• 作者：E. Ochoa-Mangado^a ; ^{eochoa.hrc@gmail.com} ; A. Madoz-Gú ; rpide^b ; I. Villacieros-Durbá ; n^a ; P. Llama-Sierra^a ; J.L. Sancho-Acero^a
• 关键词：Cannabis ; Alcohol ; Trastorno por dé ; ficit de atenció ; n e hiperactividad (TDAH) ; Adolescentes
• 刊名：Trastornos Adictivos
• 出版年：2010
• 期刊代码：pca396_15750973
• 类别：psy
• 出版时间：April-June 2010
• 卷：12
• 期：2
• 页码：79-86
• 文件大小：156 K

Introduction

The relationship between substance use and attention deficit and hyperactivity disorder (ADHD) is considered increasingly important among adolescents and youth.

Objetives

The aim of this study is to assess ADHD in adolescent and young people treated in the Program for Adolescents and Families by 鈥淧royecto Hombre鈥?organization (Madrid, Spain).

Material and methods

We have included 223 adolescent and young people (75%male) treated in the Program for Adolescents and Families from 2006 to April 2009. The psychiatric evaluation is conducted of adolescents with psychiatric history, treatment with psychotropic drugs or psychiatric symptoms suggesting.

Results

Of the total sample, 15 adolescents (all boys) were diagnosed with ADHD comorbid disorder (6.72%of all the sample). These adolescents consumed mainly cannabis, and less alcohol and/or cocaine. The diagnosis of ADHD was held prior to substance use in 13 of them; 11 had received any specific drug treatment (only three at the time of evaluation; four had left voluntarily, and in four cases the treatment had been retired). During therapeutic programme, 14 of them receive specific drug treatment for ADHD.

Conclusions

Patients with ADHD and substance misuse are more serious, with more important behavioural alterations, and with special difficulties in the treatment. This way, it is important to take special care and to improve the adherence, especially during the first months in the therapeutic program. In addition it's necessary to treat adequately the ADHD.