Associations between executive cognitive functioning in early adolescence and alcohol-related problems in young adulthood: results from a prospective, longitudinal study

Poor executive cognitive functioning (ECF) is associated with a variety of alcohol-related problems, however, it is not known whether poor ECF precedes the onset of heavy drinking. Establishing the temporal precedence of poor ECF may have implications for our understanding of the development of Alcohol Use Disorder (AUD). The present study tests associations between early-adolescent ECF and young-adult risky drinking and alcohol-related problems in a prospective study of youth followed to young adulthood. Participants completed three ECF tasks at ages 11-14 and reported on their risky drinking and alcohol-related problems at ages 18-24. A latent ECF factor was created to determine whether early-adolescent ECF was associated with drinking outcomes after controlling for relevant covariates (e.g., age, sex, family history of AUD). Early-adolescent ECF, as measured by a latent factor, was unrelated to young-adult alcohol misuse and alcohol-related problems. However, sensitivity analyses revealed that an individual ECF task tapping response inhibition predicted young-adult peak drinks in a day. Present findings suggest that ECF is not a robust predictor of risky drinking or alcohol-related problems, and that this relation may be specific to the ECF component of response inhibition.