Substance and Alcohol Misuse, Drug Pathways, and Offending Behaviors in Association With ADHD in Prison Inmates

Objective: The objective of the study is to quantify the extent of specific polysubstance use, drug transitions to current substances, and describe the association with alcohol use disorders among inmates with ADHD. We also examined health risk behaviors and patterns of offending in relation with AD...

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Veröffentlicht in:Journal of attention disorders 2020-11, Vol.24 (13), p.1905-1913
Hauptverfasser: Young, Susan, González, Rafael A., Wolff, Kim, Xenitidis, Kiriakos, Mutch, Laura, Malet-Lambert, Isabella, Gudjonsson, Gisli H.
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container_end_page 1913
container_issue 13
container_start_page 1905
container_title Journal of attention disorders
container_volume 24
creator Young, Susan
González, Rafael A.
Wolff, Kim
Xenitidis, Kiriakos
Mutch, Laura
Malet-Lambert, Isabella
Gudjonsson, Gisli H.
description Objective: The objective of the study is to quantify the extent of specific polysubstance use, drug transitions to current substances, and describe the association with alcohol use disorders among inmates with ADHD. We also examined health risk behaviors and patterns of offending in relation with ADHD. Method: A total of 387 male British prison inmates were screened and interviewed via the Diagnostic Interview for ADHD in Adults 2.0 (DIVA-2). Results: Male prisoners with ADHD endorse more methadone and amphetamine use. There was a significantly higher linear trend among those with ADHD for the number of substances ever used. ADHD was positively associated with increasing levels of alcohol use disorder severity, and with alcohol dependence. Transition along the pathways of substance misuse and persistence of drug misuse was better explained by the presence of conduct disorder/antisocial personality traits. Conclusion: Higher rates of alcohol dependence and stimulant–cocaine misuse suggest these inmates have maladaptive coping mechanisms, such as self-medication behaviors.
doi_str_mv 10.1177/1087054716688532
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subjects Adult
Alcoholism - epidemiology
Attention Deficit Disorder with Hyperactivity - epidemiology
Humans
Male
Pharmaceutical Preparations
Prisoners
Prisons
Psychiatric Status Rating Scales
Substance-Related Disorders - epidemiology
title Substance and Alcohol Misuse, Drug Pathways, and Offending Behaviors in Association With ADHD in Prison Inmates
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