Evidence map›Paper›PMID 26920911›Full record

ArticleBMC psychiatry2016

Adult attention deficit hyperactivity disorder symptom profiles and concurrent problems with alcohol and cannabis: sex differences in a representative, population survey.

Nathan J Kolla, Mark van der Maas, Maggie E Toplak, Patricia G Erickson, Robert E Mann, Jane Seeley, Evelyn Vingilis

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 36 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Nathan J KollaCentre for Addiction and Mental Health, Toronto, ON, Canada. nathan.kolla@mail.utoronto.ca.
Mark van der MaasCentre for Addiction and Mental Health, Toronto, ON, Canada. mark.vandermaas@utoronto.ca.
Maggie E ToplakDepartment of Psychology, York University, Toronto, ON, Canada. mtoplak@yorku.ca.
Patricia G EricksonDepartment of Sociology, University of Toronto, Toronto, ON, Canada. pat.erickson@utoronto.ca.
Robert E MannCentre for Addiction and Mental Health, Toronto, ON, Canada. robert.mann@camh.ca.
Jane SeeleyDepartment of Family Medicine, University of Western Ontario, London, ON, Canada. jsseeley@uwo.ca.
Evelyn VingilisDepartment of Family Medicine, University of Western Ontario, London, ON, Canada. evingili@uwo.ca.
Centre for Addiction and Mental Health · CAWestern University · CAPublic Health Ontario · CAUniversity of Toronto · CAYork University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdult attention deficit hyperactivity disorder (ADHD) shows a robust association with alcohol and cannabis misuse, and these relationships are expressed differently in males and females. Manifestation of specific ADHD symptom profiles, even in the absence of the full disorder, may also be related to problems with alcohol and cannabis, although these relationships have not been investigated in epidemiological studies. To address this question, we studied the sex-specific associations of ADHD symptomatology with problematic alcohol and cannabis use in a representative sample of adults aged 18 years and older residing in Ontario, Canada.

methodsData were obtained from the Centre for Addiction and Mental Health Monitor, an ongoing cross-sectional telephone survey, between January 2011 and December 2013. Respondents (n =  5080) reported on current ADHD symptomatology, measured using the Adult ADHD Self-Report Version 1.1 Screener (ASRS-V1.1) and four additional items, and alcohol and cannabis use, which were measured using the Alcohol Use Disorders Identification Test (AUDIT) and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), respectively. Logistic regression analyses were conducted in men and women to test the association of each ADHD symptom cluster (hyperactivity, inattentiveness, impulsivity) with problematic alcohol and cannabis use.

resultsAfter controlling for age, education, and comorbid internalizing and externalizing psychopathology, hyperactive symptoms were associated with problematic alcohol use in both men and women and with problematic cannabis use in men. Impulsive symptoms were independently associated with problematic cannabis use in men. By contrast, inattentive symptomatology predicted problems with alcohol and cannabis only in women. In all models, age was negatively associated with substance misuse and externalizing behavior was positively correlated and the strongest predictor of hazardous alcohol and cannabis use.

conclusionsADHD symptom expression in adulthood is related to concurrent hazardous use of alcohol and cannabis. Distinctive ADHD symptom profiles may confer increased risk for substance misuse in a sex-specific manner.

Indexed as

CannabisAdultAlcohol DrinkingAttention Deficit Disorder with HyperactivityComorbidityCross-Sectional StudiesFemaleHumansMaleMarijuana AbuseMiddle AgedOntarioSelf ReportSex DistributionSubstance-Related Disorders

Identifiers

PMID26920911
PMCPMC4769555
OpenAlexW2286572722

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.