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Psychiatry Investig > Volume 15(2); 2018 > Article
Psychiatry Investigation 2018;15(2):164-171.
DOI: https://doi.org/10.30773/pi.2017.05.14.1    Published online December 1, 2017.
Relationship of Probable Attention Deficit Hyperactivity Disorder with Severity of Psychopathology and Impulsivity in a Sample of Male Patients with Opioid Use Disorder
Cuneyt Evren1, Izgi Alniak1, Vahap Karabulut1, Turan Cetin1, Gokhan Umut1, Ruken Agachanli1, Bilge Evren2
1Research, Treatment and Training Center for Alcohol and Substance Dependence (AMATEM), Bakirkoy Training and Research Hospital for Psychiatry Neurology and Neurosurgery, Istanbul, Turkey
2Department of Psychiatry, Baltalimani State Hospital for Muskuloskeletal Disorders, Istanbul, Turkey
Correspondence  Gokhan Umut ,Tel: +90 (212) 4091515-2111, Fax: +90 (212) 4091590, Email: drgokhanumut@gmail.com
Received: January 27, 2017   Revised: April 17, 2017   Accepted: May 14, 2017   Published online: December 1, 2017
Abstract
Objective
The aim of the present study was to evaluate relationship of probable attention deficit hyperactivity disorder (ADHD) with severity of psychopathology and the effect of impulsivity on this relationship in a sample of male patients with opioid use disorder (OUD).
Methods
Participants included 234 patients (115 inpatients and 119 outpatients) with OUD. Participants were evaluated with the Adult ADHD Self-Report Scale (ASRS-v1.1), the Symptom Checklist-90-R (SCL-90-R) and the Short Form of Barratt Impulsiveness Scale (BIS-11-SF).
Results
Psychopathology and impulsivity scores were higher among those with the probable ADHD. ADHD scores were midly to moderately correlated with impulsivity and psychopathology scores. In logistic regression analyses, while severity of general psychopathology and impulsivity predicted probable ADHD in the first Model, in the second Model, among dimensions of psychopathology obsessive compulsive (OC) dimension, whereas among dimensions of impulsivity non-planning and motor impulsivity predicted probable ADHD.
Conclusion
These findings suggest that probable ADHD is related with the severity of psychopathology, particularly OC dimension, while the severity of impulsivity may have an partial mediator (particularly non-planning and motor impulsivity) effect on this relationship among patients with OUD.
Keywords: ADHD, Impulsivity, Obsessive compulsive, Opioid use disorder, Psychopathology


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