TY - JOUR
T1 - Stimulant treatment for attention-deficit hyperactivity disorder and risk of developing substance use disorder
AU - Groenman, Annabeth P.
AU - Oosterlaan, Jaap
AU - Rommelse, Nanda N. J.
AU - Franke, Barbara
AU - Greven, Corina U.
AU - Hoekstra, Pieter J.
AU - Hartman, Catharina A.
AU - Luman, Marjolein
AU - Roeyers, Herbert
AU - Oades, Robert D.
AU - Sergeant, Joseph A.
AU - Buitelaar, Jan K.
AU - Faraone, Stephen V.
PY - 2013
Y1 - 2013
N2 - Background Attention-deficit hyperactivity disorder (ADHD) is linked to increased risk for substance use disorders and nicotine dependence. Aims To examine the effects of stimulant treatment on subsequent risk for substance use disorder and nicotine dependence in a prospective longitudinal ADHD case-control study. Method At baseline we assessed ADHD, conduct disorder and oppositional defiant disorder. Substance use disorders, nicotine dependence and stimulant treatment were assessed retrospectively after a mean follow-up of 4.4 years, at a mean age of 16.4 years. Results Stimulant treatment of ADHD was linked to a reduced risk for substance use disorders compared with no stimulant treatment, even after controlling for conduct disorder and oppositional defiant disorder (hazard ratio (HR) = 1.91, 95% CI 1.10-3.36), but not to nicotine dependence (HR = 1.12, 95% CI 0.45-2.96). Within the stimulant-treated group, a protective effect of age at first stimulant use on substance use disorder development was found, which diminished with age, and seemed to reverse around the age of 18. Conclusions Stimulant treatment appears to lower the risk of developing substance use disorders and does not have an impact on the development of nicotine dependence in adolescents with ADHD
AB - Background Attention-deficit hyperactivity disorder (ADHD) is linked to increased risk for substance use disorders and nicotine dependence. Aims To examine the effects of stimulant treatment on subsequent risk for substance use disorder and nicotine dependence in a prospective longitudinal ADHD case-control study. Method At baseline we assessed ADHD, conduct disorder and oppositional defiant disorder. Substance use disorders, nicotine dependence and stimulant treatment were assessed retrospectively after a mean follow-up of 4.4 years, at a mean age of 16.4 years. Results Stimulant treatment of ADHD was linked to a reduced risk for substance use disorders compared with no stimulant treatment, even after controlling for conduct disorder and oppositional defiant disorder (hazard ratio (HR) = 1.91, 95% CI 1.10-3.36), but not to nicotine dependence (HR = 1.12, 95% CI 0.45-2.96). Within the stimulant-treated group, a protective effect of age at first stimulant use on substance use disorder development was found, which diminished with age, and seemed to reverse around the age of 18. Conclusions Stimulant treatment appears to lower the risk of developing substance use disorders and does not have an impact on the development of nicotine dependence in adolescents with ADHD
U2 - https://doi.org/10.1192/bjp.bp.112.124784
DO - https://doi.org/10.1192/bjp.bp.112.124784
M3 - Article
C2 - 23846996
SN - 0007-1250
VL - 203
SP - 112
EP - 119
JO - British journal of psychiatry
JF - British journal of psychiatry
IS - 2
ER -
