Types of marijuana users by longitudinal course.

OBJECTIVE Taxonomies of alcoholism and antisocial behaviors based on developmental course converge on two-group classifications that emphasize early and late onset. Typologies for users of illicit drugs remain to be developed. This article proposes a developmental taxonomy of marijuana users. METHOD Cluster analysis was applied to a representative community sample of 708 (364 male, 344 female) marijuana users followed from adolescence to age 34-35. The Ward method, followed by relocation, was used to classify marijuana users into different types based on age of onset, chronicity of heavy use and persistence of use. ANOVA and logit analyses were utilized to describe the cluster solution and examine the correlates of cluster membership. RESULTS Four marijuana use clusters were identified: early onset-heavy use, early onset-light use, mid onset-heavy use and late onset-light use. The groups differed from each other in degree of involvement in marijuana and other drugs, sociodemographic and lifestyle characteristics. The majority of those with early onset did not become heavily involved in marijuana. Unique factors were associated with membership in each group. Factors differentiating early from mid-onset heavy use included association with marijuana-using peers and having had a mental disorder. Peer delinquency was an additional factor differentiating early initiators who became heavy users from those who did not. CONCLUSIONS A simple two-type classification fails to take into account the heterogeneity of early and late onset groups. By itself, early onset into marijuana will not lead to problematic use or rapid progression into the use of other drugs. Motivation underlying use and dysfunctional behaviors are associated with the development of problematic drug use and dependence.

[1]  R. Jessor,et al.  Transition into adolescent problem drinking: the role of psychosocial risk and protective factors. , 1999, Journal of studies on alcohol.

[2]  R. Kessler,et al.  Prevalence and demographic correlates of symptoms of last year dependence on alcohol, nicotine, marijuana and cocaine in the U.S. population. , 1997, Drug and alcohol dependence.

[3]  H. Fitzgerald,et al.  Other evidence for at least two alcoholisms II: Life course variation in antisociality and heterogeneity of alcoholic outcome , 1996, Development and Psychopathology.

[4]  R. Kessler,et al.  Patterns of DSM-III-R alcohol dependence symptom progression in a general population survey , 1996, Psychological Medicine.

[5]  D. Kandel The Parental and Peer Contexts of Adolescent Deviance: An Algebra of Interpersonal Influences , 1996 .

[6]  Avshalom Caspi,et al.  Childhood-onset versus adolescent-onset antisocial conduct problems in males: Natural history from ages 3 to 18 years , 1996, Development and Psychopathology.

[7]  R. Jessor,et al.  Protective Factors in Adolescent Problem Behavior: Moderator Effects and Developmental Change. , 1995 .

[8]  G. Stoduto,et al.  The Construction of Risk and Protective Factor Indices for Adolescent Alcohol and other Drug Use , 1995 .

[9]  H. Reinherz,et al.  Ages of onset of psychiatric disorders in a community population of older adolescents. , 1994, Journal of the American Academy of Child and Adolescent Psychiatry.

[10]  D. Rae,et al.  Increased rates of drug abuse and dependence after onset of mood or anxiety disorders in adolescence. , 1994, Hospital & community psychiatry.

[11]  H. Fitzgerald,et al.  Developmental Evidence for at Least Two Alcoholisms , 1994, Annals of the New York Academy of Sciences.

[12]  T. Moffitt Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy. , 1993, Psychological review.

[13]  L. Kirisci,et al.  Subtypes of early age onset alcoholism. , 1993, Alcoholism, clinical and experimental research.

[14]  D. Kandel,et al.  From beer to crack: developmental patterns of drug involvement. , 1993, American journal of public health.

[15]  D. Kandel,et al.  Stages of progression in drug involvement from adolescence to adulthood: further evidence for the gateway theory. , 1992, Journal of studies on alcohol.

[16]  P. Bentler,et al.  Interactive and higher-order effects of social influences on drug use. , 1992, Journal of health and social behavior.

[17]  M. Newcomb,et al.  Risk and Protective Factors for Drug Use among Latino and White Adolescents , 1992 .

[18]  V. Hesselbrock,et al.  Types of alcoholics, I. Evidence for an empirically derived typology based on indicators of vulnerability and severity. , 1992, Archives of general psychiatry.

[19]  R. Catalano,et al.  Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: implications for substance abuse prevention. , 1992, Psychological bulletin.

[20]  P. Lewinsohn,et al.  Comorbidity of unipolar depression: II. Comorbidity with other mental disorders in adolescents and adults. , 1991, Journal of abnormal psychology.

[21]  J. Brook,et al.  The psychosocial etiology of adolescent drug use: a family interactional approach. , 1990, Genetic, social, and general psychology monographs.

[22]  L. DiLalla,et al.  Heterogeneity of causes for delinquency and criminality: Lifespan perspectives , 1989, Development and Psychopathology.

[23]  D S Rae,et al.  Epidemiologic evidence for early onset of mental disorders and higher risk of drug abuse in young adults. , 1988, The American journal of psychiatry.

[24]  D. Kandel,et al.  Changes in drug behavior from the middle to the late twenties: initiation, persistence, and cessation of use. , 1987, American journal of public health.

[25]  E Y Deykin,et al.  Adolescent depression, alcohol and drug abuse. , 1987, American journal of public health.

[26]  G. W. Milligan,et al.  An examination of procedures for determining the number of clusters in a data set , 1985 .

[27]  C. J. Mills,et al.  Patterns and correlates of initial and subsequent drug use among adolescents. , 1984, Journal of consulting and clinical psychology.

[28]  D. Kandel,et al.  Marijuana users in young adulthood. , 1984, Archives of general psychiatry.

[29]  M Davies,et al.  Epidemiology of depressive mood in adolescents: an empirical study. , 1982, Archives of general psychiatry.

[30]  S. Kellam,et al.  Sex Differences in Antecedents of Substance Use Among Adolescents , 1982 .

[31]  C. Robert Cloninger,et al.  Inheritance of alcohol abuse. Cross-fostering analysis of adopted men. , 1981, Archives of general psychiatry.

[32]  Ronald C. Kessler,et al.  Antecedents of adolescent initiation into stages of drug use: A developmental analysis , 1978, Journal of youth and adolescence.

[33]  Richard O. Duda,et al.  Pattern classification and scene analysis , 1974, A Wiley-Interscience publication.

[34]  J. H. Ward Hierarchical Grouping to Optimize an Objective Function , 1963 .

[35]  D. Magnusson The logic and implications of a person-oriented approach. , 1998 .

[36]  T. Babor The Classification of Alcoholics , 1996, Alcohol health and research world.

[37]  D. Kandel,et al.  The natural history of drug use from adolescence to the mid-thirties in a general population sample. , 1995, American journal of public health.

[38]  V. Hesselbrock,et al.  Types of alcoholics : evidence from clinical, experimental, and genetic research , 1994 .

[39]  Benjamin B. Lahey,et al.  Issues of taxonomy and comorbidity in the development of conduct disorder , 1993, Development and Psychopathology.

[40]  R. Clayton Transitions in drug use: Risk and protective factors. , 1992 .

[41]  R. Pickens,et al.  Vulnerability to drug abuse , 1992 .

[42]  G. Barnes,et al.  Causal models of adolescent substance use: an examination of gender differences using distribution-free estimators. , 1989, Journal of personality and social psychology.

[43]  H. Leventhal,et al.  The role of cigarettes in the initiation and progression of early substance use. , 1989, Addictive behaviors.

[44]  J. Graham,et al.  Evidence for two paths of alcohol use onset in adolescents. , 1989, Addictive behaviors.

[45]  D. Magnusson,et al.  Psychopathology: An interactional perspective. , 1987 .

[46]  H. Quay Patterns of delinquent behavior. , 1987 .

[47]  M. Aldenderfer,et al.  Cluster Analysis. Sage University Paper Series On Quantitative Applications in the Social Sciences 07-044 , 1984 .

[48]  Warren S. Sarle,et al.  Cubic Clustering Criterion , 1983 .

[49]  T. Caliński,et al.  A dendrite method for cluster analysis , 1974 .