Do Executive Function Deficits Predict Later Substance Use Disorders Among Adolescents and Young Adults?
Objective There is increasing interest regarding the risk and overlap of executive function deficits (EFDs) in stable cigarette smoking and substance use disorders (SUD). Therefore, we examined whether earlier EFD was a risk factor for subsequent cigarette smoking and SUD and further explored the re...
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| Veröffentlicht in: | Journal of the American Academy of Child and Adolescent Psychiatry 2011-02, Vol.50 (2), p.141-149 |
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| container_title | Journal of the American Academy of Child and Adolescent Psychiatry |
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| creator | Wilens, Timothy E., M.D Martelon, MaryKate, M.P.H Fried, Ronna, Ed.D Petty, Carter, M.A Bateman, Clancey, B.A Biederman, Joseph, M.D |
| description | Objective There is increasing interest regarding the risk and overlap of executive function deficits (EFDs) in stable cigarette smoking and substance use disorders (SUD). Therefore, we examined whether earlier EFD was a risk factor for subsequent cigarette smoking and SUD and further explored the relationship between EFD and SUD. Method We assessed 435 subjects at the 5-year follow-up (232 subjects with attention-deficit/hyperactivity disorder [ADHD], mean age ± SD: 15.4 ± 3.43 years; and 203 controls: 16.3 ± 3.42 years) and again 4 to 5 years later as part of a prospective family study of youth with ADHD. Individuals were assessed by structured psychiatric interview for psychopathology and SUD. EFD was categorically defined in an individual who had abnormal results on at least two of six neuropsychological tests of executive functioning. Results At the final follow-up period, ADHD was found to be a significant predictor of stable cigarette smoking ( p < .01) and SUD into late adolescence and young adult years ( p < .01). However, EFDs were not associated with an increase in subsequent substance use outcomes. New-onset stable cigarette smoking, but not SUD, was associated with subsequent EFD ( p < .01). Conclusions Our results do not support the hypothesis that EFDs predicts later stable cigarette smoking or SUD in children with ADHD growing up. However, stable cigarette smoking is associated with subsequent EFD. |
| doi_str_mv | 10.1016/j.jaac.2010.11.010 |
| format | Article |
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Therefore, we examined whether earlier EFD was a risk factor for subsequent cigarette smoking and SUD and further explored the relationship between EFD and SUD. Method We assessed 435 subjects at the 5-year follow-up (232 subjects with attention-deficit/hyperactivity disorder [ADHD], mean age ± SD: 15.4 ± 3.43 years; and 203 controls: 16.3 ± 3.42 years) and again 4 to 5 years later as part of a prospective family study of youth with ADHD. Individuals were assessed by structured psychiatric interview for psychopathology and SUD. EFD was categorically defined in an individual who had abnormal results on at least two of six neuropsychological tests of executive functioning. Results At the final follow-up period, ADHD was found to be a significant predictor of stable cigarette smoking ( p < .01) and SUD into late adolescence and young adult years ( p < .01). However, EFDs were not associated with an increase in subsequent substance use outcomes. New-onset stable cigarette smoking, but not SUD, was associated with subsequent EFD ( p < .01). Conclusions Our results do not support the hypothesis that EFDs predicts later stable cigarette smoking or SUD in children with ADHD growing up. However, stable cigarette smoking is associated with subsequent EFD.</description><identifier>ISSN: 0890-8567</identifier><identifier>EISSN: 1527-5418</identifier><identifier>DOI: 10.1016/j.jaac.2010.11.010</identifier><identifier>PMID: 21241951</identifier><identifier>CODEN: JAAPEE</identifier><language>eng</language><publisher>Maryland Heights, MO: Elsevier Inc</publisher><subject>Addictive behaviors ; ADHD ; Adolescent ; Adolescents ; Adult and adolescent clinical studies ; At Risk Persons ; Attention Deficit Disorder with Hyperactivity - epidemiology ; Attention Deficit Hyperactivity Disorder ; Biological and medical sciences ; Case-Control Studies ; Child ; Child & adolescent psychiatry ; Cigarettes ; Cognitive Ability ; Cognitive Processes ; Comorbidity ; Comparative Analysis ; Correlation ; Developmental disabilities ; Drug use ; Executive Function ; Female ; Follow-Up Studies ; Followup Studies ; Humans ; Interviews ; Late Adolescents ; Logistic Models ; longitudinal follow-up ; Male ; Massachusetts - epidemiology ; Medical sciences ; Mental Disorders - epidemiology ; Miscellaneous ; Neurological Impairments ; Pediatrics ; Predictor Variables ; Proportional Hazards Models ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology ; Psychopathology. Psychiatry ; Risk factors ; Smoking ; Smoking - epidemiology ; Substance Abuse ; Substance abuse disorders ; Substance-Related Disorders - epidemiology ; substance-use disorders ; Teenagers ; Tobacco smoking ; Young Adult ; Young Adults ; Young people</subject><ispartof>Journal of the American Academy of Child and Adolescent Psychiatry, 2011-02, Vol.50 (2), p.141-149</ispartof><rights>American Academy of Child and Adolescent Psychiatry</rights><rights>2011 American Academy of Child and Adolescent Psychiatry</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Lippincott Williams & Wilkins Feb 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c652t-e00f1834e5dbc4b4ecd0cb22af2e0c3bbf1f78fcf0548106ed53dd70506ab8143</citedby><cites>FETCH-LOGICAL-c652t-e00f1834e5dbc4b4ecd0cb22af2e0c3bbf1f78fcf0548106ed53dd70506ab8143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jaac.2010.11.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,315,782,786,887,3554,27933,27934,31008,31009,46004</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ944485$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23931421$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21241951$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wilens, Timothy E., M.D</creatorcontrib><creatorcontrib>Martelon, MaryKate, M.P.H</creatorcontrib><creatorcontrib>Fried, Ronna, Ed.D</creatorcontrib><creatorcontrib>Petty, Carter, M.A</creatorcontrib><creatorcontrib>Bateman, Clancey, B.A</creatorcontrib><creatorcontrib>Biederman, Joseph, M.D</creatorcontrib><title>Do Executive Function Deficits Predict Later Substance Use Disorders Among Adolescents and Young Adults?</title><title>Journal of the American Academy of Child and Adolescent Psychiatry</title><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><description>Objective There is increasing interest regarding the risk and overlap of executive function deficits (EFDs) in stable cigarette smoking and substance use disorders (SUD). Therefore, we examined whether earlier EFD was a risk factor for subsequent cigarette smoking and SUD and further explored the relationship between EFD and SUD. Method We assessed 435 subjects at the 5-year follow-up (232 subjects with attention-deficit/hyperactivity disorder [ADHD], mean age ± SD: 15.4 ± 3.43 years; and 203 controls: 16.3 ± 3.42 years) and again 4 to 5 years later as part of a prospective family study of youth with ADHD. Individuals were assessed by structured psychiatric interview for psychopathology and SUD. EFD was categorically defined in an individual who had abnormal results on at least two of six neuropsychological tests of executive functioning. Results At the final follow-up period, ADHD was found to be a significant predictor of stable cigarette smoking ( p < .01) and SUD into late adolescence and young adult years ( p < .01). However, EFDs were not associated with an increase in subsequent substance use outcomes. New-onset stable cigarette smoking, but not SUD, was associated with subsequent EFD ( p < .01). Conclusions Our results do not support the hypothesis that EFDs predicts later stable cigarette smoking or SUD in children with ADHD growing up. However, stable cigarette smoking is associated with subsequent EFD.</description><subject>Addictive behaviors</subject><subject>ADHD</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult and adolescent clinical studies</subject><subject>At Risk Persons</subject><subject>Attention Deficit Disorder with Hyperactivity - epidemiology</subject><subject>Attention Deficit Hyperactivity Disorder</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child & adolescent psychiatry</subject><subject>Cigarettes</subject><subject>Cognitive Ability</subject><subject>Cognitive Processes</subject><subject>Comorbidity</subject><subject>Comparative Analysis</subject><subject>Correlation</subject><subject>Developmental disabilities</subject><subject>Drug use</subject><subject>Executive Function</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Followup Studies</subject><subject>Humans</subject><subject>Interviews</subject><subject>Late Adolescents</subject><subject>Logistic Models</subject><subject>longitudinal follow-up</subject><subject>Male</subject><subject>Massachusetts - epidemiology</subject><subject>Medical sciences</subject><subject>Mental Disorders - epidemiology</subject><subject>Miscellaneous</subject><subject>Neurological Impairments</subject><subject>Pediatrics</subject><subject>Predictor Variables</subject><subject>Proportional Hazards Models</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology</subject><subject>Psychopathology. Psychiatry</subject><subject>Risk factors</subject><subject>Smoking</subject><subject>Smoking - epidemiology</subject><subject>Substance Abuse</subject><subject>Substance abuse disorders</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>substance-use disorders</subject><subject>Teenagers</subject><subject>Tobacco smoking</subject><subject>Young Adult</subject><subject>Young Adults</subject><subject>Young people</subject><issn>0890-8567</issn><issn>1527-5418</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kt9v0zAQxyMEYmXwDyCELCQELy0-x04cCQ1Va8cPVQJp7IEny7Evm0saDzup2H-PQ0uBPezppLvPnb5338uyp0BnQKF4s56ttTYzRscEzFK4l01AsHIqOMj72YTKik6lKMqj7FGMa0oplFI-zI4YMA6VgEl2tfBk-RPN0LstkrOhM73zHVlg44zrI_kS0DrTk5XuMZDzoY697gySi4hk4aIPFkMk843vLsnc-hajwS716c6Sb374nR3aPr57nD1odBvxyT4eZxdny6-nH6arz-8_ns5XU1MI1k-R0gZkzlHY2vCao7HU1IzphiE1eV030JSyMQ0VXAIt0Irc2pIKWuhaAs-Ps5Pd3Ouh3qAd1QTdquvgNjrcKK-d-r_SuSt16bcqpyUIOQ54tR8Q_I8BY682Li3VtrpDP0QlE8RoxVkiX99JAmNJkCiqMqEvbqFrP4QuHUJJXha5kDRPENtBJvgYAzYH1UDV6Lhaq9FxNTquAFQKqen5v_seWv5YnICXe0BHo9smJP9c_MvlVQ6cjdyzHYfBmUN5-aninEuRym_35WTe1mFQ0ThMr2BdQNMr693dMk9utZvWdS4J-o43GA_XABWZoup8fN3xcyE97RjzXxmh6B4</recordid><startdate>20110201</startdate><enddate>20110201</enddate><creator>Wilens, Timothy E., M.D</creator><creator>Martelon, MaryKate, M.P.H</creator><creator>Fried, Ronna, Ed.D</creator><creator>Petty, Carter, M.A</creator><creator>Bateman, Clancey, B.A</creator><creator>Biederman, Joseph, M.D</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier BV</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>K9.</scope><scope>5PM</scope></search><sort><creationdate>20110201</creationdate><title>Do Executive Function Deficits Predict Later Substance Use Disorders Among Adolescents and Young Adults?</title><author>Wilens, Timothy E., M.D ; Martelon, MaryKate, M.P.H ; Fried, Ronna, Ed.D ; Petty, Carter, M.A ; Bateman, Clancey, B.A ; Biederman, Joseph, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c652t-e00f1834e5dbc4b4ecd0cb22af2e0c3bbf1f78fcf0548106ed53dd70506ab8143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Addictive behaviors</topic><topic>ADHD</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adult and adolescent clinical studies</topic><topic>At Risk Persons</topic><topic>Attention Deficit Disorder with Hyperactivity - epidemiology</topic><topic>Attention Deficit Hyperactivity Disorder</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Child & adolescent psychiatry</topic><topic>Cigarettes</topic><topic>Cognitive Ability</topic><topic>Cognitive Processes</topic><topic>Comorbidity</topic><topic>Comparative Analysis</topic><topic>Correlation</topic><topic>Developmental disabilities</topic><topic>Drug use</topic><topic>Executive Function</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Followup Studies</topic><topic>Humans</topic><topic>Interviews</topic><topic>Late Adolescents</topic><topic>Logistic Models</topic><topic>longitudinal follow-up</topic><topic>Male</topic><topic>Massachusetts - epidemiology</topic><topic>Medical sciences</topic><topic>Mental Disorders - epidemiology</topic><topic>Miscellaneous</topic><topic>Neurological Impairments</topic><topic>Pediatrics</topic><topic>Predictor Variables</topic><topic>Proportional Hazards Models</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology</topic><topic>Psychopathology. Psychiatry</topic><topic>Risk factors</topic><topic>Smoking</topic><topic>Smoking - epidemiology</topic><topic>Substance Abuse</topic><topic>Substance abuse disorders</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>substance-use disorders</topic><topic>Teenagers</topic><topic>Tobacco smoking</topic><topic>Young Adult</topic><topic>Young Adults</topic><topic>Young people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wilens, Timothy E., M.D</creatorcontrib><creatorcontrib>Martelon, MaryKate, M.P.H</creatorcontrib><creatorcontrib>Fried, Ronna, Ed.D</creatorcontrib><creatorcontrib>Petty, Carter, M.A</creatorcontrib><creatorcontrib>Bateman, Clancey, B.A</creatorcontrib><creatorcontrib>Biederman, Joseph, M.D</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wilens, Timothy E., M.D</au><au>Martelon, MaryKate, M.P.H</au><au>Fried, Ronna, Ed.D</au><au>Petty, Carter, M.A</au><au>Bateman, Clancey, B.A</au><au>Biederman, Joseph, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ944485</ericid><atitle>Do Executive Function Deficits Predict Later Substance Use Disorders Among Adolescents and Young Adults?</atitle><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><date>2011-02-01</date><risdate>2011</risdate><volume>50</volume><issue>2</issue><spage>141</spage><epage>149</epage><pages>141-149</pages><issn>0890-8567</issn><eissn>1527-5418</eissn><coden>JAAPEE</coden><abstract>Objective There is increasing interest regarding the risk and overlap of executive function deficits (EFDs) in stable cigarette smoking and substance use disorders (SUD). Therefore, we examined whether earlier EFD was a risk factor for subsequent cigarette smoking and SUD and further explored the relationship between EFD and SUD. Method We assessed 435 subjects at the 5-year follow-up (232 subjects with attention-deficit/hyperactivity disorder [ADHD], mean age ± SD: 15.4 ± 3.43 years; and 203 controls: 16.3 ± 3.42 years) and again 4 to 5 years later as part of a prospective family study of youth with ADHD. Individuals were assessed by structured psychiatric interview for psychopathology and SUD. EFD was categorically defined in an individual who had abnormal results on at least two of six neuropsychological tests of executive functioning. Results At the final follow-up period, ADHD was found to be a significant predictor of stable cigarette smoking ( p < .01) and SUD into late adolescence and young adult years ( p < .01). However, EFDs were not associated with an increase in subsequent substance use outcomes. New-onset stable cigarette smoking, but not SUD, was associated with subsequent EFD ( p < .01). Conclusions Our results do not support the hypothesis that EFDs predicts later stable cigarette smoking or SUD in children with ADHD growing up. However, stable cigarette smoking is associated with subsequent EFD.</abstract><cop>Maryland Heights, MO</cop><pub>Elsevier Inc</pub><pmid>21241951</pmid><doi>10.1016/j.jaac.2010.11.010</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Addictive behaviors ADHD Adolescent Adolescents Adult and adolescent clinical studies At Risk Persons Attention Deficit Disorder with Hyperactivity - epidemiology Attention Deficit Hyperactivity Disorder Biological and medical sciences Case-Control Studies Child Child & adolescent psychiatry Cigarettes Cognitive Ability Cognitive Processes Comorbidity Comparative Analysis Correlation Developmental disabilities Drug use Executive Function Female Follow-Up Studies Followup Studies Humans Interviews Late Adolescents Logistic Models longitudinal follow-up Male Massachusetts - epidemiology Medical sciences Mental Disorders - epidemiology Miscellaneous Neurological Impairments Pediatrics Predictor Variables Proportional Hazards Models Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology Psychopathology. Psychiatry Risk factors Smoking Smoking - epidemiology Substance Abuse Substance abuse disorders Substance-Related Disorders - epidemiology substance-use disorders Teenagers Tobacco smoking Young Adult Young Adults Young people |
| title | Do Executive Function Deficits Predict Later Substance Use Disorders Among Adolescents and Young Adults? |
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