Relationship of Probable Attention Deficit Hyperactivity Disorder with Severity of Psychopathology and Impulsivity in a Sample of Male Patients with Opioid Use Disorder
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Objective The aim of the present study was to evaluate relationship of probable attention deficit hyperactivity disorder (ADHD) with severity of psychopathology and the effect of impulsivity on this relationship in a sample of male patients with opioid use disorder (OUD). Methods Participants included 234 patients (115 inpatients and 119 outpatients) with OUD. Participants were evaluated with the Adult ADHD Self-Report Scale (ASRS-v1.1), the Symptom Checklist-90-R (SCL-90-R) and the Short Form of Barratt Impulsiveness Scale (BIS-11-SF). Results Psychopathology and impulsivity scores were higher among those with the probable ADHD. ADHD scores were midly to moderately correlated with impulsivity and psychopathology scores. In logistic regression analyses, while severity of general psychopathology and impulsivity predicted probable ADHD in the first Model, in the second Model, among dimensions of psychopathology obsessive compulsive (OC) dimension, whereas among dimensions of impulsivity non-planning and motor impulsivity predicted probable ADHD. Conclusion These findings suggest that probable ADHD is related with the severity of psychopathology, particularly OC dimension, while the severity of impulsivity may have an partial mediator (particularly non-planning and motor impulsivity) effect on this relationship among patients with OUD.
Abstract
Objective The aim of the present study was to evaluate relationship of probable attention deficit hyperactivity disorder (ADHD) with severity of psychopathology and the effect of impulsivity on this relationship in a sample of male patients with opioid use disorder (OUD). Methods Participants included 234 patients (115 inpatients and 119 outpatients) with OUD. Participants were evaluated with the Adult ADHD Self-Report Scale (ASRS-v1.1), the Symptom Checklist-90-R (SCL-90-R) and the Short Form of Barratt Impulsiveness Scale (BIS-11-SF). Results Psychopathology and impulsivity scores were higher among those with the probable ADHD. ADHD scores were midly to moderately correlated with impulsivity and psychopathology scores. In logistic regression analyses, while severity of general psychopathology and impulsivity predicted probable ADHD in the first Model, in the second Model, among dimensions of psychopathology obsessive compulsive (OC) dimension, whereas among dimensions of impulsivity non-planning and motor impulsivity predicted probable ADHD. Conclusion These findings suggest that probable ADHD is related with the severity of psychopathology, particularly OC dimension, while the severity of impulsivity may have an partial mediator (particularly non-planning and motor impulsivity) effect on this relationship among patients with OUD.
참고문헌 (54)
- Ivanov I, "Optimizing fitness for duty and post-combat clinical services for military personnel and combat veterans with ADHD-a systematic review of the current literature", Eur J Psychotraumatol, 5 (2014)
- Klein RG, "Clinical and functional outcome of childhood attentiondeficit", hyperactivity disorder 33 years later, 2012, pp.69, 1295~1303
- Charach A, "Childhood attention-deficit", hyperactivity disorder and future substance use disorders: comparative meta-analyses, 2011, pp.50, 9~21
- Baker L, "Drug and alcohol use in college students with and without ADHD", J Atten Disord, 16, pp.255~263 (2012)[DOI]
- van Emmerik-van Oortmerssen K, "Psychiatric comorbidity in treatmentseeking substance use disorder patients with and without attention deficit hyperactivity disorder: results of the IASP study", Addiction, 109, pp.262~272 (2014)[DOI]
- van Emmerik-van Oortmerssen K, "Prevalence of attention-deficit hyperactivity disorder in substance use disorder patients: a meta-analysis and meta-regression analysis", Drug Alcohol Depend, 122, pp.11~19 (2012)[DOI]
- Barkley R, "ADHD in Adults: What the Science Says" (2008), Guilford Press
- Arias AJ, "Correlates of co-occurring ADHD in drug-dependent subjects: prevalence and features of substance dependence and psychiatric disorders", Addict Behav, 33, pp.1199~1207 (2008)[DOI]
- King VL, "Attention deficit hyperactivity disorder and treatment outcome in opioid abusers entering treatment", J Nerv Ment Dis, 187, pp.487~495 (1999)[DOI]
- Kolpe M, "Influence of attention-deficit", hyperactivity disorder symptoms on methadone treatment outcome, 2007, pp.16, 46~48
- Carpentier PJ, "Influence of attention deficit hyperactivity disorder and conduct disorder on opioid dependence severity and psychiatric comorbidity in chronic methadone-maintained patients", Eur Addict Res, 17, pp.10~20 (2011)[DOI]
- Peles E, "Attention deficit hyperactivity disorder and obsessive-compulsive disorder among former heroin addicts currently in methadone maintenance treatment", Psychopathology, 45, pp.327~333 (2012)[DOI]
- Liao YT, "Depression and severity of substance dependence among heroin dependent patients with ADHD symptoms", Am J Addict, 26, pp.26~33 (2017)[DOI]
- Bornovalova MA, "Differences in impulsivity and risk-taking propensity between primary users of crack cocaine and primary users of heroin in a residential substance-use program", Exp Clin Psychopharmacol, 13, pp.311~318 (2005)[DOI]
- Bozkurt M, "Aggression and impulsivity in different groups of alcohol and heroin dependent inpatient men", Klinik Psikofarmakoloji Bulteni-Bulletin of Clinical Psychopharmacology, 23, pp.335~344 (2013)[DOI]
- Dissabandara LO, "Dependent heroin use and associated risky behaviour: the role of rash impulsiveness and reward sensitivity", Addict Behav, 39, pp.71~76 (2014)[DOI]
- Nielsen DA, "Former heroin addicts with or without a history of cocaine dependence are more impulsive than controls", Drug Alcohol Depend, 124, pp.113~120 (2012)[DOI]
- Evren C, "Motor impulsivity discriminated relapsed male heroin dependents from those who were still in buprenorphine maintenance treatment at the 12-month follow-up", Heroin Addict Relat Clin Probl, 16, pp.49~56 (2014)
- Schippers MC, "Unidirectional relationship between heroin self-administration and impulsive decision-making in rats", Psychopharmacology (Berl), 219, pp.443~452 (2012)[DOI]
- Aharonovich E, "Anger and depressive states among treatment-seeking drug abusers: testing the psychopharmacological specificity hypothesis", Am J Addict, 10, pp.327~334 (2001)[DOI]
- Seroczynski AD, "Etiology of the impulsivity", aggression relationship: genes or environment?, 1999, pp.86, 41~57
- Hoaken PNS, "Drugs of abuse and the elicitation of human aggressive behavior", Addict Behav, 28, pp.1533~1554 (2003)[DOI]
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5)" (2013)
- Kessler RC, "The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population", Psychol Med, 35, pp.245~256 (2005)[DOI]
- Chamberlain SR, "ADHD symptoms in non-treatment seeking young adults: relationship with other forms of impulsivity", CNS Spectr, 22, pp.22~30 (2017)[DOI]
- Kessler RC, "Validity of the World Health Organization Adult ADHD Self-Report Scale (ASRS) Screener in a representative sample of health plan members", Int J Methods Psychiatr Res, 16, pp.52~65 (2007)[DOI]
- Kessler RC, "Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication", Arch Gen Psychiatry, 62, pp.617~627 (2005)[DOI]
- Dogan S, "Validity and reliability of the Turkish version of the Adult ADHD Self-Report Scale (ASRS-v1.1)", Anadolu Psikiyatri Dergisi, 10, pp.77~87 (2009)
- Evren C, "Psychometric properties of the Turkish version of the Adult ADHD Self-Report Scale (ASRS) in a sample of inpatients with alcohol use disorder", Dusunen Adam J Psychiatry Neurol Sci, 29, pp.109~119 (2016)
- Knouse LE, "Adult Attention-Deficit Hyperactivity Disorder;Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health", pp.195~208 (2010), Humana Press
- Patton JH, "Factor structure of the Barratt impulsiveness scale", J Clin Psychol, 51, pp.768~774 (1995)[DOI]
- Gulec H, "Psychometric properties of the Turkish version of the Barratt Impulsiveness Scale-11", Klinik Psikofarmakoloji Bulteni-Bulletin of Clinical Psychopharmacology, 18, pp.251~258 (2008)
- Spinella M, "Normative data and a short form of the Barratt Impulsiveness Scale", Int J Neurosci, 117, pp.359~368 (2007)[DOI]
- Tamam L, "Short form of Barratt Impulsiveness Scale (BIS-11-SF) Turkish adaptation study", Arch Neuropsychiatry, 50, pp.130~134 (2013)[DOI]
- Derogatis LR, "SCL-90. Administration, Scoring and Procedure Manual-II for the revised version" (1983), Clinical Psychometric Research
- Dag I, "Reability and validity of Symptom Check List-90-Revised among university students", Turk Psikiyatri Dergisi, 2, pp.5~12 (1991)
- Iacono WG, "Behavioral disinhibition and the development of early-onset addiction: common and specific influences", Annu Rev Clin Psychol, 4, pp.325~348 (2008)[DOI]
- Verdejo-Garcia A, "Impulsivity as a vulnerability marker for substance-use disorders: review of findings from high-risk research, problem gamblers and genetic association studies", Neurosci Biobehav Rev, 32, pp.777~810 (2008)[DOI]
- de Wit H, "Impulsivity as a determinant and consequence of drug use: a review of underlying processes", Addict Biol, 14, pp.22~31 (2009)[DOI]
- Fernandez-Serrano MJ, "What are the specific vs. generalized effects of drugs of abuse on neuropsychological performance?", Neurosci Biobehav Rev, 35, pp.377~406 (2011)[DOI]
- Abramovitch A, "Comorbidity between attention deficit", hyperactivity disorder and obsessive-compulsive disorder across the lifespan: a systematic and critical review, 2015, pp.23, 245~262
- Abramovitch A, "Comparative neuropsychology of adult obsessive-compulsive disorder and attention deficit", hyperactivity disorder: implications for a novel executive overload model of OCD, 2012, pp.6, 161~191
- Mersin Kilic S, "The clinical characteristics of ADHD and obsessive-compulsive disorder comorbidity", J Atten Disord (2016)
- Tan O, "Obsessive-compulsive adults with and without childhood ADHD symptoms", ADHD Atten Deficit Hyperact Disord, 8, pp.131~138 (2016)[DOI]
- Celebi F, "The features of comorbidity of childhood ADHD in patients with obsessive compulsive disorder", J Atten Disord (2016)
- Masi G, "Comorbidity of obsessive-compulsive disorder and attention-deficit", hyperactivity disorder in referred children and adolescents, 2006, pp.47, 42~47
- Abramovitch A, "Unwanted intrusive and worrisome thoughts in adults with attention deficit\hyperactivity disorder", Psychiatry Res, 168, pp.230~233 (2009)[DOI]
- Mathews CA, "The structure of obsessionality among young adults", Depress Anxiety, 20, pp.77~85 (2004)[DOI]
- Murphy KR, "Young adults with attention deficit hyperactivity disorder: subtype differences in comorbidity, educational, and clinical history", J Nerv Ment Dis, 190, pp.147~157 (2002)[DOI]
- Brown FC, "The relationship of self-reported subclinical obsessive-compulsive symptoms and impulsivity among adults with AD", HD, 2014, pp.216, 131~136
- Walitza S, "Children and adolescents with obsessive-compulsive disorder and comorbid attention-deficit", hyperactivity disorder: preliminary results of a prospective follow-up study, 2008, pp.115, 187~190
- Ettelt S, "Impulsiveness in obsessive-compulsive disorder: results from a family study", Acta Psychiatr Scand, 115, pp.41~47 (2007)[DOI]
- Sohn SY, "Multidimensional measures of impulsivity in obsessive-compulsive disorder: cannot wait and stop", PLoS One, 9, pp.e111739~ (2014)[DOI]
- van de Glind G, "Variability in the prevalence of adult ADHD in treatment seeking substance use disorder patients: results from an international multi-center study exploring DSM-IV and DSM-5 criteria", Drug Alcohol Depend, 134, pp.158~166 (2014)[DOI]
