Evidence map›Paper›PMID 30280443›Full record

Trial reportAddiction (Abingdon, England)2019

A developmental cascade model for early adolescent-onset substance use: the role of early childhood stress.

Roy Otten, Chung Jung Mun, Daniel S Shaw, Melvin N Wilson, Thomas J Dishion

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 64 citations in OpenAlex.

  1. Trial
  2. Trial
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  4. The Utility of Machine Learning-Enhanced Developmental Cascade Models in Prevention Science.Prevention science : the official journal of the Society for Prevention Research · 2026
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  6. Review
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  15. A gene-environment cascade theoretical framework of developmental psychopathology.Journal of psychopathology and clinical science · 2023
    Article
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  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 2 countries.

Roy OttenPluryn, Research and Development, Nijmegen, the Netherlands.ORCID 0000-0002-9763-5875
Chung Jung MunDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID 0000-0002-2439-8100
Daniel S ShawDepartment of Psychology, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0001-9111-9258
Melvin N WilsonDepartment of Psychology, University of Virginia, Charlottesville, VA, USA.ORCID 0000-0002-6142-9252
Thomas J DishionREACH Institute, Department of Psychology, Arizona State University, Tempe, AZ, USA.ORCID 0000-0002-0913-5003
Johns Hopkins University · USOregon Research Institute · USRadboud University Nijmegen · NLUniversity of Pittsburgh · USUniversity of Virginia · US

Funding

Understanding and Preventing Childhood Drug Use RiskR01DA016110 · NIDA · UNIVERSITY OF OREGON · PI DISHION, THOMAS J. · 2002 to 2012
$15.8M
UNDERSTANDING AND PREVENTING ADOLESCENT DRUG ABUSER37DA007031 · NIDA · UNIVERSITY OF OREGON · PI DISHION, THOMAS J · 1997 to 2005
$7.2M
Understanding and Preventing Early Adult Drug AbuseR01DA007031 · NIDA · UNIVERSITY OF OREGON · PI LEMERY-CHALFANT, KATHRYN · 1991 to 2015
$6.2M
MULTICULTURAL INTERVENTIONS FOR ADOLESCENT SUBSTANCE USER01AA012702 · NIAAA · UNIVERSITY OF OREGON · PI BOYD-BALL, ALISON J · 1999 to 2009
$4.0M
Relationship Dynamics and Young Adult Drug Use and AbuseR01AA022071 · NIAAA · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI HA, PHUONG THAO · 2012 to 2016
$2.4M
ENHANCING FAMILY BASED PREVENTION OF ADOLESCENT DRUG USER01DA013773 · NIDA · UNIVERSITY OF OREGON · PI DISHION, THOMAS J · 2000 to 2002
$1.2M
NIAAA NIH HHS R01 AA012702NIAAA NIH HHS R01 AA022071NIDA NIH HHS DA13773NIDA NIH HHS R01 DA007031NIDA NIH HHS R01 DA016110NIDA NIH HHS R37 DA007031
6 · The paper itself

Abstract

BACKGROUNDS AND

aimsDespite the link between stress and addictive behavior in adulthood, little is known about how early life stress in families predicts the early emergence of substance use in adolescence. This study tested a developmental cascade model, proposing that early stressful life events and negative parent-child interaction covary, and both disrupt the refinement of inhibitory control, which evolves into problem behavior in middle/late childhood and subsequent substance use exploration in early adolescence.

methodsData came from the Early Steps Multisite study, a community sample of at-risk families in the metropolitan US areas of Pittsburgh (Pennsylvania), Eugene (Oregon) and Charlottesville (Virginia) with children aged 2 years at the start of the study and 14 years at the last measurement (n = 364). Structural equation modeling was used to test the proposed model.

resultsEarly stressful life events and negative parent-child interaction assessed at ages 2-5 were negatively related to inhibitory control at ages 7 and 8. Low levels of inhibitory control were prognostic of childhood problem behavior at ages 9 and 10. Finally, late childhood problem behavior was associated with substance use at age 14. Parental drug use was directly related to substance use at age 14.

conclusionsEarly life stress may disrupt child inhibitory control, which can cascade into behavioral and peer problem behavior in childhood and, in turn, heighten the risk for early adolescent substance use.

Indexed as

Adverse Childhood ExperiencesAdolescentChildFemaleHumansInhibition, PsychologicalMaleParent-Child RelationsStress, PsychologicalSubstance-Related DisordersUnited StatesAdolescencecascade modelchildhood stressdevelopmentinhibitory controlsubstance use

Identifiers

PMID30280443
PMCPMC6519208
OpenAlexW2895074158

What OpenQuestion holds

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LicenceCC BY-NC
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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.