In:
European Addiction Research, S. Karger AG, Vol. 27, No. 2 ( 2021), p. 87-96
Abstract:
〈 b 〉 〈 i 〉 Background: 〈 /i 〉 〈 /b 〉 Most severe substance use disorders (SUDs) are connected with attention deficit hyperactivity disorder (ADHD) and other mental health problems. Therapeutic communities (TCs) provide a suitable option for the treatment of severe SUDs. The relationship between ADHD, the severity of the SUD, and other comorbidities in residential TCs is unknown. 〈 b 〉 〈 i 〉 Objective: 〈 /i 〉 〈 /b 〉 To estimate the prevalence of ADHD among clients with an SUD in residential rehab, and to compare the mental health of clients with and without ADHD. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 A cohort study was conducted in 5 residential TCs ( 〈 i 〉 N 〈 /i 〉 = 180, 76.7% male, 53.9% 25–34 years, 79.2% diagnosed with methamphetamine use disorder). We assessed ADHD symptoms, substance use, mental health problems, and psychiatric symptoms. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 ADHD was found in 51% of the clients who showed significantly higher scores for their psychiatric status composite score (ASI-PSY) ( 〈 i 〉 F 〈 /i 〉 = 9.08, 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001; 〈 i 〉 t 〈 /i 〉 = 5.05, 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001), the positive psychiatric symptoms total (SCL-PST) ( 〈 i 〉 F 〈 /i 〉 = 3.36, 〈 i 〉 p 〈 /i 〉 & #x3c; 0.05; 〈 i 〉 t 〈 /i 〉 = 3.15, 〈 i 〉 p 〈 /i 〉 & #x3c; 0.01), and the global severity index (SCL-GSI) ( 〈 i 〉 F 〈 /i 〉 = 3.27, 〈 i 〉 p 〈 /i 〉 & #x3c; 0.05; 〈 i 〉 t 〈 /i 〉 = 3.18, 〈 i 〉 p 〈 /i 〉 & #x3c; 0.01). The ASI-PSY and SCL correlated significantly with the symptoms of attention deficit disorder (Pearson’s 〈 i 〉 r 〈 /i 〉 ’s = 0.30–0.42, 〈 i 〉 p 〈 /i 〉 ’s & #x3c; 0.001) and the symptoms of hyperactivity disorder ( 〈 i 〉 r 〈 /i 〉 ’s = 0.24–0.30, 〈 i 〉 p 〈 /i 〉 ’s & #x3c; 0.01). Even when severity of substance use was accounted for, ADHD was confirmed as a significant predictor of ASI-PSY ( 〈 i 〉 B 〈 /i 〉 = 0.14, 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001 for combined disorder; 〈 i 〉 B 〈 /i 〉 = 0.20, 〈 i 〉 p 〈 /i 〉 & #x3c; 0.001 for attention disorder) and partially of SCL-PST ( 〈 i 〉 B 〈 /i 〉 = 8.12, 〈 i 〉 p 〈 /i 〉 & #x3c; 0.05 for attention disorder). 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 The ADHD prevalence in TCs was nearly 10-fold compared to the globally recorded values. ADHD diagnostic procedures and interventions should become an integral part of the standard diagnostic and treatment process.
Type of Medium:
Online Resource
ISSN:
1022-6877
,
1421-9891
Language:
English
Publisher:
S. Karger AG
Publication Date:
2021
detail.hit.zdb_id:
1482231-3
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