Attention deficit and hyperactivity disorder in children and adolescents admitted to a center for treatment of addictions

Authors

  • Prof. Dr. Julio Torales Prof. Dr. Julio Torales Departamento de Psiquiatría de la Infancia y la Adolescencia, Facultad de Ciencias Médicas, Universidad Nacional de Asunción
  • V Riego Departamento de Psiquiatría de la Infancia y la Adolescencia, Facultad de Ciencias Médicas, Universidad Nacional de Asunción
  • E Chávez Departamento de Psiquiatría de la Infancia y la Adolescencia, Facultad de Ciencias Médicas, Universidad Nacional de Asunción
  • J Villalba Departamento de Psiquiatría de la Infancia y la Adolescencia, Facultad de Ciencias Médicas, Universidad Nacional de Asunción
  • C Ruiz Díaz Departamento de Psiquiatría de la Infancia y la Adolescencia, Facultad de Ciencias Médicas, Universidad Nacional de Asunción
  • H Rodríguez Departamento de Psiquiatría de la Infancia y la Adolescencia, Facultad de Ciencias Médicas, Universidad Nacional de Asunción
  • A Arce Departamento de Psiquiatría de la Infancia y la Adolescencia, Facultad de Ciencias Médicas, Universidad Nacional de Asunción

DOI:

https://doi.org/10.18004/

Keywords:

attention deficit, hyperactivity, substance abuse, children and adolescents, Paraguay

Abstract

Introduction: Attention deficit and hyperactivity disorder is the most common psychiatric disorder in school age and multiple studies have shown that it is an independent risk factor for developing abuse or dependence on nicotine, alcohol or other substances. The main objective of this research is to determine the frequency of this disorder and other externalizing disorders in children and adolescents admitted to a referral center, and the impact of these diseases on schooling and early onset of substance use, characterization of addictive behaviors and patient profile. Subjects and Methods: This was an observational, cross-sectional descriptive study. The medical records of all children and adolescents admitted to a referral center during the months of June and July 2013 were analyzed, all of them diagnosed with substance-use disorder. Structured interviews were carry out, for the diagnoses of attention deficit and hyperactivity disorder and externalizing disorders. Results: The presence of comorbid attention deficit and hyperactivity disorder in 40% of the patients was determined; and comorbidity with antisocial disorder was found in 95% patients. Patients with attention deficit and hyperactivity disorder presented themselves with more difficulties in schooling and early onset of substance abuse. Conclusion: Attention deficit and hyperactivity disorder is often minimized in its symptoms and mainly in the possible negative consequences for the patients; if the diagnosis is not done in an early way, it would not be possible to stablish a good therapeutic approach for the child and adolescent.

References

1. Arce Ramírez A, Torales Benítez J, Riego Meyer V, Chávez ME. Psiquiatría de la Infancia y la Adolescencia. En: Arce Ramírez A, Torales Benítez J, editores. El Libro Azul de la Psiquiatría. 1ª ed. Asunción: EFACIM; 2012. p. 239-272.

2. Riego Meyer V, Arce Ramírez A, Chávez ME, Recalde Berni S, Fernández P. Estudio piloto sobre la prevalencia de patología dual en niños y adolescentes internados en la Unidad de Desintoxicación Programada del Centro Nacional de Control de Adicciones de Asunción, Paraguay. Revista Paraguaya de Psiquiatría. Mayo 2013; 1 (1): 24-31.

3. Soutullo Esperón E. Guía Esencial de Psicofarmacología del Niño y del Adolescente. 1ª ed. Madrid: Médica Panamericana; 2011.

4. Martínez-Raga J, Knecht K. Patología Dual: Protocolos de intervención de TDAH. 1ª ed. Madrid: Sociedad Española de Patología Dual; 2012.

5. Upadhyaya HP. Management attention-deficit/hyperactivity disorder in the presence of substance use disorder. J Clin Psychiatry. 2007; 68 (11): 23-30.

6. Kessler RC, Chiu WT, Demler O, Merikangas KR, Walters EE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005; 62(6): 617-627.

7. Fayyad J, De Graaf R, Kessler R. et al. Cross-national prevalence and correlates of adult attention-deficit disorder. Br J Psychiatry. 2007; 190(5): 402-409.

8. Kollins SH. A cualitative review of issues arising in the use of stimulant medications in patients with TDAH and substance use disorders comorbid. Curr Med Res Opin. 2008; 5:1345-57.

9. Brook DW, Brook JS, Zang C, Koppel J. Association between attention-deficit/hyperactivity disorder in adolescence and substance use disorders in adulthood. Arch Pediatr Adolec Med. 2010; 164(10): 930-4.

10. Elkins J, McGue J. Potential effects of attention deficit hyperactivity disorder, conduct disorder, and sex on adolescent substance use and abuse. Arch Gen Psychiatry. 2007; 64(10): 1145-52.

11. De la Peña-Olvera FR. Multisitemic therapy of adolescents with conduct disorder. Salud Publica Mex. 2003; 1: 124-131.

12. Hodgins S. Consulting for substance abuse: mental disorders among adolescents and their parents. Nord J Psychiatry. 2007; 61(5): 379-86.

13. Murphy KR, Barkley RA, Bush T. Young adults with hyperactivity disorder and attention deficit: subtype differences in comorbidity, educational and clinical history. J Nerv Ment Dis, 2002; 190 (3): 147-57.Rohde P, Lewinsohn PM, Seeley JR. Psychosocial functioning of adults who experienced substance use disorders as adolescents. Psychol Addicct Behav, 2007; 21(2): 155-64.

14. Suelves JM, Sánchez M. Comportamiento antisocial y uso de drogas: implicaciones para la prevención. Anales de Psiquiatría. 2008; 24 (6): 258-263.

15. Saldaña L, Smith DK, Weber E. Adolescent Onset of the Mother of abused substances: The descriptive results of a feasibility trial.J Child Adolesc abuso Subst. 2012; 22(5): 407-20.

16. Solis JM, Shadur JM, Burns AR. Understand the various needs of children whose parents abuse substances. Curr Abuso de Drogas Rev. 2012; 5(2): 135-47.

17. Wilson CS, Bennett ME, Bellack C. Impact of Family History in people with dual diagnosis.J Dual Journal. 2013; 9(1): 30-8.

18. Wainberg AW, Rueff-Escoubès C, Aranzábal AB, Iruretagoyena A, García U. La atención de la desatención: una mirada crítica sobre el TDAH. Cuadernos de psicomotricidad 2012: 43: 7-14.

Downloads

Published

2026-10-29

How to Cite

Attention deficit and hyperactivity disorder in children and adolescents admitted to a center for treatment of addictions. (2026). Anales of the Faculty of Medical Sciences, 47(2), 33-39. https://doi.org/10.18004/