How Substance Users With ADHD Perceive the Relationship Between Substance Use and Emotional Functioning

Author:

Mitchell John T.1,Weisner Thomas S.2,Jensen Peter S.34,Murray Desiree W.15,Molina Brooke S. G.6,Arnold L. Eugene7,Hechtman Lily8,Swanson James M.9,Hinshaw Stephen P.1011,Victor Elizabeth C.1,Kollins Scott H.1,Wells Karen C.1,Belendiuk Katherine A.10,Blonde Andrew1,Nguyen Celeste9,Ambriz Lizeth2,Nguyen Jenny L.9

Affiliation:

1. Duke University Medical Center, Durham, NC, USA

2. University of California, Los Angeles, USA

3. University of Arkansas for Medical Sciences, Little Rock, AR, USA

4. Reach Institute, New York, NY, USA

5. University of North Carolina at Chapel Hill, USA

6. University of Pittsburgh, PA, USA

7. Ohio State University, Columbus, USA

8. McGill University Health Centre, Montreal, Quebec, Canada

9. University of California, Irvine, USA

10. University of California, Berkeley, USA

11. University of California, San Francisco, USA

Abstract

Objective: Although substance use (SU) is elevated in ADHD and both are associated with disrupted emotional functioning, little is known about how emotions and SU interact in ADHD. We used a mixed qualitative–quantitative approach to explore this relationship. Method: Narrative comments were coded for 67 persistent (50 ADHD, 17 local normative comparison group [LNCG]) and 25 desistent (20 ADHD, 5 LNCG) substance users from the Multimodal Treatment Study of Children with ADHD (MTA) adult follow-up (21.7-26.7 years-old). Results: SU persisters perceived SU positively affects emotional states and positive emotional effects outweigh negative effects. No ADHD group effects emerged. Qualitative analysis identified perceptions that cannabis enhanced positive mood for ADHD and LNCG SU persisters, and improved negative mood and ADHD for ADHD SU persisters. Conclusion: Perceptions about SU broadly and mood do not differentiate ADHD and non-ADHD SU persisters. However, perceptions that cannabis is therapeutic may inform ADHD-related risk for cannabis use.

Funder

National Institute on Drug Abuse

Publisher

SAGE Publications

Subject

Clinical Psychology,Developmental and Educational Psychology

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