In 1987, we began a longitudinal study of the offspring of alcoholic parent
s and have been following this group of young adults from their freshman ye
ar in college throughout their transition into later young adulthood. The g
oal of this review is to highlight some of the findings we consider most im
portant and relevant to the development of pathological alcohol involvement
in young adulthood. Courses of pathological alcohol involvement in young a
dulthood are outlined. Predictors of both the development and course of pat
hological alcohol use in young adulthood are also addressed, including fami
ly history of alcoholism, personality, alcohol use motivations, and role tr
ansitions. While certainly a problem in its own right, pathological alcohol
involvement can also affect the attainment of important life tasks and suc
cess in various life roles. Consequently, we also examine the effects of pa
thological alcohol involvement on later role transitions and role attainmen
t. Finally, prevention, policy, and treatment issues surrounding this stage
of life are discussed.