Cited by 190Attention Deficit Hyperactivity DisorderSubstance Abuse Treatment and OutcomesPrenatal Substance Exposure Effects

Impact of Substance Use Disorder on ADHD and Its Treatment

Wilens, Timothy E., Upadhyaya, Himanshu P.·2007·The Journal of Clinical Psychiatry

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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Crossref · 10.4088/jcp.0807e20

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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.”

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Authors
Wilens, T. E., & Upadhyaya, H. P.
Affiliations
Massachusetts General Hospital (US)
Venue
The Journal of Clinical Psychiatry
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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