Learning Objective #1: recognize adolescence risk factors for predicting alcohol dependence in adulthood.

Learning Objective #2: understand the importance of focus prevention in adolescence with antisocial personality traits and behavior against alcohol dependence in adulthood.

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This paper is a report of a pilot secondary analysis of a national dataset using a case-control design examining the relationship between antisocial personality traits and behaviors and the development of alcohol dependence in adults 18 years and older who started drinking at 12-15 years of age. It was hypothesized that the development of alcohol dependence in adults who started drinking at 12-15 years old can be predicted by the presence of antisocial personality traits and behaviors.  Except for age at interview, descriptive statistics revealed homogeneous sampling between cases and controls.  On average, cases are younger than controls.  Logistic regression analysis revealed that individuals who started drinking at 12-15 years of age and displayed three or more antisocial traits and behaviors are 4 times more likely to develop alcohol dependence in adulthood (OR=4.2).  The odds increase to 5 times (OR=5.1) when age at interview was added as covariate.  The overall success of antisocial personality traits and behaviors scores to predict alcohol dependence is 64.4%.  It is likely that these individuals will develop antisocial alcoholism, which is characterized by more severe symptoms and a dismal prognosis.  Prevention programs targeting these at-risk individuals are essential.