Early developmental, temperamental and educational problems in 'substance use disorder' patients with and without ADHD: Does ADHD make a difference?

Introduction: The prevalence of ADHD among patients with substance use disorder (SUD) is substantial. This study addressed the following research questions: Are early developmental, temperamental and educational problems overrepresented among SUD patients with ADHD compared to SUD patients without A...

Full description

Bibliographic Details
Main Authors: Skutle, A., Bu, E., Jellestad, F., van Emmerik-van Oortmerssen, K., Dom, G., Verspreet, S., Carpentier, P., Ramos-Quiroga, J., Franck, J., Konstenius, M., Kaye, S., Demetrovics, Z., Barta, C., Fatséas, M., Auriacombe, M., Johnson, B., Faraone, S., Levin, F., Allsop, Steve, Carruthers, S., Schoevers, R., Koeter, M., van den Brink, W., Moggi, F., Møller, M., van de Glind, G.
Format: Journal Article
Published: Elsevier Ltd 2015
Online Access:http://hdl.handle.net/20.500.11937/19025
_version_ 1848749915332673536
author Skutle, A.
Bu, E.
Jellestad, F.
van Emmerik-van Oortmerssen, K.
Dom, G.
Verspreet, S.
Carpentier, P.
Ramos-Quiroga, J.
Franck, J.
Konstenius, M.
Kaye, S.
Demetrovics, Z.
Barta, C.
Fatséas, M.
Auriacombe, M.
Johnson, B.
Faraone, S.
Levin, F.
Allsop, Steve
Carruthers, S.
Schoevers, R.
Koeter, M.
van den Brink, W.
Moggi, F.
Møller, M.
van de Glind, G.
author_facet Skutle, A.
Bu, E.
Jellestad, F.
van Emmerik-van Oortmerssen, K.
Dom, G.
Verspreet, S.
Carpentier, P.
Ramos-Quiroga, J.
Franck, J.
Konstenius, M.
Kaye, S.
Demetrovics, Z.
Barta, C.
Fatséas, M.
Auriacombe, M.
Johnson, B.
Faraone, S.
Levin, F.
Allsop, Steve
Carruthers, S.
Schoevers, R.
Koeter, M.
van den Brink, W.
Moggi, F.
Møller, M.
van de Glind, G.
author_sort Skutle, A.
building Curtin Institutional Repository
collection Online Access
description Introduction: The prevalence of ADHD among patients with substance use disorder (SUD) is substantial. This study addressed the following research questions: Are early developmental, temperamental and educational problems overrepresented among SUD patients with ADHD compared to SUD patients without ADHD? Do this comorbid group receive early help for their ADHD, and are there signs of self-medicating with illicit central stimulants? Method: An international, multi-centre cross-sectional study was carried out involving seven European countries, with 1205 patients in treatment for SUD. The mean age was 40. years and 27% of the sample was female. All participants were interviewed with the Mini International Neuropsychiatric Interview Plus and the Conners' Adult ADHD Diagnostic Interview for DSM-IV. Results: SUD patients with ADHD (n = 196; 16.3% of the total sample) had a significantly slower infant development than SUD patients without ADHD (n = 1,009; 83.4%), had greater problems controlling their temperament, and had lower educational attainment. Only 24 (12%) of the current ADHD positive patients had been diagnosed and treated during childhood and/or adolescence. Finally, SUD patients with ADHD were more likely to have central stimulants or cannabis as their primary substance of abuse, whereas alcohol use was more likely to be the primary substance of abuse in SUD patients without ADHD. Conclusion: The results emphasize the importance of early identification of ADHD and targeted interventions in the health and school system, as well as in the addiction field.
first_indexed 2025-11-14T07:28:31Z
format Journal Article
id curtin-20.500.11937-19025
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T07:28:31Z
publishDate 2015
publisher Elsevier Ltd
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-190252017-09-13T13:44:33Z Early developmental, temperamental and educational problems in 'substance use disorder' patients with and without ADHD: Does ADHD make a difference? Skutle, A. Bu, E. Jellestad, F. van Emmerik-van Oortmerssen, K. Dom, G. Verspreet, S. Carpentier, P. Ramos-Quiroga, J. Franck, J. Konstenius, M. Kaye, S. Demetrovics, Z. Barta, C. Fatséas, M. Auriacombe, M. Johnson, B. Faraone, S. Levin, F. Allsop, Steve Carruthers, S. Schoevers, R. Koeter, M. van den Brink, W. Moggi, F. Møller, M. van de Glind, G. Introduction: The prevalence of ADHD among patients with substance use disorder (SUD) is substantial. This study addressed the following research questions: Are early developmental, temperamental and educational problems overrepresented among SUD patients with ADHD compared to SUD patients without ADHD? Do this comorbid group receive early help for their ADHD, and are there signs of self-medicating with illicit central stimulants? Method: An international, multi-centre cross-sectional study was carried out involving seven European countries, with 1205 patients in treatment for SUD. The mean age was 40. years and 27% of the sample was female. All participants were interviewed with the Mini International Neuropsychiatric Interview Plus and the Conners' Adult ADHD Diagnostic Interview for DSM-IV. Results: SUD patients with ADHD (n = 196; 16.3% of the total sample) had a significantly slower infant development than SUD patients without ADHD (n = 1,009; 83.4%), had greater problems controlling their temperament, and had lower educational attainment. Only 24 (12%) of the current ADHD positive patients had been diagnosed and treated during childhood and/or adolescence. Finally, SUD patients with ADHD were more likely to have central stimulants or cannabis as their primary substance of abuse, whereas alcohol use was more likely to be the primary substance of abuse in SUD patients without ADHD. Conclusion: The results emphasize the importance of early identification of ADHD and targeted interventions in the health and school system, as well as in the addiction field. 2015 Journal Article http://hdl.handle.net/20.500.11937/19025 10.1016/j.abrep.2015.03.001 Elsevier Ltd fulltext
spellingShingle Skutle, A.
Bu, E.
Jellestad, F.
van Emmerik-van Oortmerssen, K.
Dom, G.
Verspreet, S.
Carpentier, P.
Ramos-Quiroga, J.
Franck, J.
Konstenius, M.
Kaye, S.
Demetrovics, Z.
Barta, C.
Fatséas, M.
Auriacombe, M.
Johnson, B.
Faraone, S.
Levin, F.
Allsop, Steve
Carruthers, S.
Schoevers, R.
Koeter, M.
van den Brink, W.
Moggi, F.
Møller, M.
van de Glind, G.
Early developmental, temperamental and educational problems in 'substance use disorder' patients with and without ADHD: Does ADHD make a difference?
title Early developmental, temperamental and educational problems in 'substance use disorder' patients with and without ADHD: Does ADHD make a difference?
title_full Early developmental, temperamental and educational problems in 'substance use disorder' patients with and without ADHD: Does ADHD make a difference?
title_fullStr Early developmental, temperamental and educational problems in 'substance use disorder' patients with and without ADHD: Does ADHD make a difference?
title_full_unstemmed Early developmental, temperamental and educational problems in 'substance use disorder' patients with and without ADHD: Does ADHD make a difference?
title_short Early developmental, temperamental and educational problems in 'substance use disorder' patients with and without ADHD: Does ADHD make a difference?
title_sort early developmental, temperamental and educational problems in 'substance use disorder' patients with and without adhd: does adhd make a difference?
url http://hdl.handle.net/20.500.11937/19025