ADHD & Addiction: Prevalence, diagnostic assessment and treatment of ADHD in substance use disorder patients

Katelijne van Emmerik-van Oortmerssen

ADHD & Addiction: Prevalence, diagnostic assessment and treatment of ADHD in substance use disorder patients

Katelijne van Emmerik-van Oortmerssen

Research output: Thesis › Thesis fully internal (DIV)

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Abstract

Substance use disorders (SUD) are one of the leading causes of health problems worldwide. Many addicted patients suffer from additional psychiatric disorders, with an adverse effect on treatment.
This thesis focusses on the presence of ADHD in patients with substance use disorders. First, the prevalence of ADHD in SUD patients is investigated. A meta-analysis and a large international study conclude that the ADHD prevalence is generally high (on average one out of every five SUD patients have ADHD) but differs, depending on for example country and substance of abuse. Moreover, results show that SUD patients with ADHD often suffer from additional psychiatric disorders such as personality disorders and mood disorders.
Next, an integrated treatment with cognitive behavioral therapy (CBT) for both SUD and ADHD is presented. This treatment is especially developed for SUD patients who also suffer from ADHD. It consists of standard addiction treatment, combined with sessions aimed at ADHD treatment in which for example planning skills are trained. In a randomized trial, the integrated treatment is compared to standard CBT for addiction. Results of this study show that the integrated treatment is superior to standard CBT for SUD with regard to the effect on ADHD symptoms. Both treatments are equally effective with regard to the effect on substance use.

Translated title of the contribution	ADHD en Verslaving: De prevalentie, diagnostiek en behandeling van ADHD bij mensen met een verslaving
Original language	English
Qualification	Doctor of Philosophy
Awarding Institution	University of Groningen
Supervisors/Advisors	Schoevers, Robert, Supervisor van den Brink, Wim, Supervisor, External person Vedel, Ellen, Co-supervisor, External person
Award date	20-Jun-2018
Place of Publication	[Groningen]
Publisher	Rijksuniversiteit Groningen
Print ISBNs	978-94-034-0662-6
Electronic ISBNs	978-94-034-0661-9
Publication status	Published - 2018

Access to Document

Title and contentsFinal publisher's version, 233 KB
Chapter 1Final publisher's version, 140 KB
Chapter 2Final publisher's version, 300 KB
Chapter 3Final publisher's version, 803 KB
Chapter 4Final publisher's version, 853 KB
Chapter 5Final publisher's version, 855 KB
Chapter 6Final publisher's version, 978 KB
Chapter 7Final publisher's version, 1.06 MB
Chapter 8Final publisher's version, 821 KB
Chapter 9Final publisher's version, 1.31 MB
Chapter 10Final publisher's version, 670 KB
Chapter 11Final publisher's version, 1.33 MB
Chapter 12Final publisher's version, 1.88 MB
SamenvattingFinal publisher's version, 558 KB
DankwoordFinal publisher's version, 353 KB
List of publicationsFinal publisher's version, 389 KB
About the authorFinal publisher's version, 205 KB
Complete thesisFinal publisher's version, 1.94 MB
PropositionsFinal publisher's version, 36.9 KB

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Cite this

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title = "ADHD & Addiction: Prevalence, diagnostic assessment and treatment of ADHD in substance use disorder patients",

abstract = "Substance use disorders (SUD) are one of the leading causes of health problems worldwide. Many addicted patients suffer from additional psychiatric disorders, with an adverse effect on treatment. This thesis focusses on the presence of ADHD in patients with substance use disorders. First, the prevalence of ADHD in SUD patients is investigated. A meta-analysis and a large international study conclude that the ADHD prevalence is generally high (on average one out of every five SUD patients have ADHD) but differs, depending on for example country and substance of abuse. Moreover, results show that SUD patients with ADHD often suffer from additional psychiatric disorders such as personality disorders and mood disorders. Next, an integrated treatment with cognitive behavioral therapy (CBT) for both SUD and ADHD is presented. This treatment is especially developed for SUD patients who also suffer from ADHD. It consists of standard addiction treatment, combined with sessions aimed at ADHD treatment in which for example planning skills are trained. In a randomized trial, the integrated treatment is compared to standard CBT for addiction. Results of this study show that the integrated treatment is superior to standard CBT for SUD with regard to the effect on ADHD symptoms. Both treatments are equally effective with regard to the effect on substance use.",

author = "{van Emmerik-van Oortmerssen}, Katelijne",

year = "2018",

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isbn = "978-94-034-0662-6",

publisher = "Rijksuniversiteit Groningen",

school = "University of Groningen",

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TY - BOOK

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T2 - Prevalence, diagnostic assessment and treatment of ADHD in substance use disorder patients

AU - van Emmerik-van Oortmerssen, Katelijne

PY - 2018

Y1 - 2018

N2 - Substance use disorders (SUD) are one of the leading causes of health problems worldwide. Many addicted patients suffer from additional psychiatric disorders, with an adverse effect on treatment. This thesis focusses on the presence of ADHD in patients with substance use disorders. First, the prevalence of ADHD in SUD patients is investigated. A meta-analysis and a large international study conclude that the ADHD prevalence is generally high (on average one out of every five SUD patients have ADHD) but differs, depending on for example country and substance of abuse. Moreover, results show that SUD patients with ADHD often suffer from additional psychiatric disorders such as personality disorders and mood disorders. Next, an integrated treatment with cognitive behavioral therapy (CBT) for both SUD and ADHD is presented. This treatment is especially developed for SUD patients who also suffer from ADHD. It consists of standard addiction treatment, combined with sessions aimed at ADHD treatment in which for example planning skills are trained. In a randomized trial, the integrated treatment is compared to standard CBT for addiction. Results of this study show that the integrated treatment is superior to standard CBT for SUD with regard to the effect on ADHD symptoms. Both treatments are equally effective with regard to the effect on substance use.

AB - Substance use disorders (SUD) are one of the leading causes of health problems worldwide. Many addicted patients suffer from additional psychiatric disorders, with an adverse effect on treatment. This thesis focusses on the presence of ADHD in patients with substance use disorders. First, the prevalence of ADHD in SUD patients is investigated. A meta-analysis and a large international study conclude that the ADHD prevalence is generally high (on average one out of every five SUD patients have ADHD) but differs, depending on for example country and substance of abuse. Moreover, results show that SUD patients with ADHD often suffer from additional psychiatric disorders such as personality disorders and mood disorders. Next, an integrated treatment with cognitive behavioral therapy (CBT) for both SUD and ADHD is presented. This treatment is especially developed for SUD patients who also suffer from ADHD. It consists of standard addiction treatment, combined with sessions aimed at ADHD treatment in which for example planning skills are trained. In a randomized trial, the integrated treatment is compared to standard CBT for addiction. Results of this study show that the integrated treatment is superior to standard CBT for SUD with regard to the effect on ADHD symptoms. Both treatments are equally effective with regard to the effect on substance use.

M3 - Thesis fully internal (DIV)

SN - 978-94-034-0662-6

PB - Rijksuniversiteit Groningen

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ER -