Original Investigation

Socioemotional and Executive Control Mismatch in Adolescence and Risks for Initiating Drinking

JAMA Network Open 10.1001/jamanetworkopen.2025.31378

September 12, 2025 at 11:00 AM EDT

Read the full article

What is the association of imbalances between socioemotional and executive control brain-behavior systems in adolescence with risk for heavy alcohol drinking in emerging adulthood?In this cohort study of 633 participants aged 12 to 21 years at baseline, faster development of the socioemotional system was associated with drinking onset in individuals who initiated heavy drinking compared with those who refrained from initiating heavy drinking. Heavy drinking was associated with deviation in the executive control system and exacerbated socioemotional dysregulation.These findings suggest that maturational imbalance may be a risk factor for heavy drinking onset, which in turn may pose risks for developing alcohol-induced damage of both brain-behavior systems.

Corresponding Author: Qingyu Zhao, PhD, Weill Cornell Medicine, 1300 York Ave, New York, NY 10065 (qiz4006@med.cornell.edu).

Link to the article in your story

We encourage you to link out to this article in your story using the link below. It includes an access token that will give free access to the article for your readers up to one year after publication. (The link will be live after the article publishes and embargo is lifted.)

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/10.1001/jamanetworkopen.2025.31378?utm_source=for_the_media&utm_medium=referral&utm_campaign=ftm_links&utm_term=091225

Please see the article for additional information, including full author list, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

Need more information? Contact us.

Editor's Picks