Einflussfaktoren auf den Alkoholkonsum Jugendlicher: Zur Rolle von Gen-Umwelt Wechselwirkungen
Abstract
Zusammenfassung:Fragestellung: Übermäßiger Alkoholkonsum im Jugendalter erhöht das Risiko einer späteren Alkoholerkrankung. Geeignete präventive Maßnahmen bedürfen eines ätiologischen Modells, in das sowohl genetische als auch Umweltfaktoren eingehen. Welche Rolle dabei Wechselwirkungen zwischen Genotyp und Umwelt zukommt, soll in einer Literaturübersicht geprüft werden. Methodik: Mit Hilfe der Datenbank Medline Advanced wurden themenbezogene Artikel gesucht. Diese wurden auf ihre Relevanz überprüft und nach genetischen Faktoren, Umweltfaktoren und deren Wechselwirkung geordnet. Ergebnisse: Eine Vielzahl von Faktoren beeinflusst, isoliert und in Kombination mit anderen, den Alkoholkonsum Jugendlicher. Dabei erklärt jede einzelne Variable nur einen geringen Anteil der Variation des Konsumverhaltens. Schlussfolgerungen: Die vielfältigen Möglichkeiten von Wechselwirkungen zwischen einzelnen Faktoren werden deutlich. Der Bedarf an umfassenden Modellen zum erhöhten Alkoholkonsum Jugendlicher und der Integration bisheriger Ergebnisse in diese Modelle ist groß.
Summary:Introduction: Excessive alcohol consumption in youth increases the risk of subsequent alcohol use disorders. Despite the recognition of genetic and environmental factors, an appropriate aetiological model is needed to take adequate preventative steps. This is in part due to the complex interactions between genotype and environment. In this article we review research on factors determining alcohol use by adolescents and on the development of an unifying model. Method: The data bank Medline Advanced was searched for topical articles that were then checked for relevance and sorted according to genetic factors, environmental factors, and their interactions. Results: Many factors, alone and in combination with others, influence juvenile alcohol consumption. Each single variable, however, can explain only a small part of the variation in consumption behaviour. Conclusion: The manifold possibilities of interactions between these factors become clear. There is a strong need for comprehensive models of juvenile alcohol use and the integration of current results into these models.
Literatur
1998). The epidemiology of substance use among middle school students: The impact of school, familial, community and individual risk factors. Journal of Child and Adolescent Substance Abuse, 8, 55– 75
(2004). Entwicklung und Prävention von Störungen durch Substanzkonsum. Verhaltenstherapie und Verhaltensmedizin, 25,
(1996). Long term behavioral and neurochemical changes after isolation rearing in rats. Biological Psychiatry, 39, 555–
(1995). The Collaborative Study on the Genetics of Alcoholism. Alcohol Health and Research World, 19, 228– 236
(1999). Description of the Genetic Analysis Workshop 11 Collaborative Study on the Genetics of Alcoholism. Genetic Epidemiology, 17, (Supp. 1) 25– 30
(1998). Genomic screen for QTLs underlying alcohol consumption in the P and NP rat lines. Mammalian Genome, 9, 949– 955
(2003). Molecular mechanisms of tolerance to and withdrawal of GABA(A) receptor modulators. European Neuropsychopharmacology, 13, 411– 423
(2002). Occupational versus environmental and lifestyle exposures of children and adolescents in the European Union. Toxicological Letters, 127, 121– 126
(2005). Friend’s drinking behaviour and adolescent alcohol consumption: the moderating role of friendship characteristics. Addictive Behaviors, 30, 929– 947
(2005). Relationship of serotonin transporter gene polymorphisms and haplotypes to mRNA transcription. American Journal of Medical Genetics Part B: Neuropsychiatric Genetics, 136, 58– 61
(1999). Modeling of alcohol use mediates the effect of family history of alcoholism on adolescent alcohol expectancies. Experimental and Clinical Psychopharmacology, 7, 20– 27
(2004). Die Drogenaffinität Jugendlicher in der Bundesrepublik Deutschland. Verfügbar unter: www.bzga.de/?uid=596b453093882 bc1a2ba20ea8ef8d5e2&id=Seite1417 [26.4.05]
(1998). A quantitative trait locus for alcohol consumption in selectively bred rat lines. Alcoholism: Clinical and Experimental Research, (22). 884– 887
(2002). ). Trajectories of drinking from 18 to 26 years: identification and prediction. Addiction, 97, 1427– 1437
(2006). Drinking and motivations to drink among adolescent children of parents with alcohol problems. Alcohol and Alcoholism, 41, 107– 113
(2002). Stress- und Risikoforschung: Die Bedeutung der Familie für den Konsum psychotroper Substanzen bei Jugendlichen. Kindheit und Entwicklung, 1, 14– 20
(2002). Binge drinking trajectories from adolescence to emerging adulthood in a high-risk sample: predictors and substance abuse outcomes. Journal of Consulting and Clinical Psychology, 70, 67– 78
(1981). Inheritance of alcohol abuse. Cross-fostering analysis of adopted men. Archives of General Psychiatry, 38, 861– 868
(2002). A finite mixture model of growth trajectories of adolescent alcohol use: predictors and consequences. Journal of consulting and clinical psychology, 70, 976– 985
(2005). DRD2 genotypes and substance use in adolescent children of alcoholics. Drug and Alcohol Dependence, 79, 379– 387
(2002). The economics of alcohol abuse and alcohol-control policies. Health Affairs, 21, 120– 133
(1992). Development and validation of a three-dimensional measure of drinking motives. Psychological Assessment, 4, 123– 132
(1999). Genetics of mouse behavior: interactions with laboratory environment. Science, 284, 1670– 1672
(1999). A Genetic Study of the Family Environment in the Transition to Early Adolescence. Journal of Child Psychology and Psychiatry, 40, 769– 775
(2001). Exploring Gene-Environment Interactions: Socioregional Moderation of Alcohol Use. Journal of Abnormal Psychology, 110, 625– 632
(2002). Stellungnahme der Drogen- und Suchtkommission zur Verbesserung der Suchtprävention.
(2000). Regulation of the mammalian alcohol dehydrogenase genes. Progress in Nucleic Acid Research and Molecular Biology, 64, 295– 341
(1998). A family-based analysis of the association of the dopamine D2 receptor (DRD2) with alcoholism. Alcoholism: Clinical and Experimental Research, 22, 505– 512
(2001). Prospective risk factors for alcohol misuse in late adolescence. Journal of Studies on Alcohol, 62, 773– 782
(1996). Sensitivity to leptin and susceptibility to seizures of mice lacking neuropeptide Y. Nature, 381, 415– 421
(2000). Generaldirektion Gesundheit und Verbraucherschutz, Referat F3 - Gesundheitsförderung, Gesundheitsberichterstattung und Verhütung von Verletzungen. Bericht über die gesundheitliche Situation der jungen Menschen in der EU. Arbeitspapier der Kommissionsdienststellen
(1998). Ethanol and neurotransmitter interactions - from molecular to integrative effects. Progress in Neurobiology, 55, 509– 535
(1995). The prevalence and risk factors associated with abusive or hazardous alcohol consumption in 16-year-olds. Addiction, 90, 935– 946
(2002). Deviant Peer Affiliations, Crime and Substance Use: A Fixed Effects Regression Analysis. Journal of Abnormal Child Psychology, 30, 419– 430
(1988). Mesocorticolimbic dopamine systems and reward. Annals of the New York Academy of Sciences, 537, 206– 215
(2004). Association studies of neurotransmitter gene polymorphisms in alcoholic Caucasians. Annals of the New York Academy of Sciences, 1025, 39– 46
(1998). Linkage of an alcoholism-related severity phenotype to chromosome 16. Alcoholism: Clinical and Experimental Research, 22, 2035– 2042
(2000). Alcoholism susceptibility loci: Confirmation studies in a replicate sample and further mapping. Alcoholism: Clinical and Experimental Research, 24, 933– 945
(1995). Adolescent drinking, smoking and other substance use involvement: links with perceived family life. Journal of Adolescence, 18, 159– 177
(2003). Evaluating Alcohol Access and the Alcohol Environment in Neighborhood Areas. Alcoholism: Clinical and Experimental Research, 27, 477– 484
(1989). Different pituitary beta-endorphin and adrenal cortisol response to ethanol in individuals with high and low risk for future development of alcoholism. Life Sciences, 45, 1097– 1109
(2001). Gender and alcohol use: the roles of social support, chronic illness, and psychological well-being. Journal of Behavioral Medicine, 24, 383– 399
(1999). Genetic variation in the serotonin transporter promoter region affects serotonin uptake in human blood platelets. American Journal of Medical Genetics, 88, 83– 87
(2003). G × E: A NIAAA Workshop on Gene-Environment Interactions. Alcoholism: Clinical and Experimental Research, 27, 540– 562
(2001). Childhood and adolescent predictors of alcohol abuse and dependence in young adulthood. Journal of Studies on Alcohol, 62, 754– 762
(1999). Serotonerge Dysfunktion als Folge sozialer Isolation: Bedeutung für die Entstehung von Aggression und Alkoholabhängigkeit. Der Nervenarzt, 70, 780– 789
(1998). Reduced central serotonin transporters in alcoholism. 155, 1544– 1549
(2002). Teenage alcohol and intoxication debut: the impact of family socialization factors, living area and participation in organized sports. Alcohol and Alcoholism, 37, 74– 80
(2001). Genetics and Alcoholism: The COGA Project. New York: Marcel Decker
(2005). Alkoholkonsum in der Adoleszenz - soziale und individuelle Einflussfaktoren. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 33, 273– 282
(2004). Biological Psychiatry, 55, 1090– 1094
(2003). WHO-Jugendgesundheitssurvey - Konzept und ausgewählte Ergebnisse für die Bundesrepublik Deutschland. (The WHO adolescent health survey - Concept and selected results for Germany). Erziehungswissenschaft, 27, 79– 108
(2003). Affect and Peer Context Interactively Impact Adolescent Substance Use. Journal of Abnormal Child Psychology, 31, 413– 426
(2001). Intra- and extra-familial influences on alcohol and drug misuse: a twin study of gene-environment correlation. Addiction, 96, 1307– 1318
(2005). Association of the -141C Del variant of the dopamine D2 receptor (DRD2) with positive family history and suicidality in German alcoholics. American Journal of Medical Genetics Part B: Neuropsychiatric Genetics, 132, 46– 49
(2001). Binge drinking among undergraduate college students in the United States: implications for other substance use. Journal of American College Health, 50, 33– 38
(2001). The prospective relation between dimensions of anxiety and the initiation of adolescent alcohol use. Journal of Clinical Child Psychology, 30, 316– 326
(1983). Ethanol and GABA. Medical Biology, 61, 147– 167
(2006). What is worse? A hierarchy of family-related risk factors predicting alcohol use in adolescence. Substance Use and Misuse, 41, 71– 86
(2001). Risk domains associated with an adolescent alcohol dependence diagnosis. Addiction, 96, 629– 636
(1998). Role of GABA in the actions of ethanol in rats selectively bred for ethanol sensitivity. Pharmacology, Biochemistry and Behavior, 60, 793– 801
(1998). Zum Einfluss des Familienklimas und der Gleichaltrigengruppe auf den Zusammenhang zwischen Substanzgebrauch und antisozialem Verhalten von Jugendlichen. Kindheit und Entwicklung, 7, 208– 220
(1994). Family dynamic and structural correlates of adolescent substance abuse: A comparison of families of non-substance abusers and substance abusers. Journal of Child and Adolescent Substance Abuse, 3, 39– 52
(2001). Family, religious, school and peer influences on adolescent alcohol use: a longitudinal study. Journal of Studies on Alcohol, 62, 44– 53
(2001). ALDH2 Status, Alcohol Expectancies, and Alcohol Response: Preliminary Evidence for a Mediation Model. Alcoholism: Clinical and Experimental Research, 25, 1558– 1563
(2001a). Disinhibition and expectancy in risk for alcohol use: Comparing Black and White college samples. Journal of Studies on Alcohol, 62, 313– 321
(1996). Genetics and Behavioral Medicine. Behavioral Medicine, 22, 93– 103
(1999). Alcohol policy and the young adult: establishing priorities, building partnerships, overcoming barriers. Addiction, 94, 357– 369
(2005). Pathways to adolescent alcohol use: family environment, peer influence, and parental expectations. Journal of Adolescent Health, 37, 19– 28
(1995). Association and linkage studies of TaqI A alleles at the dopamine D2 receptor gene in samples of female and male alcoholics. American Journal of Medical Genetics (Neuropsychiatric Genetics), 60, 267– 271
(2001). Evidence for a locus on chromosome 1 that influences vulnerability to alcoholism and affective disorder. American Journal of Psychiatry, 158, 718– 724
(1998). Genotype-Environment Correlations in Late Childhood and Early Adolescence: Antisocial Behavioral Problems and Coercive Parenting. Developmental Psychology, 34, 970– 981
(1979). Circumplex model of marital and family systems: Cohesion and adaptability dimensions, family types, and clinical applications. Family Process, 18, 3– 28
(1993). Reflectivity and learning from aversive events: Toward a psychological fort he syndromes for disinhibition. Psychological Review, 100, 716– 736
(1977). Genotype-environment interaction and correlation in the analysis of human behavior. Psychological Bulletin, 84, 309– 322
(2000). Risk factors for alcohol dependence: a case-control study. Alcohol and Alcoholism, 35, 190– 196
(2002). Linkage disequilibrium between the beta frequency of the human EEG and a GABAA receptor gene locus. Proceedings of the National Academy of Sciences of the USA, 99, 3729– 3733
(1998). Genome-wide search for genes affecting the risk for alcohol dependence. American Journal of Medical Genetics, 81, (3) 207– 215
(1997). Protecting adolescents from harm. Findings from the National Longitudinal Study on Adolescent Health. JAMA Journal of the American Medical Association, 278, 823– 832
(1993). Relationship between after-school care of adolescents and substance use, risk taking, depressed mood, and academic achievement. Pediatrics, 92, 32– 38
(2001). Drinking or Abstaining at Age 14? A Genetic Epidemiological Study. Alcoholism: Clinical and Experimental Research, 25, 1594– 1604
(2001a). Gene-Environment Interaction in Patterns of Adolescent Drinking: Regional Residency Moderates Longitudinal Influences on Alcohol Use. Alcoholism: Clinical and Experimental Research, 25, 637– 643
(1991). Temperament: A developmental framework. In Strelau, J., Angleitner, A. (eds.). Explorations in temperament: Intervention perspectives on theory and measurement (pp. 61-75). Plenum Press
(2001). Heavy drinking from the freshman year into early young adulthood: the roles of stress, tension-reduction drinking motives, gender and personality. Journal of Studies on Alcohol, 62, 457– 466
(2000). Developmental psychopathology: Concepts and challenges. Development and Psychopathology, 12, 265– 296
(2006). Gene-environment interplay and psychopathology: multiple varieties but real effects. Journal of Child Psychology and Psychiatry, 47, 226– 261
(2000). A genome screen of maximum number of drinks as an alcoholism phenotype. American Journal of Medical Genetics (Neuropsychiatric Genetics), 96, 632– 637
(1998). Biological, Psychological and Environmental Predictors of the Alcoholism Risk: A Longitudinal Study. Journal of Studies on Alcohol, 59, 485– 494
(2000). Response to alcohol in daughters of alcoholics: a pilot study and a comparison with sons of alcoholics. Alcohol and Alcoholism, 35, 242– 248
(2004). Drug dependence and addiction: neural substrates. American Journal of Psychiatry, 161, 223–
(2001). Adolescent alcohol expectancies in offspring from families at high risk for developing alcoholism. Journal of Studies on Alcohol, 62, 763– 772
(1993). [Genotypes of alcohol dehydrogenase and aldehyde dehydrogenase and their significance for alcohol sensitivity]. Nippon Rinsho, 51, 394– 399
(2001). Adolescent risk for alcohol problems as acquired preparedness: A model and suggestions for intervention. In: P. M. Monti, S. M. Colby, T. A. O’Leary (eds.) Adolescent, Alcohol, and Substance Abuse: Reaching Teens Through Brief Interventions (pp. 109-141). Brunner/Mazel Publishers, New York
(1999). The dopamine hypothesis of reward: past and current status. Trends in Neurosience, 22, 521– 527
(2005). The clock gene Per2 influences the glutamatergic system and modulates alcohol consumption. Nature Medicine, 11, 35– 42
(1993). [ADH 2, 3 and ALDH 2 gene frequency in Japanese alcoholics]. Nippon Rinsho, 51, 400– 406
(1998). Ethanol consumption and resistance are inversely related to neuropeptide Y levels. Nature, 396, 366– 369
(2003). Glutamatergic mechanisms in addiction. Molecular Psychiatry, 8, 373– 382
(2002). From First Drug Use to Drug Dependence: Developmental Periods of Risk for Dependence upon Marijuana, Cocaine, and Alcohol. Neuropsychopharmacology, 26, 479– 488
(1990). Insensitivity of the analysis of variance to heredity-environment interaction. Behavioral and Brain Sciences, 13, 109– 161
(2006). The mediating role of adolescent self-efficacy in the relationship between parental practices and adolescent alcohol use. Journal of Adolescent Health, 38, 448– 450
(1993). Relationship among social and intrapersonal risk, alcohol expectancies, and alcohol usage among early adolescents. Addictive Behaviors, 18, 127– 134
(1998). Gene-Environment Interactions in Alcohol Research: Round Table Discussion of Conceptual and Methodological Issues Using Animal Models. Alcoholism: Clinical and Experimental Research, 22, 1719– 1723
(