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Abstract

第115巻第6号

Drug Abuse/dependence and Developmental Disorder:Clinical Features of Drug Abusers with Attention—deficit/hyperactivity Disorder
Toshihiko MATSUMOTO
Department of Drug Dependence Research/Center for Suicide Prevention, National Institute of Mental Health, National Center of Neurology and Psychiatry
Psychiatria et Neurologia Japonica 115: 642-651, 2013

 In this paper, we review Western studies on the prevalence of comorbid attention‒deficit/hyperactivity disorder(AD/HD)in individuals with drug abuse/dependence, and the associations of drug abuse/dependence with AD/HD. Additionally, we introduce our studies on the associations between adulthood drug abuse/dependence and the childhood AD/HD tendency in Japan, using a self‒rating questionnaire to assess childhood AD/HD tendencies, the Japanese version of the Wender Utah Rating Scale.
 Our studies suggested that, while adulthood drug abuse/dependence may be closely associated with the childhood AD/HD tendency, as many Western studies have indicated, the abused substances most commonly chosen by drug abusers with a childhood AD/HD tendency were not methamphetamines but organic solvents, unlike in several Western studies. Our results did not support the findings of some Western studies:“preferences to choose a stimulant as“self‒medication”to directly improve AD/HD symptoms. However, organic solvents appeared to be chosen as“self‒medication”to cope with secondary/peripheral symptoms derived from AD/HD.

Keywords:drug dependence, drug abuse, attention‒deficit/hyperactivity disorder(AD/HD), Wender Utah Rating Scale, self‒medication hypothesis>
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