Deakin University

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Persistence and subtype stability of ADHD among substance use disorder treatment seekers

journal contribution
posted on 2019-10-01, 00:00 authored by S Kaye, J A Ramos-Quiroga, G van de Glind, F R Levin, S V Faraone, S Allsop, L Degenhardt, F Moggi, C Barta, M Konstenius, J Franck, A Skutle, E-T Bu, M W J Koeter, Z Demetrovics, M Kapitány-Fövény, R A Schoevers, K van Emmerik-van Oortmerssen, P-J Carpentier, G Dom, S Verspreet, C L Crunelle, J T Young, S Carruthers, J Cassar, M Fatséas, M Auriacombe, B Johnson, Matthew DunnMatthew Dunn, O Slobodin, W van den Brink
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.



Journal of attention disorders


In Press


1 - 16




London, Eng.





Publication classification

C Journal article; C1 Refereed article in a scholarly journal

Copyright notice

2016, The Authors