Persistence and Subtype Stability of ADHD Among Substance Use Disorder Treatment Seekers
Author(s) -
Kaye Sharlene,
Ramos-Quiroga Josep Antoni,
van de Glind Geurt,
Levin Frances R.,
Faraone Stephen V.,
Allsop Steve,
Degenhardt Louisa,
Moggi Franz,
Barta Csaba,
Konstenius Maija,
Franck Johan,
Skutle Arvid,
Bu Eli-Torild,
Koeter Maarten W. J.,
Demetrovics Zsolt,
Kapitány-Fövény Máté,
Schoevers Robert A.,
van Emmerik-van Oortmerssen Katelijne,
Carpentier Pieter-Jan,
Dom Geert,
Verspreet Sofie,
Crunelle Cleo L.,
Young Jesse T.,
Carruthers Susan,
Cassar Joanne,
Fatséas Melina,
Auriacombe Marc,
Johnson Brian,
Dunn Matthew,
Slobodin Ortal,
van den Brink Wim
Publication year - 2019
Publication title -
journal of attention disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.076
H-Index - 72
eISSN - 1557-1246
pISSN - 1087-0547
DOI - 10.1177/1087054716629217
Subject(s) - persistence (discontinuity) , psychology , psychiatry , clinical psychology , seekers , conduct disorder , substance abuse , substance dependence , attention deficit hyperactivity disorder , young adult , developmental psychology , geotechnical engineering , political science , law , engineering
Objective: To examine ADHD symptom persistence and subtype stability among substance use disorder (SUD) treatment seekers. Method: In all, 1,276 adult SUD treatment seekers were assessed for childhood and adult ADHD using Conners’ Adult ADHD Diagnostic Interview for Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV ; CAADID). A total of 290 (22.7%) participants met CAADID criteria for childhood ADHD and comprise the current study sample. Results: Childhood ADHD persisted into adulthood in 72.8% ( n = 211) of cases. ADHD persistence was significantly associated with a family history of ADHD, and the presence of conduct disorder and antisocial personality disorder. The combined subtype was the most stable into adulthood (78.6%) and this stability was significantly associated with conduct disorder and past treatment of ADHD. Conclusion: ADHD is highly prevalent and persistent among SUD treatment seekers and is associated with the more severe phenotype that is also less likely to remit. Routine screening and follow-up assessment for ADHD is indicated to enhance treatment management and outcomes.
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