Evidence map›Paper›PMID 41852548›Full record

ArticleAddictive behaviors reports2026

Externalized anger as a mediator of harsh parenting and substance use among Appalachian adolescents.

Rosalina Mills, Jacob K Tebes, Michael J Strambler, Alfgeir L Kristjansson

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Article in Addictive behaviors reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Rosalina MillsYale School of Medicine, Department of Psychiatry, 389 Whitney Ave, New Haven, CT 06511, USA.
Jacob K TebesYale School of Medicine, Division of Prevention and Community Research, Department of Psychiatry, 389 Whitney Ave, New Haven, CT 06511, USA.
Michael J StramblerYale School of Medicine, Division of Prevention and Community Research, Department of Psychiatry, 389 Whitney Ave, New Haven, CT 06511, USA.
Alfgeir L KristjanssonWest Virginia University, School of Public Health, Prevention Research Center, 64 Medical Center Dr, Morgantown, WV 26506, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adolescent substance use (SU) is a prevalent public health issue in the United States. Understanding how known risk factors such as harsh parenting and externalized anger may impact youth SU is crucial for structuring primary prevention efforts and interventions. This study examines the relationship between harsh parenting and both current SU and SU severity. We assess whether, and to what extent, externalized anger mediates the relationship between harsh parenting and the two SU outcomes. Two waves of a biannual prospective cohort study administered to adolescents between 10-16 years of age were used to test mediation models for SU outcomes. The sample was 44.5% female, 87.2% White, and 95.7% non-Hispanic. Significant direct effects (

Indexed as

Adolescent behavioural healthExternalized angerHarsh parentingRural adolescent substance use

Identifiers

PMID41852548
PMCPMC12992498

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.