Addiction severity pattern associated with adult and childhood Attention Deficit Hyperactivity Disorder (ADHD) in patients with addictions
Psychiatry Research. 2016-12-01; 246: 656-662
DOI: 10.1016/j.psychres.2016.10.071
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1. Psychiatry Res. 2016 Dec 30;246:656-662. doi: 10.1016/j.psychres.2016.10.071.
Epub 2016 Nov 1.
Addiction severity pattern associated with adult and childhood Attention Deficit
Hyperactivity Disorder (ADHD) in patients with addictions.
Fatséas M(1), Hurmic H(1), Serre F(1), Debrabant R(1), Daulouède JP(2), Denis
C(3), Auriacombe M(4).
Author information:
(1)Univ. Bordeaux, Bordeaux, France; Addiction Team (Laboratoire de
psychiatrie)/SANPSY, CNRS USR 3413, Bordeaux, France; Pôle Addictologie, CH
Charles Perrens and CHU de Bordeaux, Bordeaux, France.
(2)Univ. Bordeaux, Bordeaux, France; Addiction Team (Laboratoire de
psychiatrie)/SANPSY, CNRS USR 3413, Bordeaux, France; Pôle Addictologie, CH
Charles Perrens and CHU de Bordeaux, Bordeaux, France; Centre d’Addictologie
BIZIA, CH Côte Basque, Bayonne, France.
(3)Univ. Bordeaux, Bordeaux, France; Addiction Team (Laboratoire de
psychiatrie)/SANPSY, CNRS USR 3413, Bordeaux, France; Center for Studies of
Addiction, Department of Psychiatry, Perelman School of Medicine, University of
Pennsylvania, Philadelphia, PA, USA.
(4)Univ. Bordeaux, Bordeaux, France; Addiction Team (Laboratoire de
psychiatrie)/SANPSY, CNRS USR 3413, Bordeaux, France; Pôle Addictologie, CH
Charles Perrens and CHU de Bordeaux, Bordeaux, France; Center for Studies of
Addiction, Department of Psychiatry, Perelman School of Medicine, University of
Pennsylvania, Philadelphia, PA, USA; Centre d’Addictologie BIZIA, CH Côte Basque,
Bayonne, France. Electronic address: .
Attention Deficit Hyperactivity Disorder (ADHD) is highly prevalent among adults
with addictive disorders, but little is known about addiction patterns associated
with ADHD diagnosis. This study examined addiction severity in patients with
co-occurring addictive disorders and ADHD controlling for the potential influence
of associated psychiatric comorbidity. Data were collected in French outpatient
addiction treatment centers. A total of 217 patients seeking treatment for
substance or gambling addiction were included. At treatment entry, participants
were interviewed with the Addiction Severity Index, the Conners Adult ADHD
Diagnosis Interview for the DSM-IV (CAADID), the Mini International
Neuropsychiatric Interview (MINI) and the Structured Clinical Interview for
DSM-IV Axis II for borderline personality disorder (SCID II). History of ADHD was
associated with an earlier onset of addiction, poly-dependence (defined by
presence of at least two current substance dependence diagnoses in addition to
tobacco dependence if present) and borderline personality disorder. Persistence
of ADHD during adulthood was associated with a higher prevalence of
poly-dependence. This study highlights the need for early implementation of
preventive interventions for substance use or behavioral addiction in
children/adolescents with ADHD and the need to consider ADHD in the treatment of
addictive disorders.
Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
DOI: 10.1016/j.psychres.2016.10.071
PMID: 27842945 [Indexed for MEDLINE]