title: Clinical implications of tolerance to alcohol in nondependent young drinkers.
abstract: BACKGROUND
  Ten percent of teenagers and young adults with no alcohol diagnosis and a third of those with alcohol abuse report tolerance to alcohol. However, relatively few data are available on the clinical implications of tolerance in nondependent men and women.
  
  
  METHODS
  Data were gathered from 649 18-to-22-year-old drinking offspring from the Collaborative Study on the Genetics of Alcoholism (COGA) families. The prevalence and clinical correlates of tolerance were evaluated across subjects with no DSM-IV alcohol abuse and no tolerance, similar individuals with tolerance, subjects with alcohol abuse but no tolerance, and individuals with both alcohol abuse and tolerance.
  
  
  RESULTS
  Tolerance was associated with an almost doubling of the number of drinks needed to feel alcohol's effects, and correlated with additional alcohol-related problems. In regression analyses, the most consistent and robust correlates of tolerance were the maximum number of drinks and alcohol problems, and tolerance remained informative after covarying for drinking quantity.
  
  
  CONCLUSIONS
  Tolerance to alcohol may be a useful concept regarding nondependent drinkers that is not just a proxy for alcohol quantity but also reflects the presence of additional problems.
authors.affiliation: Department of Psychiatry, University of California, San Diego 92161-2002, USA. mschuckit@ucsd.edu
authors.forename: Marc A
authors.initials: MA
authors.lastname: Schuckit
authors.forename: Tom L
authors.initials: TL
authors.lastname: Smith
authors.forename: Victor
authors.initials: V
authors.lastname: Hesselbrock
authors.forename: Kathleen K
authors.initials: KK
authors.lastname: Bucholz
authors.forename: Laura
authors.initials: L
authors.lastname: Bierut
authors.forename: Howard
authors.initials: H
authors.lastname: Edenberg
authors.forename: John
authors.initials: J
authors.lastname: Kramer
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Longacre
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Fukukura
authors.forename: Jelger
authors.initials: J
authors.lastname: Kalmijn
authors.forename: George P
authors.initials: GP
authors.lastname: Danko
authors.forename: Ryan
authors.initials: R
authors.lastname: Trim
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology / Q000503:physiopathology*; D000437:Alcoholism / Q000453:epidemiology / Q000517:prevention & control; D004361:Drug Tolerance; D005260:Female; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D015995:Prevalence; D012044:Regression Analysis; D012306:Risk; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000517:prevention & control; D014481:United States / Q000453:epidemiology