Co-occurring Attention Deficit Hyperactivity Disorder symptoms in adults affected by heroin dependence: Patients characteristics and treatment needs.

Autor: Lugoboni F; Department of Internal Medicine, Addiction Unit, Verona University Hospital, Verona 37134, Italy., Levin FR; Division of Substance Abuse, New York State Psychiatric Institute, and Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York, NY, USA., Pieri MC; Addiction Treatment Centre, Local Health Service, Bologna, Italy., Manfredini M; Department of Life Sciences, University of Parma, Parma, Italy., Zamboni L; Department of Internal Medicine, Addiction Unit, Verona University Hospital, Verona 37134, Italy., Somaini L; Addiction Treatment Centre, Local Health Service, Cossato, Biella, Italy. Electronic address: lorenzo.somaini@aslbi.piemonte.it., Gerra G; Drug Prevention and Health Branch, United Nations Office on Drugs and Crime (UNODC), Vienna., Gruppo InterSert Collaborazione Scientifica Gics; Gruppo Intersert Collaborazione Scientifica GICS.
Jazyk: angličtina
Zdroj: Psychiatry research [Psychiatry Res] 2017 Apr; Vol. 250, pp. 210-216. Date of Electronic Publication: 2017 Jan 21.
DOI: 10.1016/j.psychres.2017.01.052
Abstrakt: Attention Deficit Hyperactivity Disorder (ADHD) is a risk for substance use disorders. The aim of this study was to investigate the association between adult ADHD symptoms, opioid use disorder, life dysfunction and co-occurring psychiatric symptoms. 1057 heroin dependent patients on opioid substitution treatment participated in the survey. All patients were screened for adult ADHD symptoms using the Adult ADHD Self-Report Scale (ASRS-v1.1). 19.4% of the patients screened positive for concurrent adult ADHD symptoms status and heroin dependence. Education level was lower among patients with ADHD symptoms, but not significant with respect to non-ADHD patients. Patients with greater ADHD symptoms severity were less likely to be employed. A positive association was observed between ADHD symptoms status and psychiatric symptoms. Patients with ADHD symptoms status were more likely to be smokers. Patients on methadone had a higher rate of ADHD symptoms status compared to buprenorphine. Those individuals prescribed psychoactive drugs were more likely to have ADHD symptoms. In conclusion, high rate of ADHD symptoms was found among heroin dependent patients, particularly those affected by the most severe form of addiction. These individuals had higher rates of unemployment, other co-morbid mental health conditions, heavy tobacco smoking. Additional psychopharmacological interventions targeting ADHD symptoms, other than opioid substitution, is a public health need.
(Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.)
Databáze: MEDLINE
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