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Cited by 139Attention Deficit Hyperactivity DisorderSubstance Abuse Treatment and OutcomesChild and Adolescent Psychosocial and Emotional Development

The Relation Between Attention Deficit Hyperactivity Disorder and Substance Abuse: What Role Does Conduct Disorder Play?

Flory, Kate, Lynam, Donald R.·2003·Clinical Child and Family Psychology Review
DOI 10.1023/a:1022260221570
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Abstract

This paper presents a comprehensive review of the literature examining the relation between childhood attention deficit hyperactivity disorder (ADHD) and substance abuse. A number of researchers have statistically controlled for conduct disorder (CD) when examining the ADHD-substance-abuse relation. These studies have generally found that the ADHD-substance-abuse relation disappears when the high overlap between ADHD and CD is taken into account. On this basis, one may conclude that ADHD is unimportant to substance abuse. However, there is some evidence from both empirical studies and related fields that ADHD and CD may interact to afford a higher risk for substance abuse than may either disorder alone. Thus, ADHD appears to be important to substance abuse in that it interacts with CD to increase the risk. This paper calls for more research that directly examines the joint effects of ADHD and CD on risk for substance abuse. There is also a need for more research that examines gender differences, and mechanisms of the relations among ADHD, CD, and substance abuse.

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Crossref · 10.1023/a:1022260221570

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  • SUD patients with comorbid ADHD often present with severe forms of SUD characterised by early onset, extended duration of SUD, greater impairment, and a shorter transition from substance use to dependence.

    “This is particularly important since SUD patients with comorbid ADHD often present with severe forms of SUD [209] characterised by early onset, extended duration of SUD, greater impairment and a shorter transition from substance use to dependence [172].”

    From European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD (2010) · cites this paper as [209]

  • Comorbid DBD may mediate the relation between ADHD and substance use outcomes.

    “For example, comorbid DBD may mediate the relation between ADHD and substance use outcomes (Flory and Lynam 2003; Lee et al. 2011).”

    From Risk taking and sensitivity to punishment in children with ADHD, ODD, ADHD+ODD, and controls (2011) · cites this paper as Flory and Lynam 2003

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Authors
Flory, K., & Lynam, D. R.
Affiliations
University of Kentucky (US)
Corresponding author
Flory, Kate
ORCID
Venue
Clinical Child and Family Psychology Review
Publisher
Springer Science and Business Media LLC
Published
2003-03
Volume
6
Issue
1
Pages
1-16
ISSN
  • 1096-4037 (ISSN-L)
  • 1573-2827
DOI
10.1023/a:1022260221570
OpenAlex
W267189026
Cited by
139
References
83
Citations by year
2025: 3 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 3 · 2016: 5 · 2015: 7 · 2014: 10 · 2013: 10 · 2012: 12
FWCI
1.07
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Clinical Child and Family Psychology Review (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institute of Mental Health (MH 60104, R01MH060104)
  • National Institute on Drug Abuse (1T32-DA07304-01A1, T32DA007304)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
attention deficit hyperactivity disorder, substance abuse, conduct disorder, comorbidities, risk factors, gender differences
MeSH terms
Adult, Attention Deficit Disorder with Hyperactivity, Child, Humans, Comorbidity, Conduct Disorder, Substance-Related Disorders

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