Journal of Pediatric Psychology Advance Access originally published online on October 23, 2007
Journal of Pediatric Psychology 2008 33(6):563-575; doi:10.1093/jpepsy/jsm100
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Effects of Inattention and Hyperactivity/Impulsivity Symptoms on Development of Nicotine Dependence from Mid Adolescence to Young Adulthood
1Department of Psychiatry, University of Pennsylvania, 2Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, and 3Department of Psychiatry, University of Pennsylvania
All correspondence concerning this article should be addressed to Daniel Rodriguez, PhD, Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 4100, Philadelphia, PA 19104, USA. E-mail: drodrig2{at}mail.med.upenn.edu
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Objective The relationship of Attention-Deficit/Hyperactivity Disorder (ADHD) and smoking is well documented. However, it is unclear whether ADHD symptoms relate to nicotine dependence (ND) symptoms from adolescence to young adulthood. We sought to assess the relationship of ADHD Hyperactivity–Impulsivity (H/I) and Inattention (I) symptoms with ND symptoms in a community sample from adolescence to young adulthood (ages 18–21). Methods Participants were adolescents (n = 672) smoking at least one whole cigarette in their lifetime. Participants are members of a prospective cohort study (ages 14–22) evaluating the bio-behavioral predictors of smoking. Data were analyzed with a two-piece latent growth curve model. Results ADHD-I symptoms were associated with ND symptoms acceleration in adolescence, but slowing acceleration in young adulthood, whereas ADHD-H/I symptoms were associated with ND symptoms acceleration in young adulthood. Conclusions The results suggest the relationship of ADHD and ND symptoms may differ by symptom type, and the developmental period assessed.
Key words: adolescent; ADHD symptoms; nicotine dependence; LGCM.
Received April 6, 2007; revision received September 24, 2007; accepted September 25, 2007