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Attention deficit hyperactivity disorder (ADHD) and substance use disorders.
1New York State Psychiatric Institute, Department of Psychiatry, 1051 Riverside Drive, New York, NY 10032, USA. jjw109@columbia.edu
Current Psychiatry Reports
|November 15, 2001
Summary
Attention deficit hyperactivity disorder (ADHD) increases vulnerability to addiction. Treating ADHD in childhood may prevent future substance use disorders and addiction.
Area of Science:
- Neuroscience
- Psychiatry
- Developmental Psychology
Background:
- Attention deficit hyperactivity disorder (ADHD) is a prevalent childhood disorder with persistent adult symptoms.
- ADHD is linked to increased vulnerability for addictive behaviors in both children and adults.
- Behavioral regulation deficits may underlie the comorbidity of ADHD and substance use disorders.
Purpose of the Study:
- To explore the relationship between ADHD and substance use disorders.
- To investigate the role of behavioral regulation in ADHD-substance use comorbidity.
- To highlight the potential benefits of early ADHD treatment for preventing substance abuse.
Main Methods:
- Review of developmental psychopathology literature.
- Analysis of etiological factors in ADHD and substance use disorders.
- Examination of direct and indirect mechanisms linking ADHD and substance abuse.
Main Results:
- Faulty learning and self-medication attempts can contribute to substance use disorders in ADHD.
- Substance abuse can exacerbate attentional deficits and behavioral dysregulation.
- Early identification and treatment of ADHD may mitigate the risk of developing substance use disorders.
Conclusions:
- ADHD is a significant risk factor for developing substance use disorders.
- Effective treatment of ADHD, including adult ADHD, can reduce addictive vulnerability.
- Addressing ADHD as a comorbidity in substance abuse patients may improve treatment outcomes.