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

John T. Mitchell; Thomas S. Weisner; Peter S. Jensen; Desiree W. Murray; Brooke S.G. Molina; L. Eugene Arnold; Lily Hechtman; James M. Swanson; Stephen P. Hinshaw; Elizabeth C. Victor; Scott H. Kollins; Karen C. Wells; Katherine A. Belendiuk; Andrew Blonde; Celeste Nguyen; Lizeth Ambriz; Jenny L. Nguyen

doi:10.1177/1087054716685842

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

John T. Mitchell, Thomas S. Weisner, Peter S. Jensen, Desiree W. Murray, Brooke S.G. Molina, L. Eugene Arnold, Lily Hechtman, James M. Swanson, Stephen P. Hinshaw, Elizabeth C. Victor, Scott H. Kollins, Karen C. Wells, Katherine A. Belendiuk, Andrew Blonde, Celeste Nguyen, Lizeth Ambriz, Jenny L. Nguyen

Research output: Contribution to journal › Article › peer-review

20 Scopus citations

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.

Original language	English (US)
Pages (from-to)	49S-60S
Journal	Journal of Attention Disorders
Volume	22
Issue number	9_suppl
DOIs	https://doi.org/10.1177/1087054716685842
State	Published - Jul 1 2018

Keywords

ADHD
MTA study
qualitative research
substance use

ASJC Scopus subject areas

Developmental and Educational Psychology
Clinical Psychology

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10.1177/1087054716685842

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Mitchell, J. T., Weisner, T. S., Jensen, P. S., Murray, D. W., Molina, B. S. G., Arnold, L. E., Hechtman, L., Swanson, J. M., Hinshaw, S. P., Victor, E. C., Kollins, S. H., Wells, K. C., Belendiuk, K. A., Blonde, A., Nguyen, C., Ambriz, L., & Nguyen, J. L. (2018). How Substance Users With ADHD Perceive the Relationship Between Substance Use and Emotional Functioning. Journal of Attention Disorders, 22(9_suppl), 49S-60S. https://doi.org/10.1177/1087054716685842

Mitchell, JT, Weisner, TS, Jensen, PS, Murray, DW, Molina, BSG, Arnold, LE, Hechtman, L, Swanson, JM, Hinshaw, SP, Victor, EC, Kollins, SH, Wells, KC, Belendiuk, KA, Blonde, A, Nguyen, C, Ambriz, L & Nguyen, JL 2018, 'How Substance Users With ADHD Perceive the Relationship Between Substance Use and Emotional Functioning', Journal of Attention Disorders, vol. 22, no. 9_suppl, pp. 49S-60S. https://doi.org/10.1177/1087054716685842

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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.",

keywords = "ADHD, MTA study, qualitative research, substance use",

author = "Mitchell, {John T.} and Weisner, {Thomas S.} and Jensen, {Peter S.} and Murray, {Desiree W.} and Molina, {Brooke S.G.} and Arnold, {L. Eugene} and Lily Hechtman and Swanson, {James M.} and Hinshaw, {Stephen P.} and Victor, {Elizabeth C.} and Kollins, {Scott H.} and Wells, {Karen C.} and Belendiuk, {Katherine A.} and Andrew Blonde and Celeste Nguyen and Lizeth Ambriz and Nguyen, {Jenny L.}",

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AU - Mitchell, John T.

AU - Weisner, Thomas S.

AU - Jensen, Peter S.

AU - Murray, Desiree W.

AU - Molina, Brooke S.G.

AU - Arnold, L. Eugene

AU - Hechtman, Lily

AU - Swanson, James M.

AU - Hinshaw, Stephen P.

AU - Victor, Elizabeth C.

AU - Kollins, Scott H.

AU - Wells, Karen C.

AU - Belendiuk, Katherine A.

AU - Blonde, Andrew

AU - Nguyen, Celeste

AU - Ambriz, Lizeth

AU - Nguyen, Jenny L.

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N2 - 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.

AB - 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.

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

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Keywords

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