Most adolescents who drink alcohol do so with their friends in social settings, but researchers at Carnegie Mellon University and the University of Pittsburgh found that a significant number of teens drink while they are alone.
The researchers found that compared to their peers who drink only in social settings, teens who drink alone have more alcohol problems, are heavier drinkers and are more likely to drink in response to negative emotions.
Furthermore, solitary teenage drinkers are more likely to develop alcohol use disorders in early adulthood.
"They seem to be using alcohol to self-medicate as a way to cope with negative emotions and, importantly, this pattern of drinking places them at high risk to escalate their alcohol use and develop alcohol problems in adulthood," Creswell said.
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Previous research has shown that adolescents who drink alone consume more alcohol and drink more frequently than their social-drinking peers, and that heavier alcohol use in adolescence is associated with a greater risk of developing alcohol problems in adulthood.
For the study, the researchers first surveyed 709 adolescents between the ages of 12 and 18 at the Pittsburgh Adolescent Alcohol Research Center (PAARC), asking them to report on their alcohol use in the past year.
Adolescents represented youth from clinical treatment programmes and the community. When the participants turned 25, they were again asked about their alcohol use and assessed for alcohol use disorders.
The results showed that 38.8 per cent of teens in the sample reported drinking alone during ages 12-18. This behaviour was linked to unpleasant emotions, and solitary drinkers were one and a half times more likely to develop alcohol dependence at age 25.