성인 주의력결핍과잉행동장애 증상과 문제성/병적 도박 간의 관련성
Relationships Between Adult Attention Deficit Hyperactivity Disorder Symptoms and Problem/Pathological Gambling
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives Recently, the clinical importance of attention deficit hyperactivity disorder (ADHD) and problem/pathological gambling has been increasing. Studies on the relationship between ADHD and problem/pathological gambling are ongoing worldwide but few are conducted. This study examined the relationship between adult ADHD symptoms and problem/pathological gambling. Methods Data from 500 adults aged 20 to 59 who took part in a community survey were analyzed. All participants completed self-report questionnaires in which demographic variables and ADHD symptoms were assessed using the Adult ADHD Self-Report Scale. Problem/pathological gambling was assessed using a Korean version of the Diagnostic Interview Schedule. Results The prevalence of adult ADHD symptoms was 15.2%. The association between ADHD symptoms and problem/pathological gambling was significant (p<0.001). Additionally, subjects with ADHD symptoms showed a more positive attitude toward gambling than subjects without symptoms. Multivariate analysis revealed a significant relationship between ADHD symptoms and problem/pathological gambling (odds ratio, 2.394; 95% confidence interval, 1.104–5.191; p=0.027). Conclusion Problem/pathological gambling is associated with ADHD symptoms. Therefore, clinicians should provide education and intervention on gambling behavior to subjects with ADHD symptoms.
Abstract
Objectives Recently, the clinical importance of attention deficit hyperactivity disorder (ADHD) and problem/pathological gambling has been increasing. Studies on the relationship between ADHD and problem/pathological gambling are ongoing worldwide but few are conducted. This study examined the relationship between adult ADHD symptoms and problem/pathological gambling. Methods Data from 500 adults aged 20 to 59 who took part in a community survey were analyzed. All participants completed self-report questionnaires in which demographic variables and ADHD symptoms were assessed using the Adult ADHD Self-Report Scale. Problem/pathological gambling was assessed using a Korean version of the Diagnostic Interview Schedule. Results The prevalence of adult ADHD symptoms was 15.2%. The association between ADHD symptoms and problem/pathological gambling was significant (p<0.001). Additionally, subjects with ADHD symptoms showed a more positive attitude toward gambling than subjects without symptoms. Multivariate analysis revealed a significant relationship between ADHD symptoms and problem/pathological gambling (odds ratio, 2.394; 95% confidence interval, 1.104–5.191; p=0.027). Conclusion Problem/pathological gambling is associated with ADHD symptoms. Therefore, clinicians should provide education and intervention on gambling behavior to subjects with ADHD symptoms.
참고문헌 (15)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (1994), American Psychiatric Association
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (2013), American Psychiatric Association
- Calado F, "Problem gambling worldwide : an update and systematic review of empirical research(2000-2015)", J Behav Addict, 5, pp.592~613 (2016)
- Stefanovics EA, "Update on gambling disorder", Psychiatr Clin North Am, 45, pp.483~502 (2022)
- Jauregui P, "Pathological gambling and associated drug and alcohol abuse, emotion regulation, and anxious-depressive symptomatology", J Behav Addict, 5, pp.251~260 (2016)
- Polyzoi M, "Estimated prevalence and incidence of diagnosed ADHD and health care utilization in adults in Sweden-a longitudinal population-based register study", Neuropsychiatr Dis Treat, 14, pp.1149~1161 (2018)
- Kessler RC, "Childhood adversities and adult psychopathology in the WHO world mental health surveys", Br J Psychiatry, 197, pp.378~385 (2010)
- Sobanski E, "Psychiatric comorbidity in adults with attention-deficit", hyperactivity disorder(ADHD), 2006, pp.256(Suppl 1), i26~i31
- Fatseas M, "Gambling behaviors and psychopathology related to attention-deficit", hyperactivity disorder(ADHD)in problem and non-problem adult gamblers, 2016, pp.239, 232~238
- 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)
- Suh GH, "Development and validation of DIS-IV, Korean version", J Korean Neuropsychiatr Assoc, 40, pp.777~788 (2001)
- Park S, "Prevalence, clinical correlations, comorbidities, and suicidal tendencies in pathological Korean gamblers : results from the Korean epidemiologic catchment area study", Soc Psychiatry Psychiatr Epidemiol, 45, pp.621~629 (2010)
- Lee SJ, "Social attitudes about behavioral problems related to addictions in a Korean city population", J Korean Acad Addict Psychiatry, 7, pp.53~59 (2003)
- Grall-Bronnec M, "Attention deficit hyperactivity disorder among pathological and at-risk gamblers seeking treatment : a hidden disorder", Eur Addict Res, 17, pp.231~240 (2011)
- Plichta MM, "Neural hyporesponsiveness and hyperresponsiveness during immediate and delayed reward processing in adult attention-deficit", hyperactivity disorder, 2009, pp.65, 7~14