Socioemotional and Executive Control Mismatch in Adolescence and Risks for Initiating Drinking Article Swipe
Qingyu Zhao
,
Leo Milecki
,
Amy Kuceyeski
,
Logan Grosenick
,
Ty Brumback
,
Adolf Pfefferbaum
,
Edith V. Sullivan
,
Kilian M. Pohl
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1001/jamanetworkopen.2025.31378
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1001/jamanetworkopen.2025.31378
Importance Maturational imbalance between the expression of heightened socioemotional drivers and immature executive control creates a period of vulnerability to risk-taking behaviors during adolescence. Developmental imbalance of the brain functional activity coupled with these behaviors may explain the propensity to develop heavy drinking. Objective To compare the longitudinal trajectories of socioemotion and executive control in non–heavy drinkers with those of heavy drinkers before and after drinking onset. Design, Setting, and Participants This cohort study was conducted from January 13, 2013, to January 15, 2022, among participants from the National Consortium on Alcohol and Neurodevelopment in Adolescence cohort with resting-state functional magnetic resonance imaging and neuropsychological assessment data. All participants were individuals who abstained from drinking or drank very little at the baseline visit. The statistical analysis was conducted between October 11, 2024, and July 3, 2025. Exposures Categorical drinking levels that summarized self-reported alcohol consumption in the past year. Main Outcomes and Measures Brain-behavioral system z scores that reflected the association of selective brain connectivity patterns with selected behaviors were calculated. Higher scores indicated higher reactivity strength of socioemotion or executive control. Results A total of 3076 visits among 633 participants (mean [SD] age at baseline, 15.7 [2.6] years; 318 female [50.2%]) were analyzed. A total of 238 participants (37.6%) who initiated heavy drinking during the study showed significantly elevated brain-behavior scores (score increase, 0.18; 95% CI, 0.08-0.28) in the socioemotional system prior to drinking onset, in contrast to their developmental trajectories of the executive control deviation occurring in both systems (score increase, 0.44; 95% CI, 0.33-0.54), with the effect size in the socioemotional system significantly greater ( z = 3.51; P < .001) compared with before initiating drinking. Conclusions and Relevance These findings suggest that asynchronized maturation of socioemotion- and executive function–coupled brain connectivity in adolescence may be a risk factor for heavy drinking onset in emerging adulthood. In turn, drinking was associated with deficits in the executive control system and exacerbated alteration in the socioemotional system. Recognition of these early-age developmental discrepancies could aid in averting alcohol use disorder in adulthood.
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All OpenAlex metadata
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https://doi.org/10.1001/jamanetworkopen.2025.31378Digital Object Identifier
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Socioemotional and Executive Control Mismatch in Adolescence and Risks for Initiating DrinkingWork title
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articleOpenAlex work type
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enPrimary language
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2025Year of publication
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2025-09-12Full publication date if available
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Qingyu Zhao, Leo Milecki, Amy Kuceyeski, Logan Grosenick, Ty Brumback, Adolf Pfefferbaum, Edith V. Sullivan, Kilian M. PohlList of authors in order
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https://doi.org/10.1001/jamanetworkopen.2025.31378Publisher landing page
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goldOpen access status per OpenAlex
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https://doi.org/10.1001/jamanetworkopen.2025.31378Direct OA link when available
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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