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A Journal on Psychiatry, Psychology and Psychopharmacology
Official Journal of the Italian Society of Social Psychiatry
Indexed/Abstracted in: EMBASE, e-psyche, PsycINFO, Scopus, Emerging Sources Citation Index
Minerva Psichiatrica 2009 September;50(3);197-207
ADHD and comorbid substance use disorder
Bukstein O. G.
Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Prospective studies report that attention deficit hyperactivity disorder (ADHD) persists from childhood in approximately 75% of adolescents and 50% of adults. Both researchers and clinicians have observed the frequent comorbidity of ADHD with adolescents and adults having substance use disorders (SUDs). This paper summarizes the literature on ADHD-SUD comorbidity, including prevalence, course, and treatment. ADHD appears to affect the risk for the development of SUDs and the use of stimulant medication does not appear to influence the development of SUDs in adolescents or adults. The few well-controlled studies of psychopharamcology suggests that while medications for ADHD may reduced ADHD symptoms, they have little effect on SUDs, necessitating psychosocial treatment for SUDs in this comrobid population. ADHD-SUD comorbidity should be identified and can be treated with many of the modalities and medications used for adults with ADHD alone. However, clinicians need to consider the timing of ADHD treatment as well as possible diversion or abuse.