ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2026
The Protective Impact of Social Support on the Cascade Rates Between Internalizing Problems and Alcohol Misuse in Adolescence.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
purposeAlcohol misuse (i.e., frequent, heavy drinking) and internalizing problems (i.e., anxiety, depression) typically manifest in adolescence. Both follow cascading trajectories where presence of one confers risk for the other. Delaying or preventing the cascade allows more time and opportunity to address symptoms before consequences accumulate and disrupt development. One candidate moderator for their cascading trajectories is social support, which is independently negatively associated with both alcohol misuse and internalizing problems. We tested whether social support affects bidirectional cascade rates between alcohol misuse and internalizing problems from adolescence through adulthood.
methodsTime-to-event analysis was applied to 7 years of longitudinal National Consortium on Alcohol and NeuroDevelopment in Adolescence data (n = 730, 51.23% female, M
resultsSocial support delayed the cascade rate (i.e., months to event) from each alcohol misuse marker to first internalizing episode (M DISCUSSION: Social support delays cascade rates triggered by alcohol misuse markers and first internalizing episode and may have long-term protective benefits, especially for boys. Targeted social support prevention efforts at ages of onset may prevent later alcohol misuse and internalizing problems. Critically, future research must identify what factors delay cascading trajectories in girls.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.