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No Evidence That Substance Use Causes ADHD Symptoms in Adolescence

Accepted version
Peer-reviewed

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Article

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Authors

Murray, AL 
Obsuth, I 
Ribeaud, D 

Abstract

There is a robust association between attention-deficit hyperactivity disorder (ADHD) symptoms and elevated substance use. Several plausible causal pathways from ADHD to substance use have been articulated and supported empirically. In this study, we tested the recent suggestion that substance use could also influence levels of ADHD symptoms. Using the three most recent waves of data from the Zurich Project on the Social Development of Children and Youth (z-proso), we found significant and strong cross-lagged effects of ADHD symptoms on substance use but no significant effects in the opposite direction. This suggests that individual differences in substance use are not related to increases in ADHD symptoms in adolescence. Adolescent-onset symptoms of ADHD are thus unlikely to be caused by substance use, and targeting substance use problems is unlikely to reduce ADHD symptoms.

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Keywords

substance use, ADHD, adolescence

Journal Title

Journal of Drug Issues

Conference Name

Journal ISSN

0022-0426
1945-1369

Volume Title

Publisher

SAGE Publications
Sponsorship
Swiss National Science Foundation (116829)
Funding from the Jacobs Foundation (Grant 2010-888) and the Swiss National Science Foundation (Grants 100013_116829 & 100014_132124) is gratefully acknowledged.