Teenage brain structures indicate future drinking habits

The sizes of two areas of the brain predict whether 14 year olds will increase their alcohol consumption by the age of 19.

Image credit: Public domain (CC0)

Puberty is a time of transformation. Physical changes in the body occur alongside changes in personality and behaviour. Compared to children, adolescents tend to be risk-takers and novelty-seekers. They crave new sensations and experiences, as well as social interaction with their peers. It is around puberty that many people try alcohol for the first time. But it is not clear why people differ in their drinking habits, and why a small minority of young adults go on to become dependent on alcohol.

Part of the answer may lie in changes in the brain. Differences in the size and structure of brain regions contribute to differences in behaviour between individuals. During adolescence, the brain undergoes extensive re-modelling. It forms new connections, while also pruning away connections that are unused. Could differences in brain structure at puberty lead to differences in alcohol consumption in early adulthood?

Kühn et al. scanned the brains of about 1,800 healthy adolescents at the age of 14 and then again at 19 (within the context of the IMAGEN study). At three time points, the teenagers also filled in questionnaires about their use of alcohol. Two areas of the brain – the caudate nucleus and the left cerebellum – were larger at age 14 in teenagers who would increase their alcohol consumption by age 19. The larger the areas at age 14, the bigger the increase in alcohol consumption over time. Notably, there was no relationship between the size of either brain area at the age of 14 and how much alcohol the individuals drank at the same age.

These results may help us to understand why some young adults develop harmful drinking habits, whereas most do not. The findings are part of a large and complex picture. Other factors, such as social influences, also shape alcohol consumption. However, the findings of Kühn et al. suggest that differences in brain structure may make some individuals more likely to increase how much alcohol they drink than others. Understanding these biological differences could help researchers to develop measures to prevent addiction in young adults.