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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ANP Publishing
2024-03-01
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Series: | Klinik Psikiyatri Dergisi |
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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. |
first_indexed | 2024-04-24T19:50:17Z |
format | Article |
id | doaj.art-1ce6d19405e242669cc28c1caeda9d9b |
institution | Directory Open Access Journal |
issn | 2146-7153 |
language | English |
last_indexed | 2024-04-24T19:50:17Z |
publishDate | 2024-03-01 |
publisher | ANP Publishing |
record_format | Article |
series | Klinik Psikiyatri Dergisi |
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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