Substance use in youth adopted from foster care: Developmental mechanisms of risk

Blake, Austin J.; Tung, Irene; Langley, Audra K.; Waterman, Jill

doi:10.1016/j.childyouth.2018.01.005

Cited by 8 publications

(12 citation statements)

References 74 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Consistent with past adolescent research (e.g., Armstrong & Costello, 2002), we predicted that rule-breaking/delinquent and aggressive behavior (and not attentional deficits) would incrementally predict future SU above the CRAFFT alone. Furthermore, while past research concerning internalizing distress is mixed (Blake et al, 2018; King et al, 2004), we hypothesized these symptoms would also be incrementally valid in predicting future SU, as both externalizing and internalizing symptoms are likely to be associated with trauma-responses in the current sample (e.g., Pappagallo et al, 2004). Based on the multi-informant literature, we hypothesized that adolescent self-reports of internalizing distress (Silverman & Ollendick, 2005) and parent-reports of externalizing behavior (De Los Reyes et al, 2015) would provide the most valid predictions.…”

Section: Hypotheses For the Present Studymentioning

confidence: 99%

“…Individuals experiencing emotional distress may use substances to alleviate these negative mood states, which may explain the high rates of comorbidity between internalizing disorders and SU (Hussong, Jones, Stein, Baucom, & Boeding, 2011). However, the evidence for the internalizing pathway, after controlling for preexisting externalizing symptoms, is equivocal (Blake, Tung, Langley, & Waterman, 2018; King, Iacono, & McGue, 2004), making it unclear how internalizing and externalizing symptoms may independently or collectively lead to SU.…”

Section: Developmental Pathways To Adolescent Substance Usementioning

confidence: 99%

See 1 more Smart Citation

Predicting Adolescent Substance Use in a Child Welfare Sample: A Multi-Indicator Algorithm

et al. 2019

View full text Add to dashboard Cite

Given the risk of substance use (SU) among adolescents in the child welfare system, identification of risk for prospective impairing SU behaviors is a significant public health priority. We sought to quantify the incremental validity of routine multi-informant assessments of adolescent psychological distress (i.e., the Child Behavior Checklist and Youth Self-Report) and a commonly used SU screening protocol (i.e., the CRAFFT) to predict SU at 18 and 36 months after baseline in a nationally representative child welfare sample ( N = 1,054; Mage = 13.72). We used receiver operator characteristics and reclassification analyses to develop our algorithms. We found that a battery consisting of baseline CRAFFT scores, self-reported delinquent behavior, and parent-reported rule-breaking behavior provided an incrementally valid prediction model for SU behavior among females, while baseline CRAFFT scores and self-reported delinquent behavior incrementally predicted SU for males. Results suggest that leveraging existing assessments within the child welfare system can improve forecasting of SU risk for this population.

show abstract

Section: Hypotheses For the Present Studymentioning

confidence: 99%

Section: Developmental Pathways To Adolescent Substance Usementioning

confidence: 99%

Predicting Adolescent Substance Use in a Child Welfare Sample: A Multi-Indicator Algorithm

et al. 2019

View full text Add to dashboard Cite

show abstract

“…The broad and varied circumstances that result in a child’s entrance to foster care involve known risk factors for substance use disorders (Blake et al, 2018). Blake et al’s (2018) research demonstrated how the cumulative preadoption circumstances, including abuse and neglect experiences, led to an increased risk, particularly for those who utilized internalized coping strategies, for substance use in one group ( n = 82) of adopted persons from the foster care system. Yet, despite the risk factors, it is important to note the researchers found adoption for this sample to be a mitigating factor toward the risks of substance use.…”

Section: Substance Use and Adopted Personsmentioning

confidence: 99%

“…Foster care to adoption describes the legal adoption of a child who was formerly enrolled in the child welfare system. The broad and varied circumstances that result in a child's entrance to foster care involve known risk factors for substance use disorders (Blake et al, 2018). Blake et al's (2018) research demonstrated how the cumulative preadoption circumstances, including abuse and neglect experiences, led to an increased risk, particularly for those who utilized internalized coping strategies, for substance use in one group (n ¼ 82) of adopted persons from the foster care system.…”

Section: Foster Carementioning

confidence: 99%

Substance Use Disorders and Adoption Status: Implications for Counseling Practice

2020

View full text Add to dashboard Cite

Adopted persons are at a higher risk to receive mental health and substance use treatment (Behle & Pinquart, 2016; Brodzinsky, 2013) and are also at a higher risk for a lifetime prevalence of substance use disorder (Kendler et al., 2012; Yoon et al., 2012). Despite the known risks for adopted persons, there remains a gap in counselor awareness and knowledge of the unique counseling needs of adopted persons and their families seeking substance use counseling (Atkinson et al., 2013; Brodzinsky, 2013; Lancaster et al., 2017). Therefore, we provide an overview of the related substance use research, describe the counseling needs of adopted persons and their families, and offer practice implications.

show abstract

“…Rates of childhood abuse and neglect are disproportionately higher in those with opioid use disorder (OUD) compared with non‐addicted individuals, 3 and greater severity of childhood adversity is linked to earlier onset of opioid use, 4 poly‐drug use 5 and poorer treatment retention 6 . The link between childhood trauma and later substance use disorders is mediated by poor emotion regulation, 7–9 where individuals may use substances to reduce symptoms of hyperarousal 10 and to cope with internalised problems 11 . Childhood trauma may also sensitise individuals to the rewarding effects of opioids, however the biological mechanisms that underpin this vulnerability are not fully understood.…”

Section: Introductionmentioning

confidence: 99%

A randomised, double‐blind study investigating the relationship between early childhood trauma and the rewarding effects of morphine

et al. 2021

View full text Add to dashboard Cite

Experiences of childhood trauma (abuse and neglect) are disproportionately higher in those with opioid use disorder (OUD). Childhood trauma may affect the reinforcing and rewarding properties of opioid drugs and responses to pain, potentially via developmental changes to the endogenous opioid system. This has been supported by preclinical research, yet this has not been investigated in non‐addicted humans. Physically healthy participants with either a history of severe childhood trauma or no previous history of childhood trauma attended two sessions where they received either an intramuscular active dose of morphine (0.15 mg/kg) or a very low dose control (0.01 mg/kg) in a randomised, double‐blind crossover design. Sessions were held 1 week apart. Participants' physical pain threshold and tolerance were measured pre‐ and post‐drug administration using the cold water pressor test, alongside acute subjective and behavioural responses over 2.5 h. The trauma group reported liking the effects of morphine, feeling more euphoric and wanting more of the drug over the session, as well as feeling less nauseous, dizzy, and dislike of the effects of morphine compared to the non‐trauma comparison group. Morphine increased pain threshold and tolerance, yet this did not differ between the groups. Childhood trauma may therefore sensitise individuals to the pleasurable and motivational effects of opioids and reduce sensitivity to the negative effects, providing compelling evidence for individual differences in opioid reward sensitivity. This may explain the link between childhood trauma and vulnerability to OUD, with consequent implications on interventions for OUD, the prescribing of opioids, and reducing stigmas surrounding OUD.

show abstract

Substance use in youth adopted from foster care: Developmental mechanisms of risk

Cited by 8 publications

References 74 publications

Predicting Adolescent Substance Use in a Child Welfare Sample: A Multi-Indicator Algorithm

Predicting Adolescent Substance Use in a Child Welfare Sample: A Multi-Indicator Algorithm

Substance Use Disorders and Adoption Status: Implications for Counseling Practice

A randomised, double‐blind study investigating the relationship between early childhood trauma and the rewarding effects of morphine

Contact Info

Product

Resources

About