Illicit drug use and abuse/dependence: modeling of two-stage variables using the CCC approach

Addict Behav. 2005 Jun;30(5):1043-8. doi: 10.1016/j.addbeh.2004.09.007.

Abstract

Drug use and abuse/dependence are stages of a complex drug habit. Most genetically informative models that are fit to twin data examine drug use and abuse/dependence independent of each other. This poses an interesting question: for a multistage process, how can we partition the factors influencing each stage specifically from the factors that are common to both stages? We used a causal-common-contingent (CCC) model to partition the common and specific influences on drug use and abuse/dependence. Data on use and abuse/dependence of cannabis, cocaine, sedatives, stimulants and any illicit drug was obtained from male and female twin pairs. CCC models were tested individually for each sex and in a sex-equal model. Our results suggest that there is evidence for additive genetic, shared environmental and unique environmental influences that are common to illicit drug use and abuse/dependence. Furthermore, we found substantial evidence for factors that were specific to abuse/dependence. Finally, sexes could be equated for all illicit drugs. The findings of this study emphasize the need for models that can partition the sources of individual differences into common and stage-specific influences.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Twin Study

MeSH terms

  • Adult
  • Cocaine-Related Disorders / epidemiology
  • Cocaine-Related Disorders / etiology
  • Cocaine-Related Disorders / genetics
  • Female
  • Humans
  • Hypnotics and Sedatives
  • Illicit Drugs
  • Male
  • Marijuana Abuse / epidemiology
  • Marijuana Abuse / etiology
  • Marijuana Abuse / genetics
  • Middle Aged
  • Models, Biological
  • Prevalence
  • Sex Factors
  • Social Environment
  • Substance-Related Disorders / epidemiology*
  • Substance-Related Disorders / etiology
  • Substance-Related Disorders / genetics

Substances

  • Hypnotics and Sedatives
  • Illicit Drugs