Attention Deficit Hyperactivity Disorder Increases Nicotine Addiction Severity in Adults Seeking Treatment for Substance Use Disorders: The Role of Personality Disorders

Sánchez-García, Natalie C.; González, Rafael A.; Ramos-Quiroga, Josep Antoni; Brink, Wim van den; Luderer, Mathias; Blankers, Matthijs; Grau-López, Lara; Levin, Frances R.; Kaye, Sharlene; Demetrovics, Zsolt; Glind, Geurt van de; Schellekens, Arnt; Vélez-Pastrana, María C.

doi:10.1159/000508545

Cited by 9 publications

(7 citation statements)

References 58 publications

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“…In addition, the prevalence of ADHD in adults varied from 1.1% [39] to 8.8% [50] in general population samples and from 5.12% [52] to 35.75% [53] in psychiatric population samples. A previous systematic review of ADHD prevalence in and adult psychiatric population shows a similar range, from 6.9% to 38.75% [61].…”

Section: Discussionmentioning

confidence: 99%

“…This prohibited meta-analysis. Furthermore, except for two international studies [44,53], the included studies were conducted in high-income regions like Europe or North America. In a previous epidemiologic study investigating cross-national ADHD prevalence in adults [15], the prevalence differed by country income, with higher rates observed in higher-income countries.…”

Section: Limitationsmentioning

confidence: 99%

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The prevalence of psychiatric comorbidities in adult ADHD compared with non-ADHD populations: A systematic literature review

et al. 2022

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Comorbid psychiatric disorders in adults with ADHD are important because these comorbidities might complicate the diagnosis of ADHD and also worsen the prognosis. However, the prevalence of comorbid psychiatric disorders in adult ADHD varies according to the diagnostic tools used and the characteristics of target populations. The purpose of this review was to describe the prevalence of comorbid psychiatric disorders in adults with ADHD compared with adults without ADHD. Thirty-two studies published before August 2022 were identified and classified according to diagnosis of other psychiatric disorder in those with ADHD. The most frequent comorbid psychiatric disorder in the ADHD group was substance use disorder (SUD), followed by mood disorders, anxiety disorders, and personality disorders. The prevalence of these four disorders was higher in the ADHD group, whether or not subjects were diagnosed with other psychiatric disorders. In addition, the diversity of ADHD diagnostic tools was observed. This also might have affected the variability in prevalence of comorbidities. Standardization of ADHD diagnostic tools is necessary in the future.

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Section: Discussionmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

The prevalence of psychiatric comorbidities in adult ADHD compared with non-ADHD populations: A systematic literature review

et al. 2022

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“…Furthermore, the IASP study was expanded to Puerto Rico and South Africa (IASP-2). Details on study design and some of the data from the IASP-2 study are presented in this special issue of European Addiction Research [21, 22]. In the CASP study, we collected data with a novel continuous performance test [23] in SUD patients with and without ADHD.…”

Section: Ongoing Projectsmentioning

confidence: 99%

The International Collaboration on ADHD and Substance Abuse (ICASA): Mission, Results, and Future Activities

Glind

Brynte

Skutle³

et al. 2020

Eur Addict Res

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Background: The International Collaboration on ADHD and Substance Abuse (ICASA) is a network of 28 centers from 16 countries initiated to investigate the link between attention deficit-hyperactivity disorder (ADHD) and substance use disorder (SUD). In this article, we present the mission, the results of finished studies, and the current and future research projects of ICASA. Methods: During the past 10 years, 3 crosssectional studies were conducted: two International ADHD in Substance use disorders Prevalence (IASP-1 and IASP-2) studies, directed at the screening, diagnosis, and the prevalence of adult ADHD in treatment-seeking patients with SUD, and the Continuous performance test for ADHD in SUD Patients (CASP) study, testing a novel continuous perfor-This article is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission. Van de Glind et al.

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“…The IASP study was a two-stage international multi-center, cross-sectional study conducted in 11 countries [ 25 ], and it included participants from inpatient and outpatient addiction treatment centers [ 26 ]. Data for the IASP study was collected in two stages, from 2009–2011 (IASP-1) [ 25 ] and from 2015–2018 (IASP-2) [ 27 ].…”

Section: Methodsmentioning

confidence: 99%

“…The total sample of the original study comprised 3960 treatment-seeking adult patients with SUD (aged 18–65 years); 3558 participated in IASP-1 [ 25 ] and 402 participated in IASP-2 [ 27 ]. Participants were excluded from the IASP-1 and -2 studies if they were unable to fill out questionnaires (e.g., due to limited literacy or language skills), were unwilling to sign informed consent forms, or had severe psychiatric and/or somatic disorders requiring immediate treatment.…”

Section: Methodsmentioning

confidence: 99%

Network Analysis of DSM Symptoms of Substance Use Disorders and Frequently Co-Occurring Mental Disorders in Patients with Substance Use Disorder Who Seek Treatment

López-Toro

Wolf

González

et al. 2022

JCM

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Background: Substance use disorders (SUD) often co-occur with other psychiatric conditions. Research on SUD and comorbid disorders generally flows from a categorical diagnostic or dimensional latent variable perspective, where symptoms are viewed as independent indicators of an underlying disorder. In contrast, the current study took a network analysis perspective to examine the relationships between DSM symptoms of SUD, ADHD, conduct disorder (CD), depression (MDD), and borderline personality disorder (BPD). In addition, we explored possible gender differences in the network structures of these symptoms. Method: In a sample of 722 adult treatment-seeking patients with SUD from the International ADHD in Substance Use Disorders Prevalence Study (IASP) we estimated the network structure for 41 symptoms of SUD, ADHD, CD, MDD, and BPD. We described the structure of symptom networks and their characteristics for the total sample, and we compared the symptom networks for males and females. Results: Network analyses identified seven clusters of symptoms, largely corresponding with the DSM diagnostic categories. There were some connections between clusters, mainly between some hyperactivity symptoms and CD and depressive symptoms. ADHD hyperactivity was most central in the symptom network. Invariance tests revealed no significant gender differences in the structure of symptom networks. Conclusions: The current findings support the categorical DSM classification of mental disorders in treatment-seeking patients with SUD. Future network analyses should include a broader range of symptoms and prospectively explore changes in the symptoms network of patients during treatment.

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Attention Deficit Hyperactivity Disorder Increases Nicotine Addiction Severity in Adults Seeking Treatment for Substance Use Disorders: The Role of Personality Disorders

Cited by 9 publications

References 58 publications

The prevalence of psychiatric comorbidities in adult ADHD compared with non-ADHD populations: A systematic literature review

The prevalence of psychiatric comorbidities in adult ADHD compared with non-ADHD populations: A systematic literature review

The International Collaboration on ADHD and Substance Abuse (ICASA): Mission, Results, and Future Activities

Network Analysis of DSM Symptoms of Substance Use Disorders and Frequently Co-Occurring Mental Disorders in Patients with Substance Use Disorder Who Seek Treatment

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