Developmental and Etiological Patterns of Substance Use from Adolescence to Middle Age: A Longitudinal Twin Study
Background: Common liability to addiction framework suggests the tendency to use substances is largely a general heritable liability, but little is known about how expression of this liability varies from adolescence to middle age. We evaluated average trajectories of development and covariation underlying commonly used substances using a genetically informative prospective design spanning three decades. Methods: Using a sample of 3,762 twins across 7 prospective waves of assessment spanning ages 14-40, we modeled these relationships using two complementary approaches: common factor modeling and piecewise latent growth modeling with measures of alcohol, tobacco, and marijuana useResults: We found phenotypic (rp ~.3-.9) and genetic covariation (rg ~.3-1) between a single common factor at each age, though the factor explained less shared variance over time. Average substance use increased across adolescence for all phenotypes and either declined in adulthood or remained stable; these trajectories were heritable (~.35-.75) across all stages of development. We also found shared environmental covariation underlying growth model intercepts reflecting use at age 16 (rc ~.7-1). Conclusions: A heritable common factor accounted for co-occurring substance use from mid-adolescence to mid-adulthood, and greater substance specificity emerged with maturation. Similarly, all stages of substance use development were heritable, but correlations between substances weakened across development. These results extend and reinforce prior work examining consumption and problem use, providing new evidence over a broad age range showing that individuals use substances more indiscriminately at younger ages and show preferences later.