Attention deficit hyperactivity disorder symptoms mediate early-onset smoking.
Eur Addict Res
; 15(1): 1-9, 2009.
Article
de En
| MEDLINE
| ID: mdl-19052457
ABSTRACT
BACKGROUND/AIMS:
Symptoms of attention deficit hyperactivity disorder (ADHD) have often been associated with early-onset smoking. We hypothesize that reductions in ADHD symptoms due to an intervention have a mediating effect on early-onset smoking.METHODS:
In a universal, school-based, randomized controlled intervention trial, we examined whether intervention-induced reductions in ADHD symptoms at age 9 mediated the reduced risk of tobacco use onset among these children at age 10 or 11 years. A sample of 477 first-grade boys and girls were randomly assigned to the Good Behavior Game intervention (n = 263), a 2-year (grades 2 and 3) universal classroom-based intervention aimed at reducing disruptive behavior problems, or to a control condition (n = 214). ADHD symptoms were assessed through teacher ratings. Early onset of tobacco use was assessed through self-report.RESULTS:
The intervention-induced reductions in ADHD symptoms fully mediated the distal effect of intervention on reductions in early-onset smoking.CONCLUSIONS:
Our results showed that programs that target ADHD symptoms may protect children from early-onset smoking as well. Further research is needed to examine pathways from ADHD symptoms to tobacco use.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Trouble déficitaire de l'attention avec hyperactivité
/
Fumer
/
Prévention du fait de fumer
Type d'étude:
Clinical_trials
/
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites:
Child
/
Female
/
Humans
/
Male
Langue:
En
Journal:
Eur Addict Res
Sujet du journal:
TRANSTORNOS RELACIONADOS COM SUBSTANCIAS
Année:
2009
Type de document:
Article
Pays d'affiliation:
Pays-Bas