare System (US)
Corresponding author: Brown, Sandra A.
ORCID: Hanson, Karen L.
Padula, Claudia B.
Tapert, Susan F.
Brown, Sandra A.
Venue: Journal of Child & Adolescent Substance Abuse
Publisher: Informa UK Limited
Published: 2011-03-25
Volume: 20
Issue: 2
Pages: 135-154
ISSN: 1067-828X (ISSN-L)
1547-0652
DOI: 10.1080/1067828x.2011.555272
PMC: PMC3083020
OpenAlex: W2146501028
Semantic Scholar: 24531e5f72430707ce43813e39166eefea41419d
Cited by: 235
References: 50
Citations by year: 2026: 5 · 2025: 14 · 2024: 14 · 2023: 14 · 2022: 14 · 2021: 21 · 2020: 20 · 2019: 16 · 2018: 14 · 2017: 19 · 2016: 13 · 2015: 20 · 2014: 21 · 2013: 17 · 2012: 9
FWCI: 12.05
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Child & Adolescent Substance Abuse (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (R37AA007033, T32AA013525)
National Institute on Drug Abuse (F32DA020206, R01DA021182)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
Keywords: adolescent alcohol use, adolescent drug use, substance use disorders, neuropsychological performance, cognitive decline, visuospatial construction, verbal learning and memory, visual learning and memory, executive function, drug withdrawal symptoms, stimulant use, early adulthood, long-term outcomes

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Impact of Adolescent Alcohol and Drug Use on Neuropsychological Functioning in Young Adulthood: 10-Year Outcomes

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