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Titolo:
Is bipolar disorder a risk for cigarette smoking in ADHD youth?
Autore:
Wilens, TE; Biederman, J; Milberger, S; Hahesy, AL; Goldman, S; Wozniak, J; Spencer, TJ;
Indirizzi:
Massachusetts Gen Hosp, Pediat Psychopharmacol Unit, Clin Res Program Pediat Psychopharmacol, Boston, MA 02114 USA Massachusetts Gen Hosp Boston MA USA 02114 harmacol, Boston, MA 02114 USA Harvard Univ, Sch Med, Boston, MA USA Harvard Univ Boston MA USAHarvard Univ, Sch Med, Boston, MA USA
Titolo Testata:
AMERICAN JOURNAL ON ADDICTIONS
fascicolo: 3, volume: 9, anno: 2000,
pagine: 187 - 195
SICI:
1055-0496(200022)9:3<187:IBDARF>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
SUBSTANCE USE DISORDERS; ATTENTION-DEFICIT HYPERACTIVITY; ADULT DRUG-USE; PSYCHIATRIC-DISORDERS; NICOTINE DEPENDENCE; EARLY-ONSET; YOUNG ADULTHOOD; ALCOHOL-USE; ADOLESCENT; COMORBIDITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
61
Recensione:
Indirizzi per estratti:
Indirizzo: Wilens, TE Massachusetts Gen Hosp, Pediat Psychopharmacol Unit, Clin Res Program Pediat Psychopharmacol, ACC 725, Boston, MA 02114 USA Massachusetts Gen Hosp ACC 725 Boston MA USA 02114 MA 02114 USA
Citazione:
T.E. Wilens et al., "Is bipolar disorder a risk for cigarette smoking in ADHD youth?", AM J ADDICT, 9(3), 2000, pp. 187-195

Abstract

Despite emerging literature linking juvenile bipolar disorder (BPD) and substance abuse, little is known about a link between BPD and cigarette smoking. To this end we evaluated the association between BPD and cigarette smoking in youth. Subjects were 31 bipolar adolescents derived from a cohort ofboys with DSM-III-R ADHD (N = 128) and non-ADHD comparisons (N = 109) followed prospectively for 4 years into mid-adolescence. Information on cigarette smoking was obtained in a standardized manner blind to the proband's clinical status. Logistic regression models were used to determine risk far smoking at follow-up. BPD was associated with a higher risk for cigarette smoking in mid-adolescence, which was largely accounted for by, conduct disorder. The developmental onset of BPD in adolescence (age 13-18 years) conferred a greater risk for cigarette smoking compared to those youths with the onset of their BPD prepubertally ( less than or equal to 12 years; odds ratio = 10.8, p < 0.01), even after controlling for conduct disorder and other confounds. The naturalistic treatment of BPD with combined counseling and pharmacotherapy appeared to reduce the risk for cigarette smoking. BPD, particularly when it onsets in adolescence, is a significant risk factor for the early initiation of cigarette smoking in these A DHD youths. These data coupled with the literature strongly suggest that juveniles with BPD need tobe carefully monitored for the early initiation of cigarette smoking and substance abuse.

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Documento generato il 04/04/20 alle ore 01:54:12