Personality-specific pathways from peer victimization to adolescent alcohol misuse: A multilevel longitudinal moderated mediation analysis

Abstract

Peer victimization is common in adolescence and have been associated with a broad variety of psychopathology and alcohol use. The present study assessed whether peer victimization has a time-varying effect on alcohol use through internalizing and externalizing symptoms and whether this indirect association throughout time is moderated by personality. This 5-year longitudinal study (3,800 grade 7 adolescents) used Bayesian multilevel moderated mediation models: independent variable was peer victimization; moderators were four personality dimensions (anxiety sensitivity, hopelessness, impulsivity, and sensation seeking); internalizing symptoms (anxiety, depressive symptoms) and externalizing symptoms (conduct, hyperactivity problems) were the mediators; and alcohol use, the outcome. Results indicated significant between, within, and lagged effects on alcohol use through internalizing and externalizing symptoms. There was significant between and within effects on alcohol use through internalizing symptoms for adolescents with high anxiety sensitivity and hopelessness, and significant between, within, and lagged effects on alcohol use through externalizing for adolescents with high impulsivity and sensation seeking. These findings implicate two risk pathways that account for how peer victimization enhances alcohol use risk and emphasize the importance of personality profiles that can shape the immediate and long-term consequences of victimization. Keywords: multilevel moderated mediation model, victimization, personality, psychopathology, alcohol use.