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Global Health Economics and
            Sustainability
                                                                                Personality and adolescent mental health


            and engagement in risky behaviors, particularly substance   empathy, and exhibit hostility toward others, which can
            use. Traits such as sensation-seeking, impulsivity, and   lead to bullying, fighting, and other forms of aggression
            low conscientiousness have been consistently linked to   (Evans et al., 2018; Maalouf et al., 2022; Nasti et al., 2023).
            higher rates of alcohol and drug use among adolescents   In particular, CU traits are strongly associated with
            (Chen  et al., 2019; Gómez-Bujedo  et al., 2020; LaSpada   chronic  delinquency  and  severe  antisocial  behaviors,
            et al., 2020; Quinn & Harden, 2013; Shin  et al., 2012;   including theft, violence, and defiance of authority (Dackis
            Skóra et al., 2020). Sensation-seeking, a trait characterized   et al., 2015; Frick & Viding, 2009; McMahon et al., 2010).
            by the pursuit of novel and intense experiences, often   Adolescents with CU traits tend to show a disregard for
            leads adolescents to experiment with substances in   societal norms and the rights of others, which manifests
            search of stimulation. This, combined with impulsivity –   in persistent rule-breaking and criminal behavior
            marked by a lack of planning and foresight – can result   (Huang et al., 2019; Michielsen et al., 2022; Pisano et al.,
            in risky behaviors that have long-term health and social   2017). These traits are not only predictive of delinquent
            consequences (LaSpada et al., 2020; Molero Jurado et al.,   behavior  during  adolescence  but  also  suggest  a  higher
            2020; Wasserman et al., 2020).                     likelihood of continued criminal activity into adulthood
              Impulsivity and sensation-seeking also interact with   (Assink  et al., 2015; Goldweber  et al., 2011; Rhoades
            the developmental stage of adolescence itself. During this   et al., 2016). The combination of CU traits with other
            period, individuals experience heightened sensitivity to   maladaptive personality traits, such as impulsivity or low
            rewards and lower sensitivity to potential risks, making   conscientiousness, creates a high-risk profile for chronic
            them  more  vulnerable  to  the  temptations  of  substance   antisocial behavior and recidivism (Mann  et al., 2015;
            use (Beard et al., 2022; Mitchell & Potenza, 2014; Romer,   Michielsen et al., 2022; Squillaci & Benoit, 2021).
            2010; Wasserman et al., 2020; Weinstein & Dannon, 2015).   Intervention strategies for adolescents exhibiting
            Adolescents who score high in sensation-seeking are not   delinquent behaviors often focus on improving emotional
            only more likely to try drugs and alcohol but are also at   regulation, empathy, and social skills, as well as addressing
            risk of engaging in other risky behaviors, such as unsafe   the underlying personality traits that contribute to these
            driving or unprotected sexual activity (Maslowsky et al.,   behaviors (Houck et al., 2016; Paulus et al., 2021; Trivedi-
            2019;  Steinberg,  2008;  Zhang  et al.,  2016).  Moreover,   Bateman  &  Crook,  2022).  By  targeting  these  traits
            low conscientiousness, which is associated with poor   early, clinicians may be able to prevent the escalation of
            self-control and disregard for future consequences,   delinquent behavior into more serious criminal activity.
            further exacerbates the likelihood of engaging in these
            risky behaviors (Boisvert et al., 2013; Breivik et al., 2020;   4.3. Pro-environmental and pro-social behaviors
            Naragon-Gainey & Simms, 2017; Tharshini et al., 2021).  In contrast to the traits associated with risky and antisocial
              Longitudinal studies show that the presence of these   behaviors, personality traits such as conscientiousness,
            traits in adolescence is predictive of continued substance   agreeableness, and openness to experience are linked to
            use and other risk-taking behaviors in adulthood (Allen   pro-environmental and pro-social behaviors. Adolescents
            et al., 2021; Ghinea et al., 2019; Jordan & Andersen, 2017;   who score high in conscientiousness are more likely
            McCabe et al., 2022; Nawi et al., 2021). Early interventions   to engage in behaviors that benefit society, such as
            aimed at adolescents who exhibit high levels of impulsivity   volunteering,  recycling,  or  helping  others  (Longlong,
            and  sensation-seeking  may help  reduce  the  prevalence   2023; O’Connell, 2023). These behaviors reflect a sense
            of substance abuse by promoting self-regulation and   of responsibility, future-oriented thinking, and concern
            future-oriented thinking (Folker et al., 2024; Romer, 2010;   for the well-being of others, all of which are hallmarks
            Verdejo-García et al., 2008; Wasserman et al., 2020).  of conscientious individuals (Fayard et al., 2012; Jackson
                                                               et al., 2010).
            4.2. Delinquency and antisocial behavior
                                                                 Similarly,  agreeableness  is  associated  with  empathy,
            Personality traits are also closely linked to delinquent   cooperation, and a desire to maintain harmonious
            behaviors and the development of antisocial behavior   relationships. Adolescents who have high agreeableness
            during adolescence. Traits such as low agreeableness, high   are  more likely to  engage  in pro-social  activities, such
            neuroticism,  and  CU  traits  are  significant  predictors  of   as peer mediation, conflict resolution, and charity work
            delinquency, aggression, and rule-breaking  behaviors   (Reizer  et al., 2023; Sun  et al., 2019). These behaviors
            (Mann et al., 2015; Mann et al., 2018). Adolescents who   not only benefit the community but also contribute to
            have low agreeableness are more likely to experience   the individual’s mental health and social connectedness,
            conflict in interpersonal relationships, struggle with   reinforcing positive outcomes in both domains.


            Volume 3 Issue 3 (2025)                         37                 https://doi.org/10.36922/GHES025080013
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