Persistence and Subtype Stability of ADHD Among Substance Use Disorder Treatment Seekers
Version 2 2024-06-03, 16:11Version 2 2024-06-03, 16:11
Version 1 2016-07-06, 12:59Version 1 2016-07-06, 12:59
journal contribution
posted on 2024-06-03, 16:11authored byS Kaye, JA Ramos-Quiroga, G van de Glind, FR Levin, SV Faraone, S Allsop, L Degenhardt, F Moggi, C Barta, M Konstenius, J Franck, A Skutle, ET Bu, MWJ Koeter, Z Demetrovics, M Kapitány-Fövény, RA Schoevers, K van Emmerik-van Oortmerssen, PJ Carpentier, G Dom, S Verspreet, CL Crunelle, JT 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.
History
Journal
Journal of Attention Disorders
Volume
23
Season
In Press
Pagination
1438-1453
Location
United States
ISSN
1087-0547
eISSN
1557-1246
Language
English
Publication classification
C Journal article, C1 Refereed article in a scholarly journal