scholarly journals Adolescent Substance Use in the Multimodal Treatment Study of Attention-Deficit/Hyperactivity Disorder (ADHD) (MTA) as a Function of Childhood ADHD, Random Assignment to Childhood Treatments, and Subsequent Medication

Author(s):  
Brooke S.G. Molina ◽  
Stephen P. Hinshaw ◽  
L. Eugene Arnold ◽  
James M. Swanson ◽  
William E. Pelham ◽  
...  
2019 ◽  

Data suggest that children with attention-deficit/hyperactivity disorder (ADHD) are more likely to start smoking tobacco and/or marijuana earlier in childhood than unaffected children, and then escalate use during adolescence. Now, a study by researchers at the University of Minnesota has examined the mediating pathways underlying this association between childhood ADHD and later substance-abuse problems.


2011 ◽  
Vol 26 (S2) ◽  
pp. 89-89 ◽  
Author(s):  
M. Nogueira ◽  
R. Bosch ◽  
G. Palomar ◽  
M. Corrales ◽  
N. Gómez ◽  
...  

IntroductionCo-morbidity between Attention Deficit Hyperactivity Disorder (ADHD) and Substance Use Disorders (SUD) is considered to be about 25–50% in adults. Several studies show vulnerability factors to later SUD to be associated with childhood ADHD features, such as conduct problems, untreated ADHD and maltreatment.ObjectivesTo define childhood ADHD associated factors that predispose to SUD.Specifically, comorbidity with oppositional defiant disorder (ODD) and conduct disorder (CD), temperamental traits, academic failure, familial SUD history, childhood maltreatment and subtype, severity and age of treatment of ADHD symptoms.MethodsA comparative study was carried out in a sample of ADHD adults from the Department of Psychiatry H.U. Vall d’Hebron. Both groups, ADHD and ADHD+SUD subjects underwent the following assessment protocol: Conners Adult ADHD Diagnostic Interview for DSM-IV (CAADID-I & II), Wender Utath Rating Scale (WURS), SCID-I, SCID-II and K-SDAS.ResultsThe total sample (n = 305) consisted of 201 men (66%) with age between 18–61 years. Two groups were compared: 162 ADHD subjects and 143 ADHD+SUD subjects. The ADHD+SUD group had significantly higher rates of comorbidity with ODD and CD, temperamental traits (obstinacy, bad temper, impulsive behavior), maladaptive behaviors at school, familial SUD history, childhood maltreatment, and major severity of the childhood ADHD symptoms. Neither ADHD subtype nor the non-treatment of ADHD during childhood were associated with later SUD.ConclusionsAn important percentage of ADHD children develop a SUD during their lifespan. This study shows that there are childhood factors that are strongly associated with SUD in ADHD subjects.


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