Citation

Erdoğan E, Delibaş DH. Anadolu Psikiyatri Derg. 2019; 20(3): 296-304.

Copyright

(Copyright © 2019, Cumhuriyet Universitesi, Publisher ScopeMed-GESDAV)

DOI

10.5455/apd.3881

PMID

unavailable

Abstract

OBJECTIVE: Because of the interrelation between attention deficit hyperactivity disorder (ADHD) and substance use disorders (SUD), clinicians should consider ADHD comorbidity in assessment and treatment phase when evaluating adult substance dependence. It was aimed to compare the adult substance dependent patients with comorbid ADHD (ADHD+) and without comorbid ADHD (ADHD-) in terms of clinical features, psychiatric comorbidity and degree of functioning.

METHODS: 226 patients with substance dependence were included in the study (ADHD-=140, ADHD+=86). Diagnostic interview with SCID-I was performed. Adult ADD/ADHD DSM IV-Based Diagnostic Screening and Rating Scale, Wender Utah Rating Scale, Barratt Impulsivity Scale-11, Personal and Social Performance Scale were applied. ADHD+ and ADHD-groups were compared in terms of clinical features of substance dependence, psychiatric comorbidity and scale outcomes.

RESULTS: The group of ADHD+ was starting using substance at an earlier age. Polysubstance use, number of days of substance use, and legal issues related to the substance were higher than the ADHD-group. ADHD+ group had more stimulant, opiate dependency. Rates of suicidal ideation and attempts, psychiatric comorbidity were higher in ADHD+ group. Personal and social functioning of ADHD+ group was worse.

DISCUSSION: ADHD+ group differs from the ADHD-group in terms of the clinical characteristics associated with the substance. In adults, there is a need for randomized, longitudinal follow-up studies involving both genders, investigating the effect of ADHD on SUD. © 2019, Cukurova University, Faculty of Medicine. All rights reserved.

Language: tr

Keywords

Adult; adult; human; Comorbidity; suicidal ideation; substance use; suicide attempt; Substance dependence; Attention deficit hyperactivity disorder; major clinical study; clinical feature; social psychology; drug dependence; follow up; attention deficit disorder; opiate addiction; DSM-IV; psychological rating scale; Article; Barratt Impulsiveness Scale; Structured Clinical Interview for DSM Disorders; functional status assessment; comorbidity assessment; disease assessment; personal and social performance scale; Barratt Impulsiveness Scale 11; wender utah rrating scale