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
J Atten Disord. 2016-02-27; 23(12): 1438-1453
DOI: 10.1177/1087054716629217

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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.

Auteurs Bordeaux Neurocampus