Attention-Deficit Hyperactivity Disorder (ADHD) symptoms and smoking patterns among participants in a smoking-cessation program

Caryn Lerman, Janet Audrain, Kenneth Tercyak, Larry W. Hawk, Angelita Bush, Susan Crystal-Mansour, Christine Rose, Raymond Niaura, Leonard H. Epstein

Research output: Contribution to journalArticle

Abstract

Previous research has suggested an increased liability to smoking among individuals with Attention-Deficit Hyperactivity Disorder (ADHD). This link is thought to be attributable, in part, to nicotine's beneficial effects on attention and performance. In the present study, we examined the association of ADHD symptoms of inattention and hyperactivity with smoking behavior in a sample of 226 male and female smokers ages 18 and older who were enrolled in a smoking-cessation program. Prior to treatment, they completed measures of ADHD symptoms and standardized measures of smoking patterns. Hierarchical linear regression models were used to characterize the smoking patterns associated with ADHD inattention and hyperactivity symptoms, controlling for potential confounder variables. Smoking for stimulation purposes and the urge to smoke to minimize withdrawal symptoms were the primary patterns associated with ADHD inattention symptoms, while hyperactivity symptoms were not associated with smoking patterns. Consistent with a self-medication hypothesis, these results suggest that smokers with frequent symptoms of inattention may use nicotine as a stimulant drug to help manage these symptoms. Future studies of the role of inattention symptoms in response to smoking treatment are warranted.

Original languageEnglish (US)
Pages (from-to)353-359
Number of pages7
JournalNicotine and Tobacco Research
Volume3
Issue number4
DOIs
StatePublished - 2001

Fingerprint

Smoking Cessation
Attention Deficit Disorder with Hyperactivity
Smoking
Nicotine
Linear Models
Self Medication
Substance Withdrawal Syndrome
Smoke
Therapeutics
Research
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Attention-Deficit Hyperactivity Disorder (ADHD) symptoms and smoking patterns among participants in a smoking-cessation program. / Lerman, Caryn; Audrain, Janet; Tercyak, Kenneth; Hawk, Larry W.; Bush, Angelita; Crystal-Mansour, Susan; Rose, Christine; Niaura, Raymond; Epstein, Leonard H.

In: Nicotine and Tobacco Research, Vol. 3, No. 4, 2001, p. 353-359.

Research output: Contribution to journalArticle

Lerman, Caryn ; Audrain, Janet ; Tercyak, Kenneth ; Hawk, Larry W. ; Bush, Angelita ; Crystal-Mansour, Susan ; Rose, Christine ; Niaura, Raymond ; Epstein, Leonard H. / Attention-Deficit Hyperactivity Disorder (ADHD) symptoms and smoking patterns among participants in a smoking-cessation program. In: Nicotine and Tobacco Research. 2001 ; Vol. 3, No. 4. pp. 353-359.
@article{a0176610e3164db3afbd96a3b073ad9d,
title = "Attention-Deficit Hyperactivity Disorder (ADHD) symptoms and smoking patterns among participants in a smoking-cessation program",
abstract = "Previous research has suggested an increased liability to smoking among individuals with Attention-Deficit Hyperactivity Disorder (ADHD). This link is thought to be attributable, in part, to nicotine's beneficial effects on attention and performance. In the present study, we examined the association of ADHD symptoms of inattention and hyperactivity with smoking behavior in a sample of 226 male and female smokers ages 18 and older who were enrolled in a smoking-cessation program. Prior to treatment, they completed measures of ADHD symptoms and standardized measures of smoking patterns. Hierarchical linear regression models were used to characterize the smoking patterns associated with ADHD inattention and hyperactivity symptoms, controlling for potential confounder variables. Smoking for stimulation purposes and the urge to smoke to minimize withdrawal symptoms were the primary patterns associated with ADHD inattention symptoms, while hyperactivity symptoms were not associated with smoking patterns. Consistent with a self-medication hypothesis, these results suggest that smokers with frequent symptoms of inattention may use nicotine as a stimulant drug to help manage these symptoms. Future studies of the role of inattention symptoms in response to smoking treatment are warranted.",
author = "Caryn Lerman and Janet Audrain and Kenneth Tercyak and Hawk, {Larry W.} and Angelita Bush and Susan Crystal-Mansour and Christine Rose and Raymond Niaura and Epstein, {Leonard H.}",
year = "2001",
doi = "10.1080/14622200110072156",
language = "English (US)",
volume = "3",
pages = "353--359",
journal = "Nicotine and Tobacco Research",
issn = "1462-2203",
publisher = "Oxford University Press",
number = "4",

}

TY - JOUR

T1 - Attention-Deficit Hyperactivity Disorder (ADHD) symptoms and smoking patterns among participants in a smoking-cessation program

AU - Lerman, Caryn

AU - Audrain, Janet

AU - Tercyak, Kenneth

AU - Hawk, Larry W.

AU - Bush, Angelita

AU - Crystal-Mansour, Susan

AU - Rose, Christine

AU - Niaura, Raymond

AU - Epstein, Leonard H.

PY - 2001

Y1 - 2001

N2 - Previous research has suggested an increased liability to smoking among individuals with Attention-Deficit Hyperactivity Disorder (ADHD). This link is thought to be attributable, in part, to nicotine's beneficial effects on attention and performance. In the present study, we examined the association of ADHD symptoms of inattention and hyperactivity with smoking behavior in a sample of 226 male and female smokers ages 18 and older who were enrolled in a smoking-cessation program. Prior to treatment, they completed measures of ADHD symptoms and standardized measures of smoking patterns. Hierarchical linear regression models were used to characterize the smoking patterns associated with ADHD inattention and hyperactivity symptoms, controlling for potential confounder variables. Smoking for stimulation purposes and the urge to smoke to minimize withdrawal symptoms were the primary patterns associated with ADHD inattention symptoms, while hyperactivity symptoms were not associated with smoking patterns. Consistent with a self-medication hypothesis, these results suggest that smokers with frequent symptoms of inattention may use nicotine as a stimulant drug to help manage these symptoms. Future studies of the role of inattention symptoms in response to smoking treatment are warranted.

AB - Previous research has suggested an increased liability to smoking among individuals with Attention-Deficit Hyperactivity Disorder (ADHD). This link is thought to be attributable, in part, to nicotine's beneficial effects on attention and performance. In the present study, we examined the association of ADHD symptoms of inattention and hyperactivity with smoking behavior in a sample of 226 male and female smokers ages 18 and older who were enrolled in a smoking-cessation program. Prior to treatment, they completed measures of ADHD symptoms and standardized measures of smoking patterns. Hierarchical linear regression models were used to characterize the smoking patterns associated with ADHD inattention and hyperactivity symptoms, controlling for potential confounder variables. Smoking for stimulation purposes and the urge to smoke to minimize withdrawal symptoms were the primary patterns associated with ADHD inattention symptoms, while hyperactivity symptoms were not associated with smoking patterns. Consistent with a self-medication hypothesis, these results suggest that smokers with frequent symptoms of inattention may use nicotine as a stimulant drug to help manage these symptoms. Future studies of the role of inattention symptoms in response to smoking treatment are warranted.

UR - http://www.scopus.com/inward/record.url?scp=0035189955&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035189955&partnerID=8YFLogxK

U2 - 10.1080/14622200110072156

DO - 10.1080/14622200110072156

M3 - Article

VL - 3

SP - 353

EP - 359

JO - Nicotine and Tobacco Research

JF - Nicotine and Tobacco Research

SN - 1462-2203

IS - 4

ER -