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Childhood risk factors for substance abuse in a clinical sample of adults with attention-deficit / hyperactivity disorder (ADHD) symptoms in an addiction outpatient clinic

Published online by Cambridge University Press:  13 August 2021

M. Laizāne ,
M. Ennītis ,
N. Bezborodovs  and
I. Landsmane
M. Laizāne*
Affiliation:
Faculty Of Residency, Riga Stradins University, Riga, Latvia
M. Ennītis
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
*
*Corresponding author.

Abstract

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Introduction

Substance use disorder (SUD) in patients with ADHD symptoms is associated with a poorer treatment prognosis. The study is aimed to investigate psychosocial risks factors for developing SUD in patients with ADHD.

Objectives

To examine the associations between self-reported weak academic performance, repetition of a grade, single – parent family, self-reported quality of parent – child relationship, conduct problems in childhood and SUD in adulthood in a sample of outpatients with ADHD symptoms of an addiction medicine clinic in Riga, Latvia.

Methods

Self-report surveys, containing Adult ADHD Self-Report Scale (ASRS-v I.I), were completed by outpatients of addiction clinic, including healthy control subjects (adults without addiction, formally assessed for fitness to drive, firearms licensing etc.). Patients then were examined in relation to childhood risk factors.

Results

Survey was compleated by 341 outpatients – 98 (28,7%) healthy controls and 243 (71,3%) patients with SUD (mean age, 36,8 and 37,7, respectively; 76,4% males). 62 (18,1%) patients were tested positive for ADHD, of whom 12 (19,4%) were healthy subjects and 50 (80,6%) were with SUD. Data shows connection between conduct problems in childhood (p=0,010), single - parent family (p=0,010), repetition of a grade (p=0,026) and SUD in adults with ADHD symptoms. Comparing patients with and without ADHD symptoms, there was found no significant association between these factors, except for conduct problems (p=0,015).

Conclusions

The study found preliminary evidence that adults with ADHD symptoms who experienced single – parenthood in childhood, had conduct problems or repeated a grade are more likely to develop SUD. Futher investigation is required.

Keywords

Substance Use DisorderAttention-deficit / Hyperactivity disorder (ADHD)
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S576
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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