Working memory ability predicts trajectories of early alcohol use in adolescents: the mediational role of impulsivity
Article first published online: 1 NOV 2012
© 2012 The Authors, Addiction © 2012 Society for the Study of Addiction
Volume 108, Issue 3, pages 506–515, March 2013
How to Cite
Khurana, A., Romer, D., Betancourt, L. M., Brodsky, N. L., Giannetta, J. M. and Hurt, H. (2013), Working memory ability predicts trajectories of early alcohol use in adolescents: the mediational role of impulsivity. Addiction, 108: 506–515. doi: 10.1111/add.12001
- Issue published online: 18 FEB 2013
- Article first published online: 1 NOV 2012
- Accepted manuscript online: 4 OCT 2012 05:51AM EST
- Manuscript Accepted: 24 SEP 2012
- Manuscript Revised: 14 NOV 2011
- Manuscript Received: 23 AUG 2011
- National Institute on Drug Abuse. Grant Number: R01DA018913
- Alcohol use trajectories;
- early adolescence;
- working memory ability.
(i) To evaluate the role of pre-existing weakness in working memory ability (WM) as a risk factor for early alcohol use as mediated by different forms of impulsivity and (ii) to assess the adverse effects of progressive alcohol use on variations in WM over time.
Design, setting and participants
A community sample of 358 adolescents [48% males, meanage(baseline) = 11.4 ± 0.87 years] from a longitudinal cohort design, assessed annually over 4 consecutive years with less than 6% attrition.
Repeated assessments were conducted for the following key variables: WM (based on performance on four separate tasks), frequency of alcohol use (AU) and three forms of impulsivity, namely sensation seeking (SS), acting without thinking (AWT) and delay discounting (DD). Latent growth curve modeling procedures were used to identify individual trajectories of change for all key variables.
Weakness in WM (at baseline) predicted significantly both concurrent alcohol use and increased frequency of use over the four waves (P < 0.05). This effect was entirely mediated by two forms of impulsivity, AWT and DD, both of which were characterized by underlying weakness in WM. No individual variation was observed in the slopes of WM, which suggests that individual variations in alcohol use were not associated with changes in WM in our early adolescent sample.
Early adolescent alcohol use may be a consequence of (pre-existing) weaknesses in working memory (WM) rather than a cause of it. Efforts to reduce early alcohol use should consider the distinct roles of different impulsivity dimensions, in addition to WM, as potential targets of intervention.