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Cited by 238Substance Abuse Treatment and OutcomesPrenatal Substance Exposure EffectsHistorical and Modern Theater Studies

The DOI matches its Crossref record; 48 of the 50 references it cites were found in a registry or an index.

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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  1. American Psychiatric Association . ( 1987 ). Diagnostic and statistical manual of mental disorders ( , 3rd ed. , rev ed. ). Washington , DC : American Psychiatric Association .
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  4. Delis , D. C. , Kramer , J. H. , Kaplan , E. , & Ober , B. A. ( 2000 ). Manual for the California Verbal Learning Test, 2nd edition (CVLT-II) . San Antonio , TX : Psychological Corporation .
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  8. Wechsler , D. ( 1974 ). Manual for the wechsler intelligence scale for children-revised . San Antonio , TX : The Psychological Corporation .

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Metadata

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
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
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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