Peter S Jensen1, Kumi Yuki2, Desiree Murray3, John T Mitchell4, Thomas Weisner5, Steven Hinshaw6, Brooke Molina7, James Swanson8, L Eugene Arnold9, Lily Hechtman10, Karen Wells4. 1. 1 University of Arkansas for Medical Science, Little Rock, USA. 2. 2 Reach Institute, New York, NY, USA. 3. 3 University of North Carolina, Chapel Hill, USA. 4. 4 Duke University, Durham, NC, USA. 5. 5 University of California, Los Angeles, USA. 6. 6 University of California, Berkeley, USA. 7. 7 University of Pittsburgh, PA, USA. 8. 8 University of California, Irvine, USA. 9. 9 Ohio State University, Columbus, USA. 10. 10 McGill University, Montreal, Quebec, Canada.
Abstract
OBJECTIVE: This study examines the behavior beliefs, social supports, and turning points in individuals with/without ADHD related to their substance use/abuse (SU/A) decisions. METHOD: The coded interviews from 60 participants with/without ADHD were compared for their SU/A decisions and precipitants with these decisions among abstainers, persisters, and desisters. RESULTS: ADHD participants reported fewer social advantages to avoid SU/A than non-ADHD participants. Desisters and persisters reported more social advantages of using drugs than abstainers. Persisters reported both more negative and positive psychological/physiological effects of SU/A. ADHD participants reported fewer positive role models in their lives. Non-ADHD patients reported more positive turning points than ADHD participants, regardless of SU/A status. CONCLUSION: ADHD individuals face challenges in making healthy decisions about SU/A due to lack of positive role models. Reinforcing accurate behavioral beliefs may be important to change behaviors in individuals with SU/A or to prevent SU/A initiation in ADHD individuals.
OBJECTIVE: This study examines the behavior beliefs, social supports, and turning points in individuals with/without ADHD related to their substance use/abuse (SU/A) decisions. METHOD: The coded interviews from 60 participants with/without ADHD were compared for their SU/A decisions and precipitants with these decisions among abstainers, persisters, and desisters. RESULTS:ADHDparticipants reported fewer social advantages to avoid SU/A than non-ADHDparticipants. Desisters and persisters reported more social advantages of using drugs than abstainers. Persisters reported both more negative and positive psychological/physiological effects of SU/A. ADHDparticipants reported fewer positive role models in their lives. Non-ADHDpatients reported more positive turning points than ADHDparticipants, regardless of SU/A status. CONCLUSION:ADHD individuals face challenges in making healthy decisions about SU/A due to lack of positive role models. Reinforcing accurate behavioral beliefs may be important to change behaviors in individuals with SU/A or to prevent SU/A initiation in ADHD individuals.
Entities:
Keywords:
ADHD; decision-making; mixed methods; self-efficacy; stages of change; substance use; theory of reasoned action; turning points; unified theory of behavior
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