Eme Robert
Illinois School of Professional Psychology, Argosy University, Schaumburg Campus, 999 Plaza Drive, Schaumburg, IL 60173, USA.
ISRN Addict. 2012 Nov 28;2013:815096. doi: 10.1155/2013/815096. eCollection 2013.
Approximately, one-third of male adolescents in treatment for a substance use disorder (SUD) also have an Attention-Deficit Hyperactivity Disorder (ADHD). This strongly suggests that ADHD is a major risk factor for the development of SUD which practitioners must address if they are to provide adequate treatment for adolescents with SUD/ADHD. This paper supports a causal role for ADHD in the development of SUD and examines the developmental mechanisms whereby ADHD increases risk for SUD. These mechanisms include increased risk for conduct disorder, academic failure, deviant peer affiliation, engaging in risk behaviors, and self-medication. Assessment and treatment recommendations for those comorbid for SUD/ADHD are provided.
在接受物质使用障碍（SUD）治疗的男性青少年中，约三分之一还患有注意力缺陷多动障碍（ADHD）。这有力地表明，ADHD是SUD发展的主要风险因素，从业者若要为患有SUD/ADHD的青少年提供充分治疗，就必须解决这一问题。本文支持ADHD在SUD发展中的因果作用，并探讨ADHD增加SUD风险的发展机制。这些机制包括品行障碍风险增加、学业失败、与不良同伴交往、从事危险行为和自我用药。本文还提供了针对SUD/ADHD共病者的评估和治疗建议。
