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More than one in five Indians over the age of 15 uses some form of smokeless tobacco

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Our study, which is one of the largest set of longitudinal studies of this issue to date, supports the association between ADHD and substance abuse found in several earlier studies and shows that the increased risk cannot be accounted for by coexisting factors such as other psychiatric disorders or family history of substance abuse, says Timothy Wilens of the MGH Pediatric Psychopharmacology Unit, who led the study

The severity of these effects vary, but they lead to discomfort and interfere with daily activities, ultimately reducing overall quality of life