Persistence and Subtype Stability of ADHD Among Substance Use Disorder Treatment Seekers

  • Sharlene Kaye
  • , Josep Antoni Ramos-Quiroga
  • , Geurt van de Glind
  • , Frances R. Levin
  • , Stephen V. Faraone
  • , Steve Allsop
  • , Louisa Degenhardt
  • , Franz Moggi
  • , Csaba Barta
  • , Maija Konstenius
  • , Johan Franck
  • , Arvid Skutle
  • , Eli Torild Bu
  • , Maarten W.J. Koeter
  • , Zsolt Demetrovics
  • , Máté Kapitány-Fövény
  • , Robert A. Schoevers
  • , Katelijne van Emmerik-van Oortmerssen
  • , Pieter Jan Carpentier
  • , Geert Dom
  • Sofie Verspreet, Cleo L. Crunelle, Jesse T. Young, Susan Carruthers, Joanne Cassar, Melina Fatséas, Marc Auriacombe, Brian Johnson, Matthew Dunn, Ortal Slobodin, Wim van den Brink

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)1438-1453
Number of pages16
JournalJournal of Attention Disorders
Volume23
Issue number12
DOIs
StatePublished - 1 Oct 2019
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • ADHD
  • persistence
  • substance related disorders
  • subtypes

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology

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