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

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Authors
Kaye, S.
Ramos-Quiroga, J.
van de Glind, G.
Levin, F.
Faraone, S.
Allsop, Steve
Degenhardt, L.
Moggi, F.
Barta, C.
Konstenius, M.
Franck, J.
Skutle, A.
Bu, E.
Koeter, M.
Demetrovics, Z.
Kapitány-Fövény, M.
Schoevers, R.
van Emmerik-van Oortmerssen, K.
Carpentier, P.
Dom, G.
Verspreet, S.
Crunelle, C.
Young, Jesse
Carruthers, Susan
Cassar, J.
Fatséas, M.
Auriacombe, M.
Johnson, B.
Dunn, M.
Slobodin, O.
van den Brink, W.
Date
2016
Type
Journal Article

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Kaye, S. and Ramos-Quiroga, J. and van de Glind, G. and Levin, F. and Faraone, S. and Allsop, S. and Degenhardt, L. et al. 2016. Persistence and Subtype Stability of ADHD Among Substance Use Disorder Treatment Seekers. Journal of Attention Disorders.
Source Title
Journal of Attention Disorders
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National Drug Research Institute (NDRI)
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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.