TDAH residual como factor de riesgo en consume de SPA: un estudio de revisión
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Fecha
2025
Autores
Castellanos Barón, Juliana Camila
Campo Vásquez, María Fernanda
Castro Correa, Andrés Camilo
Galvis Vergara, Diego Alejandro
Duran Vélez, Sirley Gabriela
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Edicines Universidad Simón Bolívar
Facultad de Ciencias Jurídicas y Sociales
Facultad de Ciencias Jurídicas y Sociales
Resumen
Objetivo: Analizar las asociaciones entre el TDAH residual y el consumo de sustancias psicoactivas en estudios científicos publicados en Scopus y ScienceDirect en los años 2020 a 2025.Metodología: Se realizó una revisión sistemática siguiendo el marco PRISMA. Las búsquedas se efectuaron en SCOPUS, ScienceDirect y Web of Science mediante estrategias predefinidas y criterios de inclusión explícitos. Tras el proceso de cribado y evaluación a texto completo, se incluyeron 54 estudios. La calidad metodológica se valoró mediante la lista QAC-Q2. Resultados: Predominaron estudios cuantitativos, principalmente de diseño transversal. Los instrumentos más utilizados fueron ASRS, CAARS, BIS-11 y la entrevista diagnóstica DIVA-5. La evidencia mostró una asociación consistente entre síntomas residuales de TDAH en la adultez y mayor consumo de alcohol, cannabis y cocaína, con la impulsividad como mecanismo central. Conclusión: El TDAH adulto incrementa la vulnerabilidad al consumo de SPA, lo que justifica abordajes diagnósticos y terapéuticos integrados.
Objective: To analyse the associations between residual attention-deficit/hyperactivity disorder (ADHD) and the use of psychoactive substances in scientific studies published between 2020 and 2025.Methodology: A systematic review was conducted in accordance with the PRISMA framework. Searches were carried out in Scopus, ScienceDirect and Web of Science using predefined strategies and explicit inclusion criteria. After the screening process and full-text assessment, 54 studies were included. Methodological quality was evaluated using the QAC-Q2 checklist.Results: Quantitative studies predominated, mainly with cross-sectional designs. The most frequently used instruments were the Adult Self-Report Scale (ASRS), Conners’ Adult ADHD Rating Scales (CAARS), Barratt Impulsiveness Scale (BIS-11) and the DIVA-5 diagnostic interview. The evidence consistently showed an association between residual ADHD symptoms in adulthood and increased use of alcohol, cannabis and cocaine, with impulsivity identified as a central mechanism. Conclusion: Adult ADHD increases vulnerability to psychoactive substance use, supporting the need for integrated diagnostic and therapeutic approaches.
Objective: To analyse the associations between residual attention-deficit/hyperactivity disorder (ADHD) and the use of psychoactive substances in scientific studies published between 2020 and 2025.Methodology: A systematic review was conducted in accordance with the PRISMA framework. Searches were carried out in Scopus, ScienceDirect and Web of Science using predefined strategies and explicit inclusion criteria. After the screening process and full-text assessment, 54 studies were included. Methodological quality was evaluated using the QAC-Q2 checklist.Results: Quantitative studies predominated, mainly with cross-sectional designs. The most frequently used instruments were the Adult Self-Report Scale (ASRS), Conners’ Adult ADHD Rating Scales (CAARS), Barratt Impulsiveness Scale (BIS-11) and the DIVA-5 diagnostic interview. The evidence consistently showed an association between residual ADHD symptoms in adulthood and increased use of alcohol, cannabis and cocaine, with impulsivity identified as a central mechanism. Conclusion: Adult ADHD increases vulnerability to psychoactive substance use, supporting the need for integrated diagnostic and therapeutic approaches.
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Palabras clave
TDAH en adultos, Sustancias psicoactivas, Impulsividad, Desregulación emocional, Revisión sistemática
