Prospective analysis of comorbidity: tobacco and alcohol use disorders

J Abnorm Psychol. 2000 Nov;109(4):679-94. doi: 10.1037//0021-843x.109.4.679.

Abstract

Alcohol use disorders (AUD) and tobacco use disorders (TD) frequently co-occur. The authors examined AUD-TD comorbidity over time using a state-trait (ST) model. The ST model represents variance in AUD/TD as a traitlike factor that spans measurement occasion and identifies distinct sources of variance in AUD-TD comorbidity. The ST model was evaluated on 450 young adults (baseline age = 18.5 years; 51% with family history of alcoholism) assessed 5 times over 7 years. The ST model demonstrated superior fit over a first-order autoregressive model. The tendency to diagnose with AUD and TD was partially explained by family history of alcoholism; this relationship was mediated by childhood stressors, alcohol expectancies, and behavioral undercontrol. Results supported a common third-variable influence (vs. directional) model of comorbidity. The ST model is an important conceptual and methodological approach to the prospective study of comorbidity in general.

Publication types

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

MeSH terms

  • Adolescent
  • Adult
  • Alcoholism / epidemiology*
  • Alcoholism / genetics
  • Comorbidity
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Prospective Studies
  • Risk Factors
  • Smoking / epidemiology*