Persistence and Subtype Stability of ADHD Among Substance Use Disorder Treatment Seekers. Issue 12 (October 2019)

• Record Type: Journal Article
• Authors: 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;
• Is Part Of: Journal of attention disorders. Volume 23:Issue 12(2019)
• Page Start: 1438
• Page End: 1453
• Publication Date: 2019-10
• Subjects: ADHD -- subtypes -- persistence -- substance related disorders; Attention-deficit hyperactivity disorder -- Periodicals; Attention -- Periodicals; 616.8589
• DOI: 10.1177/1087054716629217
• Languages: English
• ISSNs: 1087-0547

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.