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Substance-Related Problems in Adolescents with ADHD-Diagnoses: The Importance of Self-Reported Conduct Problems.

Authors
  • Heradstveit, Ove1, 2
  • Askeland, Kristin Gärtner1
  • Bøe, Tormod1, 3
  • Lundervold, Astri Johansen3
  • Elgen, Irene Bircow3
  • Skogen, Jens Christoffer2, 4
  • Pedersen, Mads Uffe5
  • Hysing, Mari1, 3
  • 1 NORCE Norwegian Research Centre, Bergen, Norway. , (Norway)
  • 2 Stavanger University Hospital, Norway. , (Norway)
  • 3 University of Bergen, Norway. , (Norway)
  • 4 Norwegian Institute of Public Health, Bergen, Norway. , (Norway)
  • 5 Aarhus University, Denmark. , (Denmark)
Type
Published Article
Journal
Journal of Attention Disorders
Publisher
SAGE Publications
Publication Date
Dec 01, 2022
Volume
26
Issue
14
Pages
1857–1869
Identifiers
DOI: 10.1177/10870547221105063
PMID: 35758182
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a known risk factor for substance-related problems (SRP) during adolescence, but the nature of this relationship and the importance of co-occurring conduct problems are not fully understood. Data stem from a linked dataset between a large population-based survey conducted in 2012 of Norwegian adolescents aged 16 to 19, and registry-based data from specialized child and adolescent mental health services (n = 9,411). Adolescents with "ADHD + high conduct problems" had increased risk of SRP (odds ratios = 2.37-10.14). Adolescents with "ADHD only" had very similar risk of SRP as adolescents from the general population with low symptoms of conduct problems. Relative to boys, girls with "ADHD + high conduct problems" appeared to have somewhat higher risk for SRP. The present study suggests that the risk for SRP among adolescent with ADHD is largely driven by co-existing conduct problems.

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