Impact of Substance Use Disorder on ADHD and Its Treatment
Abstract
This CME activity is expired. For more CME activities, visit CMEInstitute.com. Find more articles on this and other psychiatry and CNS topics: The Journal of Clinical Psychiatry The Primary Care Companion for CNS Disorders Article AbstractAttention deficit/hyperactivity disorder (ADHD) is associated with a high rate of psychiatric comorbidity. Substance use disorder (SUD) is common, affecting 1 in 5 adults with ADHD. Adolescents with ADHD are twice as likely to become cigarette smokers as those without ADHD, and cigarette smoking is a significant risk factor for the development of subsequent SUD in adulthood. Patients with SUD and ADHD have been shown to have lower retention in SUD treatment programs, lower rates of SUD remission, and longer courses of SUD. SUD also complicates the diagnosis of adult ADHD. Fortunately, pharmacologic treatment of ADHD does not appear to increase the risk for development of SUD in ADHD patients.
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ADHD is considered an important factor in the aetiology of substance use disorders because substances are often used for self-medication and may relieve symptoms like restlessness, inattention, impulsivity, and sleep problems, or may be taken as part of stimulus-seeking traits associated with ADHD.
“With respect to substance use disorders, ADHD is considered an important factor in its aetiology as the substances are often used for self-medication and may relieve symptoms like restlessness, inattention, impulsivity and sleep problems [207,249-251]; or may be taken as part of stimulus seeking (novelty seeking) traits that are also associated with ADHD.”
From European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD (2010) · cites this paper as [207]
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“substances are often used for self-medication and may relieve symptoms like restlessness, inattention, impulsivity and sleep problems [207,249-251]; or may be taken as part of stimulus seeking (novelty seeking) traits that are also associated with ADHD.”
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- Authors
- Wilens, T. E., & Upadhyaya, H. P.
- Affiliations
- Massachusetts General Hospital (US)
- ORCID
- Wilens, Timothy E.
- Venue
- The Journal of Clinical Psychiatry
- Publisher
- Physicians Postgraduate Press, Inc
- Published
- 2007-08-15
- Volume
- 68
- Issue
- 08
- Pages
- e20
- ISSN
- 0160-6689 (ISSN-L)
- OpenAlex
- W2012404451
- Cited by
- 188
- References
- 0
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 3 · 2022: 5 · 2021: 3 · 2020: 6 · 2019: 4 · 2018: 3 · 2017: 7 · 2016: 10 · 2015: 6 · 2014: 10 · 2013: 18 · 2012: 12
- FWCI
- 14.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Keywords
- attention deficit hyperactivity disorder, substance use disorders, psychiatric comorbidity, cigarette smoking, adolescent smoking, treatment retention, adult ADHD diagnosis, ADHD medication, substance use risk
- MeSH terms
- Smoking Prevention, Adolescent, Adult, Alcoholism, Attention Deficit Disorder with Hyperactivity, Child, Diagnosis, Differential, Female, Humans, Male, Pregnancy, Risk Factors, Smoking, Social Class, Comorbidity, Causality, Age of Onset, Substance-Related Disorders
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