title: Addiction severity pattern associated with adult and childhood Attention Deficit Hyperactivity Disorder (ADHD) in patients with addictions.
abstract: Attention Deficit Hyperactivity Disorder (ADHD) is highly prevalent among adults with addictive disorders, but little is known about addiction patterns associated with ADHD diagnosis. This study examined addiction severity in patients with co-occurring addictive disorders and ADHD controlling for the potential influence of associated psychiatric comorbidity. Data were collected in French outpatient addiction treatment centers. A total of 217 patients seeking treatment for substance or gambling addiction were included. At treatment entry, participants were interviewed with the Addiction Severity Index, the Conners Adult ADHD Diagnosis Interview for the DSM-IV (CAADID), the Mini International Neuropsychiatric Interview (MINI) and the Structured Clinical Interview for DSM-IV Axis II for borderline personality disorder (SCID II). History of ADHD was associated with an earlier onset of addiction, poly-dependence (defined by presence of at least two current substance dependence diagnoses in addition to tobacco dependence if present) and borderline personality disorder. Persistence of ADHD during adulthood was associated with a higher prevalence of poly-dependence. This study highlights the need for early implementation of preventive interventions for substance use or behavioral addiction in children/adolescents with ADHD and the need to consider ADHD in the treatment of addictive disorders.
authors.affiliation: Univ. Bordeaux, Bordeaux, France; Addiction Team (Laboratoire de psychiatrie)/SANPSY, CNRS USR 3413, Bordeaux, France; Pôle Addictologie, CH Charles Perrens and CHU de Bordeaux, Bordeaux, France.
authors.forename: Melina
authors.initials: M
authors.lastname: Fatséas
authors.affiliation: Univ. Bordeaux, Bordeaux, France; Addiction Team (Laboratoire de psychiatrie)/SANPSY, CNRS USR 3413, Bordeaux, France; Pôle Addictologie, CH Charles Perrens and CHU de Bordeaux, Bordeaux, France.
authors.forename: Hortense
authors.initials: H
authors.lastname: Hurmic
authors.affiliation: Univ. Bordeaux, Bordeaux, France; Addiction Team (Laboratoire de psychiatrie)/SANPSY, CNRS USR 3413, Bordeaux, France; Pôle Addictologie, CH Charles Perrens and CHU de Bordeaux, Bordeaux, France.
authors.forename: Fuschia
authors.initials: F
authors.lastname: Serre
authors.affiliation: Univ. Bordeaux, Bordeaux, France; Addiction Team (Laboratoire de psychiatrie)/SANPSY, CNRS USR 3413, Bordeaux, France; Pôle Addictologie, CH Charles Perrens and CHU de Bordeaux, Bordeaux, France.
authors.forename: Romain
authors.initials: R
authors.lastname: Debrabant
authors.affiliation: Univ. Bordeaux, Bordeaux, France; Addiction Team (Laboratoire de psychiatrie)/SANPSY, CNRS USR 3413, Bordeaux, France; Pôle Addictologie, CH Charles Perrens and CHU de Bordeaux, Bordeaux, France; Centre d'Addictologie BIZIA, CH Côte Basque, Bayonne, France.
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Daulouède
authors.affiliation: Univ. Bordeaux, Bordeaux, France; Addiction Team (Laboratoire de psychiatrie)/SANPSY, CNRS USR 3413, Bordeaux, France; Center for Studies of Addiction, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: Cécile
authors.initials: C
authors.lastname: Denis
authors.affiliation: Univ. Bordeaux, Bordeaux, France; Addiction Team (Laboratoire de psychiatrie)/SANPSY, CNRS USR 3413, Bordeaux, France; Pôle Addictologie, CH Charles Perrens and CHU de Bordeaux, Bordeaux, France; Center for Studies of Addiction, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Centre d'Addictologie BIZIA, CH Côte Basque, Bayonne, France. Electronic address: marc.auriacombe@u-bordeaux.fr.
authors.forename: Marc
authors.initials: M
authors.lastname: Auriacombe
mesh_terms: D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity / Q000453:epidemiology*; D016739:Behavior, Addictive / Q000453:epidemiology*; D001883:Borderline Personality Disorder / Q000453:epidemiology*; D015897:Comorbidity; D005260:Female; D005602:France / Q000453:epidemiology; D005715:Gambling / Q000453:epidemiology*; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D019966:Substance-Related Disorders / Q000453:epidemiology*; D055815:Young Adult
keywords: Addiction; Addiction severity; Attention Deficit Hyperactivity Disorder, adult ADHD; Psychiatric comorbidity; Substance-related disorder