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Substance-specific variability of ADHD symptoms in riga psychiatry and addiction medicine centre treatment-seeking substance use disorder outpatient population

Published online by Cambridge University Press:  13 August 2021

M. Ennītis ,
M. Laizāne ,
N. Bezborodovs ,
I. Landsmane  and
S. Skaida
M. Ennītis*
Affiliation:
Faculty Of Residency, Riga Stradins University, Riga, Latvia
M. Laizāne
Affiliation:
Faculty Of Residency, Riga Stradins University, Riga, Latvia
N. Bezborodovs
Affiliation:
Department Of Psychiatry And Narcology, Riga Stradins University, riga, Latvia
I. Landsmane
Affiliation:
Department Of Addiction Medicine, Riga Psychiatry and Narcology Centre, Riga, Latvia
S. Skaida
Affiliation:
Department Of Psychiatry And Narcology, VSIA Riga Center of Psychiatry and Narcology, Riga, Latvia
*
*Corresponding author.

Abstract

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Introduction

Studies show a link between attention deficit disorder (ADHD) and substance use disorders (SUD). Patients may abuse illicit drugs or alcohol as means of self-medicating e.g. stimulants for ADHD symptoms. Identifying ADHD symptoms in SUD patients could help improve treatment outcome and quality of life.

Objectives

To evaluate the prevalence of ADHD symptoms in Riga Psychiatry and Addiction Medicine Centre (RPNC) outpatients and study the link between ADHD symptoms and specific SUDs.

Methods

In a period of 30 days, all consentient clients of RPNC outpatient addiction clinic were surveyed for basic sociodemographic data and screened with Adult ADHD Self-report Scale (ASRSv1.1). Results were compared among patients with different types of addictions previously diagnosed using ICD-10 classification. Results were also compared to a control group.

Results

Out of 279 participants, 209 were treatment-seeking SUD patients, 70 controls. Mean age was 37.99, 77.8% were male. Among SUD patients 45,2% had alcohol UD(F10), 52.9% opiate UD(F11), 35.1% stimulant UD(F14;f15), 20.2% sedative UD(F13). Patients who had stimulant addiction as one of their diagnosis and patients with multiple addictions were significantly more likely (p=0.023 and p=0.012 respectively) to screen positive for ASRSv1.1 among SUD patients population. All types of SUDs were significantly more likely to screen positive for ASRSv1.1 when compared to a control group.

Conclusions

There is a strong link between SUD and ADHD symptoms. Patients with stimulant or multiple SUDs are more likely to screen positive for ADHD symptoms than other SUD patients. It is important to identify ADHD symptoms in treatment-seeking SUD patients.

Disclosure

No significant relationships.

Keywords

ADHDSubstance Use DisorderAdult Attention-Deficit / Hyperactivity DisorderASRS v.1.1
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S89 - S90
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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