Depression and severity of substance dependence among heroin dependent patients with ADHD symptoms

doi:/10.1111/ajad.12487

中山醫學大學機構典藏 CSMUIR > 醫學科技學院 > 語言治療與聽力學系暨碩士班 > 期刊論文 > Item 310902500/20979

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/20979

Title:	Depression and severity of substance dependence among heroin dependent patients with ADHD symptoms
Authors:	Liao, Yin‐To Chen, Chi‐Yen Ng, Mei‐Hing Huang, Kuo‐You Shao, Wen‐Chuan Lin, Tsang‐Yaw Chen, Vincent Chin‐Hung Gossop, Michael
Contributors:	語言治療與聽力學系（所）
Date:	2016-12-20
Issue Date:	2020-07-23T11:17:32Z (UTC)
Publisher:	The American Journal on Addictions
ISSN:	1055-0496 print / 1521-0391 online
Abstract:	Abstract Background and Objectives Comorbid attention deficit hyperactivity disorder (ADHD) symptoms are highly prevalent among heroin‐dependent patients. We aim to investigate differences in dependence severity, depression, and quality of life between heroin‐dependent patients with and without ADHD‐screened positive. Methods Heroin‐dependent participants (n = 447) entering methadone maintenance treatment were divided into ADHD‐screened positive (ADHD‐P) and ADHD‐screened negative (ADHD‐N) groups according to scores of Adult ADHD Self‐Report Scale (ASRS). Mini‐International Neuropsychiatric Interview was used to identify current and lifetime depressive episodes and suicidality. Substance use disorder, depression, family support, and quality of life in two groups were also assessed. Results About 7.8% (n = 35) scored 24 or higher of ASRS indicating highly likely Adult ADHD. More heroin‐dependent patients of ADHD‐P had a current depressive episode (p = .02). They had higher Center for Epidemiological Studies Depression (CESD) scores (p = .003), and more severe heroin dependence (p = .006). Poorer family support and quality of life in physical, and psychological domains were found in patients of ADHD‐P compared to ADHD‐N. Discussion and Conclusions Heroin‐dependent patients of ADHD‐P represent a vulnerable minority. They were comorbid with regard to depression, greater substance dependence severity, and poorer quality of life. Scientific Significance Assessment for ADHD symptoms in heroin‐dependent patients may be indicated for the effective management of the complex problems of these patients. (Am J Addict 2017;26:26–33)
URI:	https://ir.csmu.edu.tw:8080/ir/handle/310902500/20979
Relation:	The American Journal on Addictions, 26: 26–33, 2017
Appears in Collections:	[語言治療與聽力學系暨碩士班] 期刊論文

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