The adult patients with hyperactivity whom we studied had symptoms but were less severely impaired than earlier follow - up studies of
similar patients10, 11 would suggest, especially in terms of
substance abuse and
problems with the law.
A review of twenty studies on the adult lives of antisocial adolescent girls found higher mortality rates, a variety of psychiatric
problems, dysfunctional and violent relationships, poor educational achievement, and less stable work histories than among non-delinquent girls.23 Chronic
problem behavior during childhood has been linked with alcohol and drug
abuse in adulthood, as well as with other mental health
problems and disorders, such as emotional disturbance and depression.24 David Hawkins, Richard Catalano, and Janet Miller have shown a
similar link between conduct disorder among girls and adult
substance abuse.25 Terrie Moffitt and several colleagues found that girls diagnosed with conduct disorder were more likely as adults to suffer from a wide variety of
problems than girls without such a diagnosis.26 Among the
problems were poorer physical health and more symptoms of mental illness, reliance on social assistance, and victimization by, as well as violence toward, partners.
For instance, if the professional meets with a teen with a
substance abuse problem, he or she can invite any older siblings to the session who had
similar issues before.