Cigarette Smoking Associated with Attention Deficit Hyperactivity Disorder

Overview

Journal J Pediatr

Specialty Pediatrics

Date 2008 Jun 7

PMID 18534619

Citations 43

Authors

Timothy E Wilens

Michael Vitulano

Himanshu Upadhyaya

Joel Adamson

Robert Sawtelle

Linsey Utzinger

Joseph Biederman

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate the association between attention deficit hyperactivity disorder (ADHD) and severity of physical dependence on nicotine in a controlled study of adolescents and young adults with ADHD.

Study Design: In controlled longitudinal family studies of ADHD, we examined self-reports on the modified Fagerström Tolerance Questionnaire (mFTQ) for degrees of physical dependence on nicotine.

Results: We obtained mFTQ data from 80 ADHD probands and 86 control probands (mean age, 19.2 years). The smokers with ADHD had significantly higher scores on the mFTQ, indicative of more severe physical dependence on nicotine. Similarly, in current smokers, a positive linear relationship was found between mFTQ score and both inattentive and hyperactive ADHD symptoms. Environmental factors, such as current parental smoking, peer smoking, and living with a smoker, all increased the risk for smoking in those with ADHD compared with controls.

Conclusion: Male and female smokers with ADHD manifest more severe physical dependence on smoking compared with controls. Important environmental factors appear to add to the risk of smoking associated with ADHD.

Citing Articles

Attention-Deficit/Hyperactivity Disorder Symptoms and Later E-Cigarette and Tobacco Use in US Youths.

McCabe S, Pasman E, Wilens T, Boyd C, Veliz P, McCabe V JAMA Netw Open. 2025; 8(2):e2458834.

PMID: 39932711 PMC: 11815522. DOI: 10.1001/jamanetworkopen.2024.58834.

Development of a Personalized Tobacco Cessation Intervention Package (PTCIP) for Persons with Schizophrenia in India.

Rajalu B, Jayarajan D, Muliyala K, Sharma P, Gandhi S, Chand P Indian J Psychol Med. 2023; 45(2):132-138.

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A phenome-wide association study of polygenic scores for attention deficit hyperactivity disorder across two genetic ancestries in electronic health record data.

Niarchou M, Sealock J, Straub P, Sanchez-Roige S, Sutcliffe J, Davis L Am J Med Genet B Neuropsychiatr Genet. 2022; 189(6):185-195.

PMID: 35841203 PMC: 9378640. DOI: 10.1002/ajmg.b.32911.

Association between e-cigarette use and parents' report of attention deficit hyperactivity disorder among US youth.

Kaplan B, Marcell A, Kaplan T, Cohen J Tob Induc Dis. 2021; 19:44.

PMID: 34140843 PMC: 8176894. DOI: 10.18332/tid/136031.

ADHD and Bipolar Disorder in Adulthood: Clinical and Treatment Implications.

Salvi V, Ribuoli E, Servasi M, Orsolini L, Volpe U Medicina (Kaunas). 2021; 57(5).

PMID: 34068605 PMC: 8151516. DOI: 10.3390/medicina57050466.

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