{"id":16439,"date":"2023-03-28T19:21:30","date_gmt":"2023-03-28T19:21:30","guid":{"rendered":"https:\/\/drugprevent.org.uk\/ppp\/?p=16439"},"modified":"2023-05-16T19:46:21","modified_gmt":"2023-05-16T19:46:21","slug":"substance-use-through-adolescence-into-early-adulthood-after-childhood-diagnosed-adhd-findings-from-the-mta-longitudinal-study","status":"publish","type":"post","link":"https:\/\/drugprevent.org.uk\/ppp\/2023\/03\/substance-use-through-adolescence-into-early-adulthood-after-childhood-diagnosed-adhd-findings-from-the-mta-longitudinal-study\/","title":{"rendered":"Substance Use Through Adolescence Into Early Adulthood After Childhood-Diagnosed ADHD: Findings From The MTA Longitudinal Study"},"content":{"rendered":"<h2 class=\"title\" style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Abstract<\/span><\/h2>\n<div id=\"eng-abstract\" class=\"abstract-content selected\" style=\"text-align: justify\">\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\"><strong class=\"sub-title\">Background:\u00a0<\/strong>Inconsistent findings exist regarding long-term substance use (SU) risk for children diagnosed with attention-deficit\/hyperactivity disorder (ADHD). The observational follow-up of the Multimodal Treatment Study of Children with ADHD (MTA) provides an opportunity to assess long-term outcomes in a large, diverse sample.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\"><strong class=\"sub-title\">Methods:\u00a0<\/strong>Five hundred forty-seven children, mean age 8.5, diagnosed with DSM-IV combined-type ADHD and 258 classmates without ADHD (local normative comparison group; LNCG) completed the Substance Use Questionnaire up to eight times from mean age 10 to mean age 25.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\"><strong class=\"sub-title\">Results:\u00a0<\/strong>In adulthood, weekly marijuana use (32.8% ADHD vs. 21.3% LNCG) and daily cigarette smoking (35.9% vs. 17.5%) were more prevalent in the ADHD group than the LNCG. The cumulative record also revealed more early substance users in adolescence for ADHD (57.9%) than LNCG (41.9%), including younger first use of alcohol, cigarettes, marijuana, and illicit drugs. Alcohol and nonmarijuana illicit drug use escalated slightly faster in the ADHD group in early adolescence. Early SU predicted quicker SU escalation and more SU in adulthood for both groups.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\"><strong class=\"sub-title\">Conclusions:\u00a0<\/strong>Frequent SU for young adults with childhood ADHD is accompanied by greater initial exposure at a young age and slightly faster progression. Early SU prevention and screening is critical before escalation to intractable levels.<\/span><\/p>\n<\/div>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\"><strong class=\"sub-title\">Keywords:\u00a0<\/strong>ADHD; Attention deficit disorder; adolescence; drug abuse.<\/span><\/p>\n<h3 class=\"title\" style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Conflict of interest statement<\/span><\/h3>\n<div class=\"statement\" style=\"text-align: justify\">\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Conflict of Interest Disclosures: J.M.S. acknowledges research support, advisory board\/speaker\u2019s bureau and\/or consulting for Alza, Richwood, Shire, Celgene, Novartis, Celltech, Gliatech, Cephalon, Watson, CIBA, UCB, Janssen, McNeil, Noven, NLS, Medice, and Lilly. J.T.M. received royalties from New Harbinger Press. L.E.A. received research funding from Curemark, Forest, Lilly, Neuropharm, Novartis, Noven, Shire, Supernus, and YoungLiving and consulted with or was on advisory boards for Gowlings, Neuropharm, Novartis, Noven, Organon, Otsuka, Pfizer, Roche, Seaside Therapeutics, Sigma Tau, Shire, and Tris Pharma and received travel support from Noven. L.H. received research support, served on advisory boards and was speaker for Eli Lilly, Glaxo\/Smith\/Kline, Ortho Janssen, Purdue, Shire and Ironshore. Other authors have no disclosures.<\/span><\/p>\n<\/div>\n<p style=\"text-align: justify\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Source: <a style=\"color: #0000ff\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29315559\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29315559<\/a> June 2018<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Abstract Background:\u00a0Inconsistent findings exist regarding long-term substance use (SU) risk for children diagnosed with attention-deficit\/hyperactivity disorder (ADHD). The observational follow-up of the Multimodal Treatment Study of Children with ADHD (MTA) provides an opportunity to assess long-term outcomes in a large, diverse sample. Methods:\u00a0Five hundred forty-seven children, mean age 8.5, diagnosed with DSM-IV combined-type ADHD and [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[73,63,30,68,59,61],"tags":[],"class_list":["post-16439","post","type-post","status-publish","format-standard","hentry","category-addiction","category-brain-and-behaviour","category-cannabis-marijuana","category-drug-use-various-effects","category-nicotine","category-youth"],"_links":{"self":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/16439","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/comments?post=16439"}],"version-history":[{"count":0,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/16439\/revisions"}],"wp:attachment":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/media?parent=16439"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/categories?post=16439"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/tags?post=16439"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}