Aims: To examine the association between developmental trajectories of inattention, hyperactivity-impulsivity and delinquency through childhood and adolescence (ages 8-16years) and subsequent binge drinking and marijuana use in early adulthood (age 21years). Design: Prospective naturalistic follow-up of children with attention deficit/hyperactivity disorder (ADHD) previously enrolled in a randomized controlled trial (RCT). Treatment-phase assessments occurred at 3, 9 and 14 months after randomization; follow-up assessments occurred at 24 months, 36 months, and 6, 8 and 12 years after randomization. Setting: Secondary analysis of data from the Multimodal Treatment Study of ADHD (MTA), a multi-site RCT comparing the effects of careful medication management, intensive behavior therapy, their combination, and referral to usual community care. Participants: A total of 579 children with DSM-IV ADHD combined type, aged 7.0 and 9.9 years at baseline (mean=8.5, SD=0.80). Measurements: Ratings of inattention, hyperactivity-impulsivity and delinquency were collected from multiple informants at baseline and through the 8-year follow-up. Self-reports of binge drinking and marijuana use were collected at the 12-year follow-up (mean age 21years). Findings: Trajectories of worsening inattention symptoms and delinquency (and less apparent improvement in hyperactivity-impulsivity) were associated with higher rates of early adult binge drinking and marijuana use, compared with trajectories of stable or improving symptoms and delinquency (of 24 comparisons, all P-values <0.05), even when symptom levels in stable trajectories were high. Conclusions: Worsening inattention symptoms and delinquency during adolescence are were associated with higher levels of early adult substance use; this pattern may reflect a developmental course of vulnerability to elevated substance use in early adulthood.

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Keywords ADHD, Adolescence, Alcohol, Delinquency, Early adulthood, Marijuana, Trajectories
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Journal Addiction
Howard, A, Molina, B.S.G. (Brooke S. G.), Swanson, J.M. (James M.), Hinshaw, S.P. (Stephen P.), Belendiuk, K.A. (Katherine A.), Harty, S.C. (Seth C.), … Wigal, T. (Timothy). (2015). Developmental progression to early adult binge drinking and marijuana use from worsening versus stable trajectories of adolescent attention deficit/hyperactivity disorder and delinquency. Addiction, 110(5), 784–795. doi:10.1111/add.12880