Comorbidity with Substance Abuse

Research output: Chapter in Book/Report/Conference proceedingChapter


This chapter first briefly reviews the nature of the specific associations of substance use with conduct disorder (CD) and oppositional defiant disorder (ODD). Then, it discusses underlying causes for this pattern of comorbidity and potential moderators of these associations. Disruptive behavior disorders (DBDs), in particular CD, represent strong risk factors for a range of substance use-related outcomes and problems. CD is strongly associated with risk for a variety of substance use outcomes, ranging from early-onset use to heavy use, abuse, and dependence. One potential explanation for the pattern of comorbidity between DBDs and substance abuse is that many risk factors for DBDs overlap with those that predict substance use and abuse. Affective symptoms of ODD could also be linked with substance abuse, though, perhaps through their comorbidity with internalizing syndromes or through individuals' attempts to self-medicate their affective instability (regardless of comorbid anxiety or depression).

Original languageAmerican English
Title of host publicationThe Wiley Handbook of Disruptive and Impulse-Control Disorders
Number of pages16
ISBN (Electronic)9781119092254
ISBN (Print)9781119092162
StatePublished - Jan 1 2017

ASJC Scopus subject areas

  • Psychology(all)


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