• Sharlene Kaye
  • Josep Antoni Ramos-Quiroga
  • Geurt van de Glind
  • Frances R Levin
  • Stephen V Faraone
  • Steve Allsop
  • Louisa Degenhardt
  • Franz Moggi
  • Csaba Barta
  • Maija Konstenius
  • Johan Franck
  • Arvid Skutle
  • Eli-Torild Bu
  • Maarten W J Koeter
  • Zsolt Demetrovics
  • Máté Kapitány-Fövény
  • Robert A Schoevers
  • Katelijne van Emmerik-van Oortmerssen
  • Pieter-Jan Carpentier
  • Geert Dom
  • Sofie Verspreet
  • Jesse T Young
  • Susan Carruthers
  • Joanne Cassar
  • Melina Fatséas
  • Marc Auriacombe
  • Brian Johnson
  • Matthew Dunn
  • Ortal Slobodin
  • Wim van den Brink

OBJECTIVE: To examine ADHD symptom persistence and subtype stability among substance use disorder (SUD) treatment seekers.

METHOD: In all, 1,276 adult SUD treatment seekers were assessed for childhood and adult ADHD using Conners' Adult ADHD Diagnostic Interview for Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; CAADID). A total of 290 (22.7%) participants met CAADID criteria for childhood ADHD and comprise the current study sample.

RESULTS: Childhood ADHD persisted into adulthood in 72.8% (n = 211) of cases. ADHD persistence was significantly associated with a family history of ADHD, and the presence of conduct disorder and antisocial personality disorder. The combined subtype was the most stable into adulthood (78.6%) and this stability was significantly associated with conduct disorder and past treatment of ADHD.

CONCLUSION: ADHD is highly prevalent and persistent among SUD treatment seekers and is associated with the more severe phenotype that is also less likely to remit. Routine screening and follow-up assessment for ADHD is indicated to enhance treatment management and outcomes.

Original languageEnglish
Pages (from-to)1438-1453
Number of pages6
JournalJournal of Attention Disorders
Issue number12
Early online date27 Feb 2016
Publication statusPublished - 1 Oct 2019

    Research areas

  • Journal Article

ID: 38145924