Academic Journal
Perceived stress and addiction severity in adults with ADHD: A multi-domain analysis.
| Title: | Perceived stress and addiction severity in adults with ADHD: A multi-domain analysis. |
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| Authors: | Romo L; University Paris Nanterre UR 4430 Departement of Psychology, 200 av de la république 92001 Nanterre Cedex, France; Hôpital Universitaire Raymond-Poincaré, Service de Pathologies Professionnelles (AP-HP) 92380 Garches, France; Inserm CESP 1018 UPS, 114, rue Edouard-Vaillant 94 805 Villejuif Cedex, France. Electronic address: lromodes@parisnanterre.fr., Getin C; HyperSupers TDAH France, 4 All. du Brindeau, 75019 Paris, France., Therribout N; Assistance Publique - Hôpitaux de Paris, Hôpital Fernand-Widal, Département Universitaire de Psychiatrie et de Médecine Addictologique, Paris, France; Université de Paris Cité, INSERM UMR-S1144, Paris, France., Icick R; Assistance Publique - Hôpitaux de Paris, Hôpital Fernand-Widal, Département Universitaire de Psychiatrie et de Médecine Addictologique, Paris, France; Université de Paris Cité, INSERM UMR-S1144, Paris, France., Fouques D; Univ. Rouen Normandie, CRFDP, Mont-Saint-Aignan, France; Univ. Paris Nanterre, LAPPS, Nanterre, France., Zerhouni O; Univ. Rouen Normandie, CRFDP, Mont-Saint-Aignan, France. |
| Source: | Psychiatry research [Psychiatry Res] 2026 Aug; Vol. 362, pp. 117189. Date of Electronic Publication: 2026 Apr 21. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Elsevier/North-Holland Biomedical Press Country of Publication: Ireland NLM ID: 7911385 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-7123 (Electronic) Linking ISSN: 01651781 NLM ISO Abbreviation: Psychiatry Res Subsets: MEDLINE |
| Imprint Name(s): | Publication: Limerick : Elsevier/North-Holland Biomedical Press Original Publication: Amsterdam, Elsevier/North-Holland Biomedical Press. |
| MeSH Terms: | Attention Deficit Disorder with Hyperactivity*/epidemiology , Attention Deficit Disorder with Hyperactivity*/psychology , Attention Deficit Disorder with Hyperactivity*/complications , Gambling*/epidemiology , Behavior, Addictive*/epidemiology , Internet Addiction Disorder*/epidemiology , Stress, Psychological*, Humans ; Female ; Adult ; Subjective Stress ; Severity of Illness Index ; Male ; Middle Aged ; Young Adult ; Internet ; Risk Factors |
| Abstract: | Background: Attention deficit/hyperactivity disorder (ADHD) is associated with an increased risk of addiction. However, few studies have compared multiple addiction domains within the same analytic framework using harmonized metrics. This study examined the predictors of addiction severity across alcohol, tobacco, cannabis, internet gaming, and gambling in adults with ADHD symptoms. Methods: Adults reporting ADHD symptoms completed an online survey. Z-standardized severity scores were analyzed via linear mixed-effects models (N = 847 observations from 394 participants) alongside demographics, stress (PSS-10), and ADHD symptoms. An exploratory logistic regression (N = 82) predicted gambling problems. Results: Mixed-effects models revealed no significant main effect of addiction type (all p > .650), indicating that relative severity was comparable across domains. Perceived stress was a significant positive predictor of severity. Current and retrospective ADHD symptoms were not significantly associated with addiction severity. Binary logistic regression identified internet gaming severity as a significant risk factor for the presence of gambling problems (OR = 1.09, p = .037). Alcohol use was not a significant predictor. Conclusions: Internet gaming severity was associated with the presence of gambling problems. However, general addiction severity appears to be driven more by perceived stress than by ADHD symptoms themselves. Furthermore, internet gaming may represent a risk factor for gambling problems, though this preliminary finding requires replication. (Copyright © 2026 The Author(s). Published by Elsevier B.V. All rights reserved.) |
| Competing Interests: | Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Contributed Indexing: | Keywords: ADHD; Addiction severity; Cannabis; Gambling; Internet gaming; Stress |
| Entry Date(s): | Date Created: 20260501 Date Completed: 20260716 Latest Revision: 20260716 |
| Update Code: | 20260716 |
| DOI: | 10.1016/j.psychres.2026.117189 |
| PMID: | 42066481 |
| Database: | MEDLINE |
| ISSN: | 1872-7123 |
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| DOI: | 10.1016/j.psychres.2026.117189 |