Alcohol Sipping Patterns, Personality, and Psychopathology in Children: Moderating Effects of Dorsal Anterior Cingulate Cortex (dACC)

ABSTRACT Alcohol, the most consumed drug in the United States, is associated with various psychological disorders and abnormal personality traits. Despite extensive research on adolescent alcohol consumption, the impact of early alcohol sipping patterns on changes in personality and mental health over time remains unclear. There is also limited information on the latent trajectory of early alcohol sipping, beginning as young as 9-10 years old. The dorsal anterior cingulate cortex (dACC) is crucial for cognitive control and response inhibition. However, the role of dACC remains unclear in the relationship between early alcohol sipping and mental health outcomes and personality traits over time. Utilizing the large data from the Adolescent Brain and Cognitive Development study, we aim to comprehensively examine the longitudinal impact of early alcohol sipping patterns on psychopathological measures and personality traits in adolescents, filling crucial gaps in the literature. We identified three latent alcohol-sipping groups, which demonstrate distinct personality traits and depression score trajectories. Bilateral dACC activation during the stop-signal task moderated the effect of early alcohol sipping on personality and depression over time. Additionally, bidirectional effects were observed between alcohol sipping and personality traits. This study provides insights into the impact of early alcohol consumption on adolescent development.