Cocaine Abuse and Attention-Deficit Hyperactivity Disorder: Implications of Adult Symptomatology

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Forty-three men between the ages of 18 and 48, in treatmentfor cocaine abuse or dependence, were evaluated for history ofchildhood attention-deficit hyperactivity disorder (ADHD) and adultsymptoms (residual state). Participants completed a quantitativecocaine history and an interview designed to explore subjectivecocaine experience. High ADHD scores were significantly correlatedwith high gram use of cocaine, r(41) = .37, p < .05, and with negative affectiveresponses associated with cocaine use, r(41) =−.62, p < .001. Participants withhigh ADHD scores also reported more use of cocaine forself-medication, r(41) = .42, p < .01, and higher degrees of craving and sleeplessnessduring the month before entering treatment, r(41) = .31, p < .05 and r(41) = .32, p < .05, respectively. The results demonstrate that ADHD, residual state, mayneed to be considered as an added focus of treatment for cocainedependence among patients with adult symptomatology.

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