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  1. Article ; Online: The Search for Contributors to Low Rates of Recognition of Paternal Alcohol Use Disorders in Offspring From the San Diego Prospective Study.

    Schuckit, Marc A / Clarke, Dennis F / Smith, Tom L / Mendoza, Lee Anne / Schoen, Lara

    Alcoholism, clinical and experimental research

    2020  Volume 44, Issue 8, Page(s) 1551–1560

    Abstract: Background: The most efficient approach for establishing family histories (FHs) asks informants about disorders in their relatives (a Family History Method [FHM]). However, FHMs underestimate family diagnoses. We evaluated if accuracies of young adult ... ...

    Abstract Background: The most efficient approach for establishing family histories (FHs) asks informants about disorders in their relatives (a Family History Method [FHM]). However, FHMs underestimate family diagnoses. We evaluated if accuracies of young adult offspring report of their father's alcohol use disorders (AUDs) related to the age, sex, education, and/or substance-related patterns/problems of either the young adult informants or their AUD fathers.
    Methods: Data from the San Diego Prospective Study (SDPS), a multigenerational 35-year investigation, compared father/offspring pairs where the proband father's alcohol problems were correctly (Group 1) or incorrectly (Group 2) noted by offspring. In the key analysis, Group 1 versus 2 results were entered into bootstrapped backward logistic regression analyses predicting Group 1 membership.
    Results: Five proband and one offspring characteristic were associated with correct identification of their father's alcohol problems. None of these related to age, education, or sex. Characteristics associated with correct FHM diagnoses included the father's FH of AUDs, self-report of drinking despite social/interpersonal or physical/psychological alcohol-related problems, spending much time related to alcohol, and his having a religious preference. The single offspring item predicting correct identification of the father's problems was the number of DSM alcohol problems of the offspring.
    Conclusions: In the SDPS, FHM sensitivity was most closely related to the father's drinking characteristics, not the offspring characteristics. While unique aspects of SDPS families potentially limit generalizability of results, the data demonstrate how the FHM can offer important initial steps in the search for genetically related AUD risks in a subset of families.
    MeSH term(s) Adult ; Age Factors ; Alcoholism ; Child of Impaired Parents ; Educational Status ; Fathers ; Female ; Humans ; Logistic Models ; Longitudinal Studies ; Male ; Medical History Taking ; Middle Aged ; Prospective Studies ; Self Report ; Sex Factors ; Young Adult
    Language English
    Publishing date 2020-07-16
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 428999-7
    ISSN 1530-0277 ; 0145-6008
    ISSN (online) 1530-0277
    ISSN 0145-6008
    DOI 10.1111/acer.14401
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Predictors of Increases in Alcohol Problems and Alcohol Use Disorders in Offspring in the San Diego Prospective Study.

    Schuckit, Marc A / Smith, Tom L / Clarke, Dennis / Mendoza, Lee Anne / Kawamura, Mari / Schoen, Lara

    Alcoholism, clinical and experimental research

    2019  Volume 43, Issue 10, Page(s) 2232–2241

    Abstract: Background: The 35-year-long San Diego Prospective Study documented 2-fold increases in alcohol problems and alcohol use disorders (AUDs) in young-adult drinking offspring compared to rates in their fathers, the original probands. The current analyses ... ...

    Abstract Background: The 35-year-long San Diego Prospective Study documented 2-fold increases in alcohol problems and alcohol use disorders (AUDs) in young-adult drinking offspring compared to rates in their fathers, the original probands. The current analyses use the same interviews and questionnaires at about the same age in members of the 2 generations to explore multiple potential contributors to the generational differences in adverse alcohol outcomes.
    Methods: Using data from recent offspring interviews, multiple cross-generation differences in characteristics potentially related to alcohol problems were evaluated in 3 steps: first through direct comparisons across probands and offspring at about age 30; second by backward linear regression analyses of predictors of alcohol problems within each generation; and finally third through R-based bootstrapped linear regressions of differences in alcohol problems in randomly matched probands and offspring.
    Results: The analyses across the analytical approaches revealed 3 consistent predictors of higher alcohol problems in the second generation. These included the following: (i) a more robust relationship to alcohol problems for offspring with a low level of response to alcohol; (ii) higher offspring values for alcohol expectancies; and (iii) higher offspring impulsivity.
    Conclusions: The availability of data across generations offered a unique perspective for studying characteristics that may have contributed to a general finding in the literature of substantial increases in alcohol problems and AUDs in recent generations. If replicated, these results could suggest approaches to be used by parents, healthcare workers, insurance companies, and industry in their efforts to mitigate the increasing rates of alcohol problems in younger generations.
    MeSH term(s) Adolescent ; Adult ; Alcohol Drinking ; Alcoholism/epidemiology ; Alcoholism/genetics ; California/epidemiology ; Central Nervous System Depressants/pharmacology ; Ethanol/pharmacology ; Family Characteristics ; Female ; Humans ; Impulsive Behavior ; Longitudinal Studies ; Male ; Motivation ; Prospective Studies ; Young Adult
    Chemical Substances Central Nervous System Depressants ; Ethanol (3K9958V90M)
    Language English
    Publishing date 2019-08-27
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 428999-7
    ISSN 1530-0277 ; 0145-6008
    ISSN (online) 1530-0277
    ISSN 0145-6008
    DOI 10.1111/acer.14164
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A 22-Year Follow-Up (Range 16 to 23) of Original Subjects with Baseline Alcohol Use Disorders from the Collaborative Study on Genetics of Alcoholism.

    Schuckit, Marc A / Smith, Tom L / Danko, George / Kramer, John / Bucholz, Kathleen K / McCutcheon, Vivia / Chan, Grace / Kuperman, Samuel / Hesselbrock, Victor / Dick, Danielle M / Hesselbrock, Michie / Porjesz, Bernice / Edenberg, Howard J / Nureberger, John I / Gregg, Marcy / Schoen, Lara / Kawamura, Mari / Mendoza, Lee Anne

    Alcoholism, clinical and experimental research

    2018  Volume 42, Issue 9, Page(s) 1704–1714

    Abstract: Background: Recent reports indicate higher-than-expected problematic drinking in older populations. However, few data describe how to predict which older individuals are most likely to demonstrate alcohol-related problems, including those with earlier ... ...

    Abstract Background: Recent reports indicate higher-than-expected problematic drinking in older populations. However, few data describe how to predict which older individuals are most likely to demonstrate alcohol-related problems, including those with earlier alcohol use disorders (AUDs). These analyses evaluate predictors of alcohol outcomes in individuals with earlier AUDs in the Collaborative Study on Genetics of Alcoholism (COGA).
    Methods: Original COGA participants with baseline AUDs at about age 40 were interviewed 13 to 26 years later and placed into clinically derived outcome categories. Chi-square and analysis of variance evaluated baseline differences across 4 outcome groups, with significant items entered into binary logistic regression backwards elimination analyses predicting outcomes.
    Results: Low-Risk Drinkers (N = 100) at follow-up were predicted by baseline higher levels of response to alcohol (high LRs), lower histories of alcohol treatment, experience with fewer types of illicit drugs, and were more likely to have been widowed. At follow-up, Problem Drinkers (N = 192) differed from High-Risk Drinkers (N = 93) who denied multiple alcohol problems by exhibiting baseline lower LRs, higher Sensation Seeking, and a higher proportion who were widowed. Abstinent (N = 278) outcomes were predicted by a history of higher baseline AUD treatments, higher alcohol problems, lower usual drinks, as well as older age and European American heritage. Thirty-four subjects (4.9%) could not be classified and were not included in these analyses.
    Conclusions: These results generated from AUD individuals from both treatment and nontreatment settings reinforce low probabilities of recent Low-Risk Drinking in individuals with AUDs, but also suggest many individuals with AUDs demonstrate good outcomes 2 decades later.
    MeSH term(s) Adult ; Aged ; Alcoholism/diagnosis ; Alcoholism/epidemiology ; Alcoholism/genetics ; Female ; Follow-Up Studies ; Humans ; Intersectoral Collaboration ; Male ; Middle Aged ; Time Factors
    Language English
    Publishing date 2018-07-05
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 428999-7
    ISSN 1530-0277 ; 0145-6008
    ISSN (online) 1530-0277
    ISSN 0145-6008
    DOI 10.1111/acer.13810
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: A Prospective Comparison of How the Level of Response to Alcohol and Impulsivity Relate to Future DSM-IV Alcohol Problems in the COGA Youth Panel.

    Schuckit, Marc A / Smith, Tom L / Danko, George / Anthenelli, Robert / Schoen, Lara / Kawamura, Mari / Kramer, John / Dick, Danielle M / Neale, Zoe / Kuperman, Samuel / McCutcheon, Vivia / Anokhin, Andrey P / Hesselbrock, Victor / Hesselbrock, Michie / Bucholz, Kathleen

    Alcoholism, clinical and experimental research

    2017  Volume 41, Issue 7, Page(s) 1329–1339

    Abstract: Background: Alcohol problems reflect both environmental and genetic characteristics that often operate through endophenotypes like low levels of response (low LRs) to alcohol and higher impulsivity. Relationships of these preexisting characteristics to ... ...

    Abstract Background: Alcohol problems reflect both environmental and genetic characteristics that often operate through endophenotypes like low levels of response (low LRs) to alcohol and higher impulsivity. Relationships of these preexisting characteristics to alcohol problems have been studied, but few analyses have included both low LR and impulsivity in the same model.
    Methods: We extracted prospective data from 1,028 participants in the Prospective Youth Sample of the Collaborative Study on the Genetics of Alcoholism (COGA). At Time 1 (age 18), these drinking but non-alcohol-dependent males and females completed the Barratt Impulsivity Scale and the Self-Report of the Effects of Alcohol questionnaire regarding drinks required for effects the first 5 times of drinking (SRE5-LR). Two years later, they reported perceived drinking patterns of peers (PEER), their own alcohol expectancies (EXPECT), and their drinking to cope with stress (COPE). Subsequently, at Time 3, participants reported numbers of up to 11 DSM-IV alcohol criterion items experienced in the 2 years since Time 2 (ALC PROBS). Data were analyzed using structural equation modeling (SEM).
    Results: In the SEM, Baseline SRE5-LR and impulsivity were weakly related and did not interact in predicting later ALC PROBS. LR was directly linked to Time 3 ALC PROBS and to PEER, but had no direct path to EXPECT, with partial mediation to ALC PROBS through PEER to EXPECT and via COPE. Impulsivity did not relate directly to ALC PROBS or PEER, but was directly related to EXPECT and COPE, with effects on ALC PROBS also operating through EXPECT and COPE.
    Conclusions: Low LRs and impulsivity related to Time 3 ALC PROBS through somewhat different paths. Education- and counseling-based approaches to mitigate future alcohol problems may benefit from emphasizing different potential mediators of adverse alcohol outcomes for youth with low LRs versus those with high impulsivity or both characteristics.
    MeSH term(s) Adolescent ; Alcohol-Related Disorders/etiology ; Alcohol-Related Disorders/psychology ; Female ; Humans ; Impulsive Behavior ; Male ; Prospective Studies ; Young Adult
    Language English
    Publishing date 2017-05-24
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 428999-7
    ISSN 1530-0277 ; 0145-6008
    ISSN (online) 1530-0277
    ISSN 0145-6008
    DOI 10.1111/acer.13407
    Database MEDical Literature Analysis and Retrieval System OnLINE

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