title: Coping and emotion regulation profiles as predictors of nonmedical prescription drug and illicit drug use among high-risk young adults.
abstract: BACKGROUND
  Deficits in the ability to organize, integrate, and modulate emotions, thoughts, and behaviors when dealing with stress have been found to be related to the onset and escalation of substance use among adolescents and young adults. However, limited research has focused on understanding how coping and emotion regulation tendencies might be associated with different patterns of prescription and illicit drug use, particularly among high-risk young adults who may already face additional challenges relative to lower-risk populations.
  
  
  METHODS
  Young adults aged 16-25 years who had misused prescription drugs within the past 90 days were interviewed in Los Angeles and New York. The current study utilized latent profile analysis to empirically derive coping and emotion regulation typologies/profiles that are then used to predict different patterns of substance use (N=560).
  
  
  RESULTS
  Four latent classes/groups were identified: (1) suppressors, (2) others-reliant copers, (3) self-reliant copers and (4) active copers. Distinct patterns of prescription and illicit drug misuse were found among different coping/emotion regulation profiles, including differences in age of initiation of opiates, tranquilizers, and illicit drugs, recent injection drug use, substance use-related problems, and past 90-day use of tranquilizers, heroin, and cocaine. Specifically, suppressors and others-reliant copers evidenced more problematic patterns of substance use compared to active copers.
  
  
  CONCLUSIONS
  This is among the first studies to show how coping and emotion regulation profiles predict distinct patterns of substance use. Results provide the groundwork for additional investigations that could have significant prevention and clinical implications for substance-using high-risk young adults.
authors: Children's Hospital Los Angeles, The Saban Research Institute Community, Health Outcomes and Intervention Research Program, 4650 Sunset Boulevard, Mailstop #30, Los Angeles, CA 90027, United States. cawong@chla.usc.edu
authors: Carolyn F
authors: CF
authors: Wong
authors: Karol
authors: K
authors: Silva
authors: Aleksandar
authors: A
authors: Kecojevic
authors: Sheree M
authors: SM
authors: Schrager
authors: Jennifer Jackson
authors: JJ
authors: Bloom
authors: Ellen
authors: E
authors: Iverson
authors: Stephen E
authors: SE
authors: Lankenau
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology*; D000293:Adolescent; D000701:Analgesics, Opioid; D000697:Central Nervous System Stimulants; D002648:Child; D002649:Child Abuse; D003430:Cross-Sectional Studies; D003625:Data Collection; D004644:Emotions / Q000502:physiology*; D005260:Female; D006801:Humans; D013287:Illicit Drugs; D015141:Los Angeles / Q000453:epidemiology; D008297:Male; D009483:Neuropsychological Tests; D009519:New York City / Q000453:epidemiology; D011237:Predictive Value of Tests; D064226:Prescription Drug Diversion / Q000523:psychology* / Q000706:statistics & numerical data*; D015995:Prevalence; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology*; D014149:Tranquilizing Agents; D055815:Young Adult
chemical_list: D000701:Analgesics, Opioid; D000697:Central Nervous System Stimulants; D013287:Illicit Drugs; D014149:Tranquilizing Agents
keywords: Coping and emotion regulation; High-risk youth; Latent profile analysis; Prescription and illicit drug use