Résumé
Le trouble déficit de l’attention-hyperactivité (TDAH) peut être une comorbidité psychiatrique chez les usagers de substance. Cet article a pour but d’étudier le lien entre le TDAH et les addictions. Pour cela, nous décrirons le tableau clinique du TDAH chez l’adulte et la prévalence des addictions dans cette population. Nous aborderons ensuite les modèles explicatifs qui pourraient permettre de mieux comprendre la forte intrication du TDAH et des pratiques addictives. Enfin, nous évoquerons l’influence à long terme du traitement psychostimulant chez les enfants hyperactifs et les recommandations actuelles de prise en charge des usagers de substances souffrant d’un TDAH.
Abstract
Attention deficit hyperactivity disorder (ADHD) is a common psychiatric comorbidity in substance use disorders. The aim of this article is to review the link between ADHD and addictive disorders. For this purpose, we will describe the clinical symptomatology of ADHD in adults and the prevalence of addiction in this population. We will broach the explanatory models for this comorbidity. Finally, we will evoke the long-term consequences of psychostimulant treatment in children with ADHD and the current treatment recommendations for substance users suffering from ADHD.
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Delavenne, H., Thibaut, F. Le trouble déficit de l’attention-hyperactivité et ses relations avec les conduites addictives. Psychiatr Sci Hum Neurosci 7, 116–121 (2009). https://doi.org/10.1007/s11836-009-0090-6
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DOI: https://doi.org/10.1007/s11836-009-0090-6