Comorbidity of ADHD with Substance Use Disorders: A Review of Diagnostic and Therapeutic Considerations

Comorbidity between ADHD and substance use disorders (SUDs) is an area that has attracted the attention of clinicians, researchers, and public health in recent years. The aim of this study was to investigate the most basic issues related to epidemiology, screening, and therapeutic interventions for...

Full description

Bibliographic Details
Main Author: Esmaeil Naseri
Format: Article
Language:fas
Published: Allameh Tabataba'i University Press 2022-09-01
Series:Ravānshināsī-i Afrād-i Istis̠nāyī
Subjects:
Online Access:https://jpe.atu.ac.ir/article_14537_cabfabbebbaa1b998e20e5016ad1430f.pdf
_version_ 1797377540048814080
author Esmaeil Naseri
author_facet Esmaeil Naseri
author_sort Esmaeil Naseri
collection DOAJ
description Comorbidity between ADHD and substance use disorders (SUDs) is an area that has attracted the attention of clinicians, researchers, and public health in recent years. The aim of this study was to investigate the most basic issues related to epidemiology, screening, and therapeutic interventions for ADHD co-occurring with substance use disorders. Using the research method of reviewing data related to the use of keywords Attention Deficit Hyperactivity Disorder, substance use disorders, and comorbidities in Google Scholar and PubMed search engines as well as in NOORMAGS, SID, and Irandoc databases were searched. The data showed that ADHD is a risk factor for SUDs and the prevalence of ADHD is significant among adolescents and adults with SUDs, especially in inpatient settings. Comprehensive ADHD + SUD assessment by a trained clinician in the areas of addiction, differential diagnoses of ADHD, and specific populations, conducting a standard diagnostic interview for a complete clinical history of ADHD before and during withdrawal, and also, a general history of mental and physical health and psychosocial functioning are suggested guidelines for assessing ADHD + SUD. While pharmacotherapy is the first line and the most effective treatment for ADHD, various psychosocial interventions can be performed in combination with medication, including CBT, psychoeducation, metacognitive education, mindfulness training, coaching, and behavioral modification, as well as motivational interviewing. Overall, the evidence suggests that treating ADHD in early childhood can reduce the risk of later substance use at older ages.
first_indexed 2024-03-08T19:53:56Z
format Article
id doaj.art-32fe674912094df19cb98e28dc631868
institution Directory Open Access Journal
issn 2252-0031
2476-647X
language fas
last_indexed 2024-03-08T19:53:56Z
publishDate 2022-09-01
publisher Allameh Tabataba'i University Press
record_format Article
series Ravānshināsī-i Afrād-i Istis̠nāyī
spelling doaj.art-32fe674912094df19cb98e28dc6318682023-12-24T07:16:35ZfasAllameh Tabataba'i University PressRavānshināsī-i Afrād-i Istis̠nāyī2252-00312476-647X2022-09-0112478911410.22054/jpe.2022.68483.246414537Comorbidity of ADHD with Substance Use Disorders: A Review of Diagnostic and Therapeutic ConsiderationsEsmaeil Naseri0Assistant Professor, Department of Psychology, Institute for Humanities and Cultural Studies, Tehran, Iran.Comorbidity between ADHD and substance use disorders (SUDs) is an area that has attracted the attention of clinicians, researchers, and public health in recent years. The aim of this study was to investigate the most basic issues related to epidemiology, screening, and therapeutic interventions for ADHD co-occurring with substance use disorders. Using the research method of reviewing data related to the use of keywords Attention Deficit Hyperactivity Disorder, substance use disorders, and comorbidities in Google Scholar and PubMed search engines as well as in NOORMAGS, SID, and Irandoc databases were searched. The data showed that ADHD is a risk factor for SUDs and the prevalence of ADHD is significant among adolescents and adults with SUDs, especially in inpatient settings. Comprehensive ADHD + SUD assessment by a trained clinician in the areas of addiction, differential diagnoses of ADHD, and specific populations, conducting a standard diagnostic interview for a complete clinical history of ADHD before and during withdrawal, and also, a general history of mental and physical health and psychosocial functioning are suggested guidelines for assessing ADHD + SUD. While pharmacotherapy is the first line and the most effective treatment for ADHD, various psychosocial interventions can be performed in combination with medication, including CBT, psychoeducation, metacognitive education, mindfulness training, coaching, and behavioral modification, as well as motivational interviewing. Overall, the evidence suggests that treating ADHD in early childhood can reduce the risk of later substance use at older ages.https://jpe.atu.ac.ir/article_14537_cabfabbebbaa1b998e20e5016ad1430f.pdfadhdsubstance use disorderscomorbiditytherapeutic interventions
spellingShingle Esmaeil Naseri
Comorbidity of ADHD with Substance Use Disorders: A Review of Diagnostic and Therapeutic Considerations
Ravānshināsī-i Afrād-i Istis̠nāyī
adhd
substance use disorders
comorbidity
therapeutic interventions
title Comorbidity of ADHD with Substance Use Disorders: A Review of Diagnostic and Therapeutic Considerations
title_full Comorbidity of ADHD with Substance Use Disorders: A Review of Diagnostic and Therapeutic Considerations
title_fullStr Comorbidity of ADHD with Substance Use Disorders: A Review of Diagnostic and Therapeutic Considerations
title_full_unstemmed Comorbidity of ADHD with Substance Use Disorders: A Review of Diagnostic and Therapeutic Considerations
title_short Comorbidity of ADHD with Substance Use Disorders: A Review of Diagnostic and Therapeutic Considerations
title_sort comorbidity of adhd with substance use disorders a review of diagnostic and therapeutic considerations
topic adhd
substance use disorders
comorbidity
therapeutic interventions
url https://jpe.atu.ac.ir/article_14537_cabfabbebbaa1b998e20e5016ad1430f.pdf
work_keys_str_mv AT esmaeilnaseri comorbidityofadhdwithsubstanceusedisordersareviewofdiagnosticandtherapeuticconsiderations