Document Type


Original Publication Date


Journal/Book/Conference Title

Child and Adolescent Psychiatric Clinics of North America





First Page


Last Page


DOI of Original Publication



Published in final edited form as Child Adolesc Psychiatr Clin N Am. 2010 Jul; 19(3): 493–504. doi: 10.1016/j.chc.2010.03.004. PMCID: PMC2916876 NIHMSID: NIHMS189307

Karen G. Chartier was at the University of Texas School of Public Health at the time of initial publication.

Date of Submission

June 2015


This article provides an overview of the characteristics of adolescent alcohol use, normative and subgroup variations in drinking behavior, and important factors associated with an increased risk for developing alcohol problems in later adolescence and young adulthood. A parental/family history of alcoholism, temperament traits, conduct problems, cognitive functioning, alcohol expectancies, and peer and other social relations are identified as influencing an adolescent’s susceptibility for initiating a variety of alcohol use behaviors. The Deviance Prone Model, proposed by Sher (1991), is presented as an important tool for testing possible relationships among the various risk factors and their sequencing that leads to early adolescent alcohol and drug initiation and use. It is also possible to extend the model to allow for an examination of the complex interplay of risk factors that leads to the development of alcohol use problems in late adolescence and young adults.


© 2010, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International ( This is the author’s version of a work that was accepted for publication in Child Adolesc Psychiatr Clin N Am. 2010 Jul; 19(3): 493–504. The final publication is available at

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