Investigation of the relationship between adult attention deficit hyperactivity disorder and reinforcement sensitivity in substance use disorders

INTRODUCTION: It is known that adult ADHD comorbidity is high in cases with substance use disorder (SUD). With the prediction that the Behavioral Activation System (BAS) and the Behavioral Inhibition System (BIS), which Gray claims to underlie motivated behaviour, may be effective in these two psych...

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Main Authors: Esra Porgalı Zayman, Süheyla Ünal, Hatice Birgül Cumurcu, Özlem Özel Özcan, Rabia Bilici, Erşah Zayman
Format: Article
Language:English
Published: ANP Publishing 2024-03-01
Series:Klinik Psikiyatri Dergisi
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=kpd&un=KPD-56767
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author Esra Porgalı Zayman
Süheyla Ünal
Hatice Birgül Cumurcu
Özlem Özel Özcan
Rabia Bilici
Erşah Zayman
author_facet Esra Porgalı Zayman
Süheyla Ünal
Hatice Birgül Cumurcu
Özlem Özel Özcan
Rabia Bilici
Erşah Zayman
author_sort Esra Porgalı Zayman
collection DOAJ
description INTRODUCTION: It is known that adult ADHD comorbidity is high in cases with substance use disorder (SUD). With the prediction that the Behavioral Activation System (BAS) and the Behavioral Inhibition System (BIS), which Gray claims to underlie motivated behaviour, may be effective in these two psychopathological conditions, the relationship between BIS/BAS dimensions and ADHD symptoms in substance addicts was investigated in this study. METHODS: The study included 91 male patients over 18 who applied to the AMATEM outpatient clinic of Elazig Mental Health and Diseases Hospital for treatment and were diagnosed with substance use disorder according to DSM-5 and 99 healthy male controls with similar sociodemographic characteristics. A form in which sociodemographic and substance use-related questions were asked, and the Adult Attention Deficit Hyperactivity Disorder Self-Report Scale (ASRS), Wender-Utah Rating Scale (WURS), Behavioral Inhibition System / Behavioral Activation System Scale (BIS/BAS Scale) were given to the participants. RESULTS: In our study, adult ADHD prevalence was 10.1% among substance addicts. When the groups were compared according to the scores, a statistically significant difference was found between the individuals with substance use disorder and the control group regarding BIS-anxiety, FFFS-fear, WURS, and ASRS scores DISCUSSION AND CONCLUSION: Our findings suggest that an inhibitory system such as DKDS-fear may not be activated as negative feedback in substance addicts and may impulsively turn to substances to cope with increased anxiety. Substance use in individuals with ADHD may affect attention by increasing the sense of pleasure rather than hyperactivity or impulsivity.
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spelling doaj.art-1ce6d19405e242669cc28c1caeda9d9b2024-03-24T14:38:18ZengANP PublishingKlinik Psikiyatri Dergisi2146-71532024-03-01271748210.5505/kpd.2024.56767KPD-56767Investigation of the relationship between adult attention deficit hyperactivity disorder and reinforcement sensitivity in substance use disordersEsra Porgalı Zayman0Süheyla Ünal1Hatice Birgül Cumurcu2Özlem Özel Özcan3Rabia Bilici4Erşah Zayman5Department of Psychıatry, Inonu University, Malatya, TurkeyDepartment of Psychiatry, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, TurkeyDepartment of Psychıatry, Inonu University, Malatya, TurkeyDepartment of child and Adolescent Psychıatry, Inonu University, Malatya, TurkeyErenköy Mental Health and Neurological Diseases Training and Research Hospital, University of Health Sciences Turkey, Istanbul, Turkey.Psicologo Psychological Counceling CenterINTRODUCTION: It is known that adult ADHD comorbidity is high in cases with substance use disorder (SUD). With the prediction that the Behavioral Activation System (BAS) and the Behavioral Inhibition System (BIS), which Gray claims to underlie motivated behaviour, may be effective in these two psychopathological conditions, the relationship between BIS/BAS dimensions and ADHD symptoms in substance addicts was investigated in this study. METHODS: The study included 91 male patients over 18 who applied to the AMATEM outpatient clinic of Elazig Mental Health and Diseases Hospital for treatment and were diagnosed with substance use disorder according to DSM-5 and 99 healthy male controls with similar sociodemographic characteristics. A form in which sociodemographic and substance use-related questions were asked, and the Adult Attention Deficit Hyperactivity Disorder Self-Report Scale (ASRS), Wender-Utah Rating Scale (WURS), Behavioral Inhibition System / Behavioral Activation System Scale (BIS/BAS Scale) were given to the participants. RESULTS: In our study, adult ADHD prevalence was 10.1% among substance addicts. When the groups were compared according to the scores, a statistically significant difference was found between the individuals with substance use disorder and the control group regarding BIS-anxiety, FFFS-fear, WURS, and ASRS scores DISCUSSION AND CONCLUSION: Our findings suggest that an inhibitory system such as DKDS-fear may not be activated as negative feedback in substance addicts and may impulsively turn to substances to cope with increased anxiety. Substance use in individuals with ADHD may affect attention by increasing the sense of pleasure rather than hyperactivity or impulsivity.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=kpd&un=KPD-56767adhdbis/bassubstance use disorder
spellingShingle Esra Porgalı Zayman
Süheyla Ünal
Hatice Birgül Cumurcu
Özlem Özel Özcan
Rabia Bilici
Erşah Zayman
Investigation of the relationship between adult attention deficit hyperactivity disorder and reinforcement sensitivity in substance use disorders
Klinik Psikiyatri Dergisi
adhd
bis/bas
substance use disorder
title Investigation of the relationship between adult attention deficit hyperactivity disorder and reinforcement sensitivity in substance use disorders
title_full Investigation of the relationship between adult attention deficit hyperactivity disorder and reinforcement sensitivity in substance use disorders
title_fullStr Investigation of the relationship between adult attention deficit hyperactivity disorder and reinforcement sensitivity in substance use disorders
title_full_unstemmed Investigation of the relationship between adult attention deficit hyperactivity disorder and reinforcement sensitivity in substance use disorders
title_short Investigation of the relationship between adult attention deficit hyperactivity disorder and reinforcement sensitivity in substance use disorders
title_sort investigation of the relationship between adult attention deficit hyperactivity disorder and reinforcement sensitivity in substance use disorders
topic adhd
bis/bas
substance use disorder
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=kpd&un=KPD-56767
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