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.
Original language | American English |
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Pages (from-to) | 1438-1453 |
Number of pages | 16 |
Journal | Journal of Attention Disorders |
Volume | 23 |
Issue number | 12 |
DOIs | |
State | Published - 1 Oct 2019 |
Externally published | Yes |
Keywords
- ADHD
- persistence
- substance related disorders
- subtypes
All Science Journal Classification (ASJC) codes
- Developmental and Educational Psychology
- Clinical Psychology