Journal
PEDIATRICS
Volume 121, Issue -, Pages S290-S310Publisher
AMER ACAD PEDIATRICS
DOI: 10.1542/peds.2007-2243D
Keywords
alcohol; late adolescence; development
Categories
Funding
- NIDA NIH HHS [R01 DA012995, R01 DA005104-07, K02 DA015347-05, R01 DA012995-05, K02 DA015347] Funding Source: Medline
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Late adolescence (ie, 16-20 years of age) is a period characterized by escalation of drinking and alcohol use problems for many and by the onset of an alcohol use disorder for some. This heightened period of vulnerability is a joint consequence of the continuity of risk from earlier developmental stages and the unique neurologic, cognitive, and social changes that occur in late adolescence. We review the normative neurologic, cognitive, and social changes that typically occur in late adolescence, and we discuss the evidence for the impact of these transitions on individual drinking trajectories. We also describe evidence linking alcohol abuse in late adolescence with neurologic damage and social impairments, and we discuss whether these are the bases for the association of adolescent drinking with increased risks of mental health, substance abuse, and social problems in adulthood. Finally, we discuss both the challenges and successes in the treatment and prevention of adolescent drinking problems.
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