Evidence map›Paper›PMID 28134539›Full record

SynthesisPsychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors2017

A systematic review of the unique prospective association of negative affect symptoms and adolescent substance use controlling for externalizing symptoms.

Andrea M Hussong, Susan T Ennett, Melissa J Cox, Maleeha Haroon

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 9 pooled it
20.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 9 syntheses or guidelines pooled it, 171 citations in OpenAlex.

  1. Pooled it
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  3. Mental disorder and opioid overdose: a systematic review.Social psychiatry and psychiatric epidemiology · 2022
    Pooled it
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  9. Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, Update 2018-2023: Current Status, Best Practices, and Opportunities for Advancing the Science.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Pooled it
  10. Trial
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  12. Article
  13. Revisiting the role of negative affect in alcohol use disorder: A longitudinal evaluation of Koob's allostatic model.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026
    Article
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  17. Do posttreatment increases in social recovery capital mediate the relationship between lower internalizing symptoms and less substance use?Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026
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  20. A structural equation model test of affect, family warmth, and substance use among American Indian reservation-based adolescents.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2025
    Article

40 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Andrea M HussongCenter for Developmental Science, The University of North Carolina at Chapel Hill.
Susan T EnnettDepartment of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill.
Melissa J CoxDepartment of Health Behavior, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill.
Maleeha HaroonCenter for Developmental Science and Department of Psychology & Neuroscience, The University of North Carolina at Chapel Hill.
University of North Carolina at Chapel Hill · US

Funding

THE CONTEXT OF ADOLESCENT SUBSTANCE USER01DA013459 · NIDA · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI ENNETT, SUSAN T · 2000 to 2004
$2.1M
Peer Mechanisms in the Internalizing Pathway to Substance UseR01DA037215 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HUSSONG, ANDREA M · 2014 to 2016
$684k
NIDA NIH HHS R01 DA013459NIDA NIH HHS R01 DA037215
6 · The paper itself

Abstract

This systematic review examines whether negative affect symptoms (i.e., anxiety, depression, and internalizing symptoms more broadly) predict subsequent adolescent substance use after controlling for co-occurring externalizing symptoms. Following PRISMA procedures, we identified 61 studies that tested the association of interest. Findings varied depending on the type of negative affect symptom and to some extent on the substance use outcome. The most consistent associations were evident for depressive symptoms, particularly as predictors of substance use composite scores. No clear association between anxiety and substance use or between internalizing symptoms and substance use was evident, and indeed these associations were as often negative as positive. Mixed findings regarding the depression-substance use association, however, also call for greater attention to potential moderating factors that may help define who, when, and in what context depression serves as an important risk factor for later substance use above and beyond risk associated with externalizing symptoms. (PsycINFO Database Record

Indexed as

Problem BehaviorAdolescentAdolescent BehaviorHumansMental DisordersSubstance-Related Disorders

Identifiers

PMID28134539
PMCPMC5344716
OpenAlexW2580028703

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.