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Persistence and Subtype Stability of ADHD Among Substance Use Disorder Treatment Seekers

Identifieur interne : 001970 ( Main/Exploration ); précédent : 001969; suivant : 001971

Persistence and Subtype Stability of ADHD Among Substance Use Disorder Treatment Seekers

Auteurs : Sharlene Kaye [Australie] ; Josep Antoni Ramos-Quiroga [Espagne] ; Geurt Van De Glind [Pays-Bas] ; Frances R. Levin [États-Unis] ; Stephen V. Faraone [États-Unis] ; Steve Allsop [Australie] ; Louisa Degenhardt [Australie] ; Franz Moggi [Suisse] ; Csaba Barta [Hongrie] ; Maija Konstenius [Suède] ; Johan Franck [Suède] ; Arvid Skutle [Norvège] ; Eli-Torild Bu [Norvège] ; Maarten W. J. Koeter [Pays-Bas] ; Zsolt Demetrovics [Hongrie] ; Máté Kapitány-Fövény [Hongrie] ; Robert A. Schoevers [Pays-Bas] ; Katelijne Van Emmerik-Van Oortmerssen [Pays-Bas] ; Pieter-Jan Carpentier [Pays-Bas] ; Geert Dom [Belgique] ; Sofie Verspreet [Belgique] ; Cleo L. Crunelle [Pays-Bas] ; Jesse T. Young [Australie] ; Susan Carruthers [Australie] ; Joanne Cassar [Australie] ; Melina Fatséas [France] ; Marc Auriacombe [France] ; Brian Johnson [États-Unis] ; Matthew Dunn [Australie] ; Ortal Slobodin [Israël] ; Wim Van Den Brink [Pays-Bas]

Source :

RBID : PMC:5002258

Abstract

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.


Url:
DOI: 10.1177/1087054716629217
PubMed: 26922805
PubMed Central: 5002258


Affiliations:


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Le document en format XML

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<title xml:lang="en" level="a" type="main">Persistence and Subtype Stability of ADHD Among Substance Use Disorder Treatment Seekers</title>
<author>
<name sortKey="Kaye, Sharlene" sort="Kaye, Sharlene" uniqKey="Kaye S" first="Sharlene" last="Kaye">Sharlene Kaye</name>
<affiliation wicri:level="3">
<nlm:aff id="A1">University of New South Wales, Sydney, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>University of New South Wales, Sydney</wicri:regionArea>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Ramos Quiroga, Josep Antoni" sort="Ramos Quiroga, Josep Antoni" uniqKey="Ramos Quiroga J" first="Josep Antoni" last="Ramos-Quiroga">Josep Antoni Ramos-Quiroga</name>
<affiliation wicri:level="1">
<nlm:aff id="A2">Universitat Autònoma de Barcelona, Spain</nlm:aff>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Universitat Autònoma de Barcelona</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Van De Glind, Geurt" sort="Van De Glind, Geurt" uniqKey="Van De Glind G" first="Geurt" last="Van De Glind">Geurt Van De Glind</name>
<affiliation wicri:level="3">
<nlm:aff id="A3">ICASA Foundation, Amsterdam, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>ICASA Foundation, Amsterdam</wicri:regionArea>
<placeName>
<settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
</placeName>
</affiliation>
<affiliation wicri:level="4">
<nlm:aff id="A4">University of Amsterdam, Amsterdam, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>University of Amsterdam, Amsterdam</wicri:regionArea>
<placeName>
<settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
<settlement type="city">Amsterdam</settlement>
</placeName>
<orgName type="university">Université d'Amsterdam</orgName>
</affiliation>
</author>
<author>
<name sortKey="Levin, Frances R" sort="Levin, Frances R" uniqKey="Levin F" first="Frances R." last="Levin">Frances R. Levin</name>
<affiliation wicri:level="4">
<nlm:aff id="A5">Columbia University, New York, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Columbia University, New York, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
<settlement type="city">New York</settlement>
</placeName>
<orgName type="university">Université Columbia</orgName>
</affiliation>
</author>
<author>
<name sortKey="Faraone, Stephen V" sort="Faraone, Stephen V" uniqKey="Faraone S" first="Stephen V." last="Faraone">Stephen V. Faraone</name>
<affiliation wicri:level="2">
<nlm:aff id="A6">Upstate Medical University, Syracuse, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Upstate Medical University, Syracuse, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Allsop, Steve" sort="Allsop, Steve" uniqKey="Allsop S" first="Steve" last="Allsop">Steve Allsop</name>
<affiliation wicri:level="1">
<nlm:aff id="A7">Curtin University, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Curtin University, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Degenhardt, Louisa" sort="Degenhardt, Louisa" uniqKey="Degenhardt L" first="Louisa" last="Degenhardt">Louisa Degenhardt</name>
<affiliation wicri:level="3">
<nlm:aff id="A1">University of New South Wales, Sydney, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>University of New South Wales, Sydney</wicri:regionArea>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A8">University of Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>University of Melbourne</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Moggi, Franz" sort="Moggi, Franz" uniqKey="Moggi F" first="Franz" last="Moggi">Franz Moggi</name>
<affiliation wicri:level="1">
<nlm:aff id="A9">University of Bern, Switzerland</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>University of Bern</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A10">University of Fribourg, Switzerland</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>University of Fribourg</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Barta, Csaba" sort="Barta, Csaba" uniqKey="Barta C" first="Csaba" last="Barta">Csaba Barta</name>
<affiliation wicri:level="3">
<nlm:aff id="A11">Semmelweis University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Semmelweis University, Budapest</wicri:regionArea>
<placeName>
<settlement type="city">Budapest</settlement>
<region nuts="2">Hongrie centrale</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Konstenius, Maija" sort="Konstenius, Maija" uniqKey="Konstenius M" first="Maija" last="Konstenius">Maija Konstenius</name>
<affiliation wicri:level="3">
<nlm:aff id="A12">Karolinska Institutet, Stockholm, Sweden</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Karolinska Institutet, Stockholm</wicri:regionArea>
<placeName>
<settlement type="city">Stockholm</settlement>
<region nuts="2">Svealand</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Franck, Johan" sort="Franck, Johan" uniqKey="Franck J" first="Johan" last="Franck">Johan Franck</name>
<affiliation wicri:level="3">
<nlm:aff id="A12">Karolinska Institutet, Stockholm, Sweden</nlm:aff>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Karolinska Institutet, Stockholm</wicri:regionArea>
<placeName>
<settlement type="city">Stockholm</settlement>
<region nuts="2">Svealand</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Skutle, Arvid" sort="Skutle, Arvid" uniqKey="Skutle A" first="Arvid" last="Skutle">Arvid Skutle</name>
<affiliation wicri:level="1">
<nlm:aff id="A13">Bergen Clinics Foundation, Norway</nlm:aff>
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Bergen Clinics Foundation</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Bu, Eli Torild" sort="Bu, Eli Torild" uniqKey="Bu E" first="Eli-Torild" last="Bu">Eli-Torild Bu</name>
<affiliation wicri:level="1">
<nlm:aff id="A13">Bergen Clinics Foundation, Norway</nlm:aff>
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Bergen Clinics Foundation</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Koeter, Maarten W J" sort="Koeter, Maarten W J" uniqKey="Koeter M" first="Maarten W. J." last="Koeter">Maarten W. J. Koeter</name>
<affiliation wicri:level="4">
<nlm:aff id="A4">University of Amsterdam, Amsterdam, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>University of Amsterdam, Amsterdam</wicri:regionArea>
<placeName>
<settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
<settlement type="city">Amsterdam</settlement>
</placeName>
<orgName type="university">Université d'Amsterdam</orgName>
</affiliation>
</author>
<author>
<name sortKey="Demetrovics, Zsolt" sort="Demetrovics, Zsolt" uniqKey="Demetrovics Z" first="Zsolt" last="Demetrovics">Zsolt Demetrovics</name>
<affiliation wicri:level="3">
<nlm:aff id="A14">Eötvös Loránd University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Eötvös Loránd University, Budapest</wicri:regionArea>
<placeName>
<settlement type="city">Budapest</settlement>
<region nuts="2">Hongrie centrale</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Kapitany Foveny, Mate" sort="Kapitany Foveny, Mate" uniqKey="Kapitany Foveny M" first="Máté" last="Kapitány-Fövény">Máté Kapitány-Fövény</name>
<affiliation wicri:level="3">
<nlm:aff id="A14">Eötvös Loránd University, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Eötvös Loránd University, Budapest</wicri:regionArea>
<placeName>
<settlement type="city">Budapest</settlement>
<region nuts="2">Hongrie centrale</region>
</placeName>
</affiliation>
<affiliation wicri:level="3">
<nlm:aff id="A15">Nyírő Gyula Hospital Drug Outpatient and Prevention Center, Budapest, Hungary</nlm:aff>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Nyírő Gyula Hospital Drug Outpatient and Prevention Center, Budapest</wicri:regionArea>
<placeName>
<settlement type="city">Budapest</settlement>
<region nuts="2">Hongrie centrale</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Schoevers, Robert A" sort="Schoevers, Robert A" uniqKey="Schoevers R" first="Robert A." last="Schoevers">Robert A. Schoevers</name>
<affiliation wicri:level="1">
<nlm:aff id="A16">University of Groningen, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>University of Groningen</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Van Emmerik Van Oortmerssen, Katelijne" sort="Van Emmerik Van Oortmerssen, Katelijne" uniqKey="Van Emmerik Van Oortmerssen K" first="Katelijne" last="Van Emmerik-Van Oortmerssen">Katelijne Van Emmerik-Van Oortmerssen</name>
<affiliation wicri:level="4">
<nlm:aff id="A4">University of Amsterdam, Amsterdam, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>University of Amsterdam, Amsterdam</wicri:regionArea>
<placeName>
<settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
<settlement type="city">Amsterdam</settlement>
</placeName>
<orgName type="university">Université d'Amsterdam</orgName>
</affiliation>
<affiliation wicri:level="3">
<nlm:aff id="A17">Arkin Mental Health and Addiction Treatment Center, Amsterdam, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Arkin Mental Health and Addiction Treatment Center, Amsterdam</wicri:regionArea>
<placeName>
<settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Carpentier, Pieter Jan" sort="Carpentier, Pieter Jan" uniqKey="Carpentier P" first="Pieter-Jan" last="Carpentier">Pieter-Jan Carpentier</name>
<affiliation wicri:level="1">
<nlm:aff id="A18">Reinier van Arkel groep,’s-Hertogenbosch, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Reinier van Arkel groep,’s-Hertogenbosch</wicri:regionArea>
<wicri:noRegion>’s-Hertogenbosch</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Dom, Geert" sort="Dom, Geert" uniqKey="Dom G" first="Geert" last="Dom">Geert Dom</name>
<affiliation wicri:level="1">
<nlm:aff id="A19">University of Antwerp, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>University of Antwerp</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A20">Psychiatric Center Alexian Brothers, Boechout, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Psychiatric Center Alexian Brothers, Boechout</wicri:regionArea>
<wicri:noRegion>Boechout</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Verspreet, Sofie" sort="Verspreet, Sofie" uniqKey="Verspreet S" first="Sofie" last="Verspreet">Sofie Verspreet</name>
<affiliation wicri:level="1">
<nlm:aff id="A19">University of Antwerp, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>University of Antwerp</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A20">Psychiatric Center Alexian Brothers, Boechout, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Psychiatric Center Alexian Brothers, Boechout</wicri:regionArea>
<wicri:noRegion>Boechout</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Crunelle, Cleo L" sort="Crunelle, Cleo L" uniqKey="Crunelle C" first="Cleo L." last="Crunelle">Cleo L. Crunelle</name>
<affiliation wicri:level="4">
<nlm:aff id="A4">University of Amsterdam, Amsterdam, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>University of Amsterdam, Amsterdam</wicri:regionArea>
<placeName>
<settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
<settlement type="city">Amsterdam</settlement>
</placeName>
<orgName type="university">Université d'Amsterdam</orgName>
</affiliation>
</author>
<author>
<name sortKey="Young, Jesse T" sort="Young, Jesse T" uniqKey="Young J" first="Jesse T." last="Young">Jesse T. Young</name>
<affiliation wicri:level="1">
<nlm:aff id="A7">Curtin University, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Curtin University, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A8">University of Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>University of Melbourne</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="A21">The University of Western Australia, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>The University of Western Australia, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Carruthers, Susan" sort="Carruthers, Susan" uniqKey="Carruthers S" first="Susan" last="Carruthers">Susan Carruthers</name>
<affiliation wicri:level="1">
<nlm:aff id="A7">Curtin University, Perth, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Curtin University, Perth</wicri:regionArea>
<wicri:noRegion>Perth</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Cassar, Joanne" sort="Cassar, Joanne" uniqKey="Cassar J" first="Joanne" last="Cassar">Joanne Cassar</name>
<affiliation wicri:level="3">
<nlm:aff id="A1">University of New South Wales, Sydney, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>University of New South Wales, Sydney</wicri:regionArea>
<placeName>
<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Fatseas, Melina" sort="Fatseas, Melina" uniqKey="Fatseas M" first="Melina" last="Fatséas">Melina Fatséas</name>
<affiliation wicri:level="1">
<nlm:aff id="A22">Université de Bordeaux, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Université de Bordeaux</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Auriacombe, Marc" sort="Auriacombe, Marc" uniqKey="Auriacombe M" first="Marc" last="Auriacombe">Marc Auriacombe</name>
<affiliation wicri:level="1">
<nlm:aff id="A22">Université de Bordeaux, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Université de Bordeaux</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Johnson, Brian" sort="Johnson, Brian" uniqKey="Johnson B" first="Brian" last="Johnson">Brian Johnson</name>
<affiliation wicri:level="2">
<nlm:aff id="A6">Upstate Medical University, Syracuse, NY, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Upstate Medical University, Syracuse, NY</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Dunn, Matthew" sort="Dunn, Matthew" uniqKey="Dunn M" first="Matthew" last="Dunn">Matthew Dunn</name>
<affiliation wicri:level="1">
<nlm:aff id="A23">Deakin University, Geelong, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Deakin University, Geelong</wicri:regionArea>
<wicri:noRegion>Geelong</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Slobodin, Ortal" sort="Slobodin, Ortal" uniqKey="Slobodin O" first="Ortal" last="Slobodin">Ortal Slobodin</name>
<affiliation wicri:level="1">
<nlm:aff id="A24">University of Haifa, Israel</nlm:aff>
<country xml:lang="fr">Israël</country>
<wicri:regionArea>University of Haifa</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Van Den Brink, Wim" sort="Van Den Brink, Wim" uniqKey="Van Den Brink W" first="Wim" last="Van Den Brink">Wim Van Den Brink</name>
<affiliation wicri:level="4">
<nlm:aff id="A4">University of Amsterdam, Amsterdam, The Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>University of Amsterdam, Amsterdam</wicri:regionArea>
<placeName>
<settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
<settlement type="city">Amsterdam</settlement>
</placeName>
<orgName type="university">Université d'Amsterdam</orgName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Journal of attention disorders</title>
<idno type="ISSN">1087-0547</idno>
<idno type="eISSN">1557-1246</idno>
<imprint>
<date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
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<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Objective</title>
<p id="P1">To examine ADHD symptom persistence and subtype stability among substance use disorder (SUD) treatment seekers.</p>
</sec>
<sec id="S2">
<title>Method</title>
<p id="P2">In all, 1,276 adult SUD treatment seekers were assessed for childhood and adult ADHD using Conners’ Adult ADHD Diagnostic Interview for
<italic>Diagnostic and Statistical Manual of Mental Disorders</italic>
(4th ed.;
<italic>DSM-IV</italic>
; CAADID). A total of 290 (22.7%) participants met CAADID criteria for childhood ADHD and comprise the current study sample.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Childhood ADHD persisted into adulthood in 72.8% (
<italic>n</italic>
= 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.</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P4">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.</p>
</sec>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Australie</li>
<li>Belgique</li>
<li>Espagne</li>
<li>France</li>
<li>Hongrie</li>
<li>Israël</li>
<li>Norvège</li>
<li>Pays-Bas</li>
<li>Suisse</li>
<li>Suède</li>
<li>États-Unis</li>
</country>
<region>
<li>Hollande-Septentrionale</li>
<li>Hongrie centrale</li>
<li>Nouvelle-Galles du Sud</li>
<li>Svealand</li>
<li>État de New York</li>
</region>
<settlement>
<li>Amsterdam</li>
<li>Budapest</li>
<li>New York</li>
<li>Stockholm</li>
<li>Sydney</li>
</settlement>
<orgName>
<li>Université Columbia</li>
<li>Université d'Amsterdam</li>
</orgName>
</list>
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<country name="Australie">
<region name="Nouvelle-Galles du Sud">
<name sortKey="Kaye, Sharlene" sort="Kaye, Sharlene" uniqKey="Kaye S" first="Sharlene" last="Kaye">Sharlene Kaye</name>
</region>
<name sortKey="Allsop, Steve" sort="Allsop, Steve" uniqKey="Allsop S" first="Steve" last="Allsop">Steve Allsop</name>
<name sortKey="Carruthers, Susan" sort="Carruthers, Susan" uniqKey="Carruthers S" first="Susan" last="Carruthers">Susan Carruthers</name>
<name sortKey="Cassar, Joanne" sort="Cassar, Joanne" uniqKey="Cassar J" first="Joanne" last="Cassar">Joanne Cassar</name>
<name sortKey="Degenhardt, Louisa" sort="Degenhardt, Louisa" uniqKey="Degenhardt L" first="Louisa" last="Degenhardt">Louisa Degenhardt</name>
<name sortKey="Degenhardt, Louisa" sort="Degenhardt, Louisa" uniqKey="Degenhardt L" first="Louisa" last="Degenhardt">Louisa Degenhardt</name>
<name sortKey="Dunn, Matthew" sort="Dunn, Matthew" uniqKey="Dunn M" first="Matthew" last="Dunn">Matthew Dunn</name>
<name sortKey="Young, Jesse T" sort="Young, Jesse T" uniqKey="Young J" first="Jesse T." last="Young">Jesse T. Young</name>
<name sortKey="Young, Jesse T" sort="Young, Jesse T" uniqKey="Young J" first="Jesse T." last="Young">Jesse T. Young</name>
<name sortKey="Young, Jesse T" sort="Young, Jesse T" uniqKey="Young J" first="Jesse T." last="Young">Jesse T. Young</name>
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<noRegion>
<name sortKey="Ramos Quiroga, Josep Antoni" sort="Ramos Quiroga, Josep Antoni" uniqKey="Ramos Quiroga J" first="Josep Antoni" last="Ramos-Quiroga">Josep Antoni Ramos-Quiroga</name>
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<region name="Hollande-Septentrionale">
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