ISSN 1302-6631
 

Original Research (Original Article) 


Comparison of clinical features, comorbidity and functioning in substance dependents with and without adult ADHD

Esin Erdoğan, Dursun Hakan Delibaş.

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 de-gree 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 Perfor-mance 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 sub-stance 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 char-acteristics 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.

Key words: Attention deficit hyperactivity disorder, substance dependence, adult, comorbidity



Erişkin DEHB olan ve olmayan madde bağımlılarında klinik özellikler, eş tanı ve işlevselliğin karşılaştırılması

Ozet
Amaç: Dikkat eksikliği hiperaktivite bozukluğu (DEHB) ve madde kullanım bozuklukları (MKB) arasındaki karşılıklı ilişki nedeniyle klinisyenler, erişkin madde bağımlılarını değerlendirirken DEHB eş tanısını, değerlendirme ve tedavi aşamasında dikkate almalıdır. Bu araştırmada DEHB eş tanısı olan (DEHB+) ve olmayan (DEHB-) erişkin madde bağımlılarının klinik özellikleri, psikiyatrik eş tanıları ve işlevsellik düzeyi bakımından karşılaştırılması amaçlan-mıştır. Yöntem: Çalışmaya 226 madde bağımlısı erkek hasta alındı (DEHB-=140, DEHB+=86). SCID-I ile tanısal görüşme yapıldı. Erişkin Dikkat Eksikliği Hiperaktivite Bozukluğu Ölçeği, Wender Utah Derecelendirme Ölçeği, Barratt İmpulsivite Ölçeği-11, Bireysel ve Sosyal Performans Ölçeği uygulandı. DEHB+ ve DEHB- gruplar madde bağımlılığının klinik özellikleri, psikiyatrik eş tanıları ve ölçek sonuçları açısından karşılaştırıldı. Sonuçlar: DEHB+ olan grup maddeye daha erken yaşta başlıyordu. DEHB- gruba göre çoğul madde kullanımı, madde kullanılan gün sayısı, maddeyle ilişkili yasal sorunlar daha yüksekti. DEHB+ grupta stimülan ve opiat bağımlılığı daha fazlaydı. Özkıyım düşüncesi ve girişimi, psikiyatrik eş tanı oranı DEHB+ grupta daha fazlaydı. DEHB+ grubun bireysel ve sosyal işlevselliği daha kötüydü. Tartışma: DEHB+ grup maddeyle ilişkili klinik özellikleri açısından DEHB- gruba göre farklılık göstermektedir. Erişkinlerde DEHB’nin MKB üzerine etkisini araştıran, her iki cinsiyeti de kapsayan, randomize, uzunlamasına izlem çalışmalarına gerek vardır.

Anahtar Kelimeler: Dikkat eksikliği hiperaktivite bozukluğu, madde bağımlılığı, erişkin, eş tanı


 
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How to Cite this Article
Pubmed Style

Erdogan E, Delibas DH. [Comparison of clinical features, comorbidity and functioning in substance dependents with and without adult ADHD]. Anadolu Psikiyatri Derg. 2019; 20(3): 296-304. Turkish. doi:10.5455/apd.3881


Web Style

Erdogan E, Delibas DH. [Comparison of clinical features, comorbidity and functioning in substance dependents with and without adult ADHD]. http://www.anadolupsikiyatri.net/?mno=3881 [Access: June 27, 2019]. Turkish. doi:10.5455/apd.3881


AMA (American Medical Association) Style

Erdogan E, Delibas DH. [Comparison of clinical features, comorbidity and functioning in substance dependents with and without adult ADHD]. Anadolu Psikiyatri Derg. 2019; 20(3): 296-304. Turkish. doi:10.5455/apd.3881



Vancouver/ICMJE Style

Erdogan E, Delibas DH. [Comparison of clinical features, comorbidity and functioning in substance dependents with and without adult ADHD]. Anadolu Psikiyatri Derg. (2019), [cited June 27, 2019]; 20(3): 296-304. Turkish. doi:10.5455/apd.3881



Harvard Style

Erdogan, E. & Delibas, . D. H. (2019) [Comparison of clinical features, comorbidity and functioning in substance dependents with and without adult ADHD]. Anadolu Psikiyatri Derg, 20 (3), 296-304. Turkish. doi:10.5455/apd.3881



Turabian Style

Erdogan, Esin, and Dursun Hakan Delibas. 2019. [Comparison of clinical features, comorbidity and functioning in substance dependents with and without adult ADHD]. Anatolian Journal of Psychiatry, 20 (3), 296-304. Turkish. doi:10.5455/apd.3881



Chicago Style

Erdogan, Esin, and Dursun Hakan Delibas. "[Comparison of clinical features, comorbidity and functioning in substance dependents with and without adult ADHD]." Anatolian Journal of Psychiatry 20 (2019), 296-304. Turkish. doi:10.5455/apd.3881



MLA (The Modern Language Association) Style

Erdogan, Esin, and Dursun Hakan Delibas. "[Comparison of clinical features, comorbidity and functioning in substance dependents with and without adult ADHD]." Anatolian Journal of Psychiatry 20.3 (2019), 296-304. Print.Turkish. doi:10.5455/apd.3881



APA (American Psychological Association) Style

Erdogan, E. & Delibas, . D. H. (2019) [Comparison of clinical features, comorbidity and functioning in substance dependents with and without adult ADHD]. Anatolian Journal of Psychiatry, 20 (3), 296-304. Turkish. doi:10.5455/apd.3881





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