[Drug addiction in young prison inmates with and without attention deficit hyperactivity disorder (ADHD)].
Prospective studies of children with ADHD have shown a high level of substance use disorder comorbidity, particularly when associated with social maladaptation and antisocial behavior. Conversely, studies of drug abusing participants and delinquents revealed a high prevalence of ADHD comorbidity. In this study 129 young male prison inmates were systematically examined for ADHD and substance use disorders. 64,3 % showed harmful alcohol consumption. 67,4 % fulfilled DSM-IV criteria for any drug abuse or dependence. 28,8 % of these participants were diagnosed with ADHD, combined type, other 52,1 % showed ADHD residual type. Opioid dependence was more common in delinquents without ADHD. Addicted delinquents with ADHD showed worse social environment and a higher degree of psychopathology, including externalizing and internalizing behavior, compared to addicted delinquents without ADHD. Neuroticism and conscientiousness ratings of the addicted ADHD group, but not of those without ADHD, differed from non-addicted delinquents. The results underline the need of adequate therapeutic programs for addicted young prison inmates considering ADHD comorbidity, which is associated with additional psychopathology and social problems.
Institut für Gerichtliche Psychologie und Psychiatrie der Universität des Saarlandes, Homburg/Saar. wolfgang.retz@uniklinik-saarland.de
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Retz
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Retz-Junginger
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M
Schneider
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H
Scherk
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Hengesch
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Rösler
D000328:Adult; D000437:Alcoholism / Q000150:complications / Q000453:epidemiology; D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications / Q000453:epidemiology* / Q000523:psychology; D005190:Family; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007604:Juvenile Delinquency / Q000523:psychology; D008297:Male; D009293:Opioid-Related Disorders / Q000150:complications / Q000453:epidemiology; D010551:Personality; D011329:Prisoners / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000150:complications / Q000453:epidemiology* / Q000523:psychology