Negative Affect, Sensation Seeking, and Adolescent Substance Use Development: The Moderating Role of Executive Function

It is unknown how the Addictions Neuroclinical Assessment markers—negative affect, sensation seeking, and executive function—contribute to substance use development. This study examined whether associations of negative affect and sensation seeking with substance use vary by executive function. Participants were 167 adolescents (47% female) who participated annually for four years (M_age = 14.07, SD_age = 0.54 at Time 1). There were within-person bidirectional associations between higher negative affect and higher substance use for adolescents with lower executive function. Adolescents with higher sensation seeking at age 14 exhibited increasing substance use trajectories from age 14 to 17, regardless of executive function level. Negative affect and substance use influence each other within individuals, whereas sensation seeking predicts substance use between individuals.