Development of substance dependence in two delinquency subgroups and nondelinquents from a male twin sample

J Am Acad Child Adolesc Psychiatry. 2002 Apr;41(4):386-93. doi: 10.1097/00004583-200204000-00010.

Abstract

Objective: The effect of delinquency subtype on the development of substance dependence symptoms was examined. It was proposed that early-onset delinquents possess characteristics that increase their likelihood of developing substance dependence problems earlier and more rapidly than late-onset delinquents and nondelinquents.

Method: The development of alcohol, nicotine, and cannabis dependence symptoms (DSM-III-R) was examined over a 6-year period of adolescence (age 11-17) among 36 early-onset delinquent, 86 late-onset delinquent, and 25 nondelinquent boys from a large epidemiological twin sample. Multilevel/random coefficients models were used to compare groups on the rate of growth in number of symptoms over time.

Results: As expected, early-onset delinquents showed an earlier onset and a faster rate of increase in the number of cannabis and nicotine dependence symptoms than late-onset delinquents and controls. Both delinquent groups had a more rapid increase in alcohol dependence symptoms than controls.

Conclusions: The data showed that early-onset delinquency is associated with earlier onset of substance use disorder symptoms and more rapid acceleration of problems with drugs than late-onset delinquency. Treatments for boys with early-onset delinquency should account for their increased risk for drug use problems in adolescence and the potential effects of those problems on the course of antisocial behavior.

Publication types

  • Research Support, U.S. Gov't, P.H.S.
  • Twin Study

MeSH terms

  • Adolescent
  • Child
  • Cluster Analysis
  • Disease Progression
  • Follow-Up Studies
  • Humans
  • Juvenile Delinquency / statistics & numerical data*
  • Male
  • Psychiatric Status Rating Scales
  • Substance-Related Disorders / diagnosis
  • Substance-Related Disorders / epidemiology*
  • Twins / psychology*