{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T05:12:19Z","timestamp":1789189939034,"version":"build-2803163510"},"reference-count":36,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2014,5,12]],"date-time":"2014-05-12T00:00:00Z","timestamp":1399852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Institute on Drug Abuse of the National Institutes of Health","award":["R01DA025880"],"award-info":[{"award-number":["R01DA025880"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2014,12]]},"abstract":"\n Background<\/jats:title>\n \n Recent studies have linked attention\u2010deficit\/hyperactivity disorder (\n ADHD<\/jats:styled-content>\n ) to elevated rates of risky sexual behavior (\n RSB<\/jats:styled-content>\n ) in adult samples. The current study tested whether\n ADHD<\/jats:styled-content>\n symptoms were associated with\n RSB<\/jats:styled-content>\n among adolescents, and examined comorbid conduct problems and problematic substance use as joint mediators of this association.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n ADHD<\/jats:styled-content>\n symptoms, conduct problems (oppositional defiant disorder\/conduct disorder symptoms), problematic alcohol use (alcohol use disorder symptoms, alcohol use frequency), problematic marijuana use (marijuana use disorder symptoms, marijuana use frequency), and\n RSB<\/jats:styled-content>\n were assessed among an ethnically diverse cross\u2010sectional sample of adolescents (\n N\u00a0<\/jats:italic>\n =\n \u00a0<\/jats:italic>\n 115; mean age\u00a0=\u00a014.9\u00a0years) involved in the juvenile justice system.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Bootstrapped mediation models revealed an initial association between\n ADHD<\/jats:styled-content>\n symptoms and\n RSB<\/jats:styled-content>\n that was accounted for fully by the influence of problematic alcohol and marijuana use, but not conduct problems. A follow\u2010up multiple groups mediation analysis demonstrated that the relationship between\n ADHD<\/jats:styled-content>\n symptoms and\n RSB<\/jats:styled-content>\n emerged only among youth with clinically elevated conduct problems, and that problematic marijuana use fully accounted for this relationship. Hyperactive\/impulsive, but not inattentive, symptoms were related to\n RSB<\/jats:styled-content>\n , although the pattern of indirect effects was consistent with the multiple groups analysis.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n The association between\n ADHD<\/jats:styled-content>\n and adolescent\n RSB<\/jats:styled-content>\n is restricted to youth with elevated comorbid conduct problems and reflects the contributions of comorbid marijuana use problems, and to a lesser extent alcohol use problems. Early identification and treatment of these comorbid conditions may be important for the prevention of negative sexual health outcomes among youth with\n ADHD<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jcpp.12249","type":"journal-article","created":{"date-parts":[[2014,5,12]],"date-time":"2014-05-12T02:42:52Z","timestamp":1399862572000},"page":"1345-1353","source":"Crossref","is-referenced-by-count":93,"title":["ADHD<\/scp>\n and risky sexual behavior in adolescents: Conduct problems and substance use as mediators of risk"],"prefix":"10.1111","volume":"55","author":[{"given":"Dustin E.","family":"Sarver","sequence":"first","affiliation":[{"name":"Center to Promote Effective Youth Development (Youth\u2010Nex) University of Virginia Charlottesville VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael R.","family":"McCart","sequence":"additional","affiliation":[{"name":"Department of Psychiatry & Behavioral Sciences Medical University of South Carolina Charleston SC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashli J.","family":"Sheidow","sequence":"additional","affiliation":[{"name":"Department of Psychiatry & Behavioral Sciences Medical University of South Carolina Charleston SC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth J.","family":"Letourneau","sequence":"additional","affiliation":[{"name":"Department of Mental Health Bloomberg School of Public Health Johns Hopkins University Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,5,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.chi.0000189134.97436.e2"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.51.6.1173"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224490509552274"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199701000-00013"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2006.03.006"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0019632"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1015632709461"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/0012-1649.38.3.394"},{"key":"e_1_2_8_10_1","first-page":"23","volume-title":"Adolescent romantic relations and sexual behavior: Theory, research, and practical implications","author":"Carver K.","year":"2003"},{"key":"e_1_2_8_11_1","unstructured":"Centers for Disease Control and Prevention(2012).Youth risk behavior surveillance \u2013 United States 2011. Morbidity and Mortality Weekly Reports 61. Available from:http:\/\/www.cdc.gov\/HealthyYouth\/yrbs\/index.htm[last accessed 24 January 2014]."},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2011.02511.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-200106000-00008"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.18.2.184"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2005.074609"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15374424jccp3504_8"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3181893ed0"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13311-012-0123-z"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0956797613480187"},{"key":"e_1_2_8_20_1","unstructured":"Kessler R.C.(2013).National comorbidity survey: Adolescent supplement (NCS\u2010A) 2001\u20102004 [Data file]. Available from:http:\/\/www.icpsr.umich.edu\/icpsrweb\/HMCA\/studies\/28581[last accessed 24 January 2014]."},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0376-8716(03)00196-0"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2011.01.006"},{"key":"e_1_2_8_23_1","volume-title":"Form 90: Structured Assessment for drinking related behavior","author":"Miller W.R.","year":"1991"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1010076108"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/CHI.0b013e31819c23d0"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2012.11.005"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0018010"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ambp.2006.08.002"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.2007.164.6.942"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2012.11.012"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/chi.0b013e3180f6340e"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lindif.2011.09.010"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199607000-00013"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-200001000-00014"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1037\/1082-989X.7.4.422"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.93.6.906"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.69.5.802"}],"container-title":["Journal of Child Psychology and Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjcpp.12249","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjcpp.12249","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jcpp.12249","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T11:54:18Z","timestamp":1762170858000},"score":1,"resource":{"primary":{"URL":"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/10.1111\/jcpp.12249"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,5,12]]},"references-count":36,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1111\/jcpp.12249"],"URL":"https:\/\/doi.org\/10.1111\/jcpp.12249","archive":["Portico"],"relation":{},"ISSN":["0021-9630","1469-7610"],"issn-type":[{"value":"0021-9630","type":"print"},{"value":"1469-7610","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,5,12]]}}}