Attention deficit hyperactivity disorder in cocaine‐dependent adults: A psychiatric comorbidity analysis. (15th May 2013)

• Record Type: Journal Article
• Authors: Daigre, Constanza; Roncero, Carlos; Grau‐López, Lara; Martínez‐Luna, Nieves; Prat, Gemma; Valero, Sergi; Tejedor, Rosa; Ramos‐Quiroga, Josep A.; Casas, Miguel
• Is Part Of: American journal on addictions. Volume 22:Number 5(2013:Sep./Oct.)
• Page Start: 466
• Page End: 473
• Publication Date: 2013-05-15
• Subjects: Substance abuse -- Periodicals; Substance abuse -- Treatment -- Periodicals; 616.86005
• DOI: 10.1111/j.1521-0391.2013.12047.x
• Languages: English
• ISSNs: 1055-0496

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="ajad12047-sec-0001" sec-type="section"> <title>Background and Objectives</title> <p>Attention deficit hyperactivity disorder (ADHD) is highly prevalent among drug abusers. We studied the psychiatric comorbidity and characteristics of cocaine use in relation to the presence of ADHD among patients with cocaine dependence.</p> </sec> <sec id="ajad12047-sec-0002" sec-type="section"> <title>Methods</title> <p>A total of 200 cocaine‐dependent patients attending an Outpatient Drug Clinic participated in the study. A systematic evaluation of ADHD (CAADID‐II), the severity of addiction (EuropASI) and other axes I and II psychiatric disorders was made (SCID‐I and SCID‐II). A descriptive, bivariate, and multivariate analysis of the data was performed.</p> </sec> <sec id="ajad12047-sec-0003" sec-type="section"> <title>Results</title> <p>In the multivariate analysis, the identified risk factors for the development of ADHD were a history of behavioral disorder in childhood (OR: 3.04), a lifetime history of cannabis dependence in the course of life (OR: 2.68), and age at the start of treatment (OR: 1.08). The bivariate analysis showed ADHD to be associated with other factors such as male gender, age at start of cocaine use and dependence, the amount of cocaine consumed weekly, increased occupational alteration, alcohol consumption, general psychological discomfort, depressive disorder, and antisocial personality disorder.</p> </sec> <sec id="ajad12047-sec-0004" sec-type="section"> <title>Conclusions and Scientific Significance</title> <p>We conclude that ADHD is associated with increased psychiatric comorbidity and greater severity of addiction. (Am J Addict 2013;22:466–473)</p> </sec> </abstract>