An Epidemiological Study of ADHD, Substance Use, and Comorbid Problems in Incarcerated Women in Sweden
Abstract
Objective: The aim of this study was to examine the prevalence of ADHD and psychiatric comorbidity, including substance use in incarcerated women. Method: This was a cross-sectional study, consisting of two parts: (a) screening using the ADHD Self-Rating Scale (ASRS) and (b) diagnostic assessment using a structured interview. Results: A sample of 96 incarcerated women was screened and 56 underwent the diagnostic assessment. Twenty-nine percent of the women met the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) diagnostic criteria for adult ADHD in the diagnostic assessment. Forty-four of the women had misuse of alcohol, and 83% had misuse of narcotics the year prior to the incarceration. The ASRS showed sensitivity of 1.0 and specificity of 0.66. Conclusion: The prevalence rate of ADHD in incarcerated women was high and comparable to that in male offenders. Illicit stimulant use and antisocial personality disorder were significantly more common in women with ADHD. ASRS is useful as a screener in this population.
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ADHD prevalence is higher in custodial settings than in the general population, estimated to be 5 times higher among youth prisoners and 10 times higher among adult prisoners.
“ADHD prevalence is higher in custodial settings than in the general population, estimated to be 5 times higher among youth prisoners and 10 times higher among adult prisoners (Konstenius et al., 2015; Moore et al., 2016; Westmoreland et al., 2010; Young et al., 2015; Young and Thome, 2011).”
From The Australian evidence-based clinical practice guideline for attention deficit hyperactivity disorder (2023) · cites this paper as Konstenius et al., 2015
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“In a majority of cases, ADHD remains symptomatic into adulthood often combined with additional psychiatric disorders, such as personality disorders, SUD, as well as socioeconomic problems (Kessler et al., 2006; Kooij et al., 2010; Murphy & Barkley, 1996).”
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Treatment Strategies for Co-Occurring ADHD and Substance Use Disorders
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Young, S., Moss, D., Sedgwick, O., Fridman, M., & Hodgkins, P. (2015) · Psychological Medicine · doi:10.1017/s0033291714000762 · Cited by 291 · see citing works
Choi, W.-S., Woo, Y. S., Wang, S.-M., Lim, H. K., & Bahk, W.-M. (2022) · PLOS ONE · doi:10.1371/journal.pone.0277175 · Cited by 221 · see citing works
Supported employment adapted for people with affective disorders—A randomized controlled trial
Bejerholm, U., Larsson, M. E., & Johanson, S. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.08.028 · Cited by 94 · see citing works
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“ADHD prevalence is higher in custodial settings than in the general population, estimated to be 5 times higher among youth prisoners and 10 times higher among adult prisoners (Konstenius et al., 2015; Moore et al., 2016; Westmoreland et al., 2010; Young et al., 2015; Young and Thome, 2011).”
BackgroundJohanson, S., & Bejerholm, U. (2017) · Disability and Rehabilitation · doi:10.1080/09638288.2016.1211758 · Cited by 37 · see citing works
- Authors
- Konstenius, M., Larsson, H., Lundholm, L., Philips, B., van de Glind, G., Jayaram-Lindström, N., & Franck, J.
- Affiliations
- Karolinska Institutet, Stockholm, Sweden
- Uppsala University, Sweden
- Linköping University, Sweden
- University of Amsterdam, Netherlands
- Venue
- Journal of Attention Disorders
- Publisher
- SAGE Publications
- Published
- 2012-07-13
- Volume
- 19
- Issue
- 1
- Pages
- 44-52
- ISSN
- 1087-0547
- 1557-1246
- Cited by
- 40
- References
- 11
- Language
- en
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