Treatments for Adolescents With Comorbid ADHD and Substance Use Disorder: A Systematic Review

被引:16
作者
Zaso, Michelle J. [1 ]
Park, Aesoon [2 ]
Antshel, Kevin M. [3 ,4 ]
机构
[1] Syracuse Univ, Clin Psychol Program, Syracuse, NY 1 USA
[2] Syracuse Univ, Syracuse, NY USA
[3] Syracuse Univ, Psychol, Syracuse, NY USA
[4] Syracuse Univ, Clin Psychol, Syracuse, NY USA
基金
美国国家卫生研究院;
关键词
ADHD; substance-related disorders; treatment; adolescents; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DEFICIT HYPERACTIVITY DISORDER; OSMOTIC-RELEASE METHYLPHENIDATE; COGNITIVE-BEHAVIORAL THERAPY; RANDOMIZED CONTROLLED-TRIAL; OROS METHYLPHENIDATE; IMMEDIATE-RELEASE; COLLEGE-STUDENTS; CONDUCT DISORDER; DRUG PROBLEMS;
D O I
10.1177/1087054715569280
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: Comorbid ADHD and substance use disorder (SUD) presents frequently in adolescence, a developmental period that may promote the emergence of substance misuse among individuals with ADHD. Comorbid ADHD and SUD in adolescence results in significant and unique treatment challenges, necessitating examination into effective interventions. Method: This systematic review examined existing research into the treatment of comorbid adolescent ADHD and SUD. Results: Findings from a small number of pharmacological intervention studies suggest potential efficacy of extended-release stimulant and nonstimulant medications. Efficacy of psychotherapeutic interventions has not been systematically examined. Conclusion: Current research on treatments for comorbid ADHD and SUD in adolescence is limited. Future placebo-controlled clinical trials using large samples are needed to examine the efficacy of psychotherapeutic interventions, the heightened risk of prescription stimulant misuse, and the long-term maintenance of treatment gains in this population. Clinical guidelines for the treatment of comorbid ADHD and SUD are discussed.
引用
收藏
页码:1215 / 1226
页数:12
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