Attention Deficit Hyperactivity Disorder Symptoms are Common in Patients in Opioid Maintenance Treatment
Abel, Eli Kristine Fiksdal
Bramness, Jørgen Gustav
; Peer reviewed
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Abel, Eli Kristine Fiksdal (2018) Mental distress and ADHD symptoms among individuals in Opioid Maintenance Treatment. Doctoral thesis
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Institutt for klinisk medisin
European Addiction Research. 2017, 23 (6), 298-305,
Introduction and aims: Knowledge of ADHD symptoms among patients in opioid maintenance treatment (OMT) is important for treatment optimization and yet limited. We investigated prevalence of ADHD symptoms, and factors associated with high ADHD symptom burden in a group of Norwegian OMT-patients.
Methods: We interviewed individuals entering OMT across Norway in two steps between 2012 and 2016. ADHD symptoms were measured by the Adult ADHD Self-Report Scale (ASRS) (n=175). We compared two groups of individuals who scored above or below the clinical cut-off score. Mental distress was measured with the General Symptom Index (GSI) of the Hopkin’s Symptom Check-List (HSCL-25).
Results: Thirty-three percent of the OMT-patients screened positively for ADHD on the ASRS. Participants who scored above clinical cut-off were younger, reported more severe substance use and mental distress. When controlling for other significant variables in a logistic regression analysis, scoring above cut-off on the ASRS was associated with higher GSI (OR 1.61; 95% CI 1.03-2.50) and use of stimulants (OR 2.55; 1.13-5.76).
Conclusions: ADHD symptoms were common in these OMT-patients. High ADHD symptom burden was associated with higher mental distress and use of stimulants. This underlines a need of more systematic focus on ADHD in OMT to plan treatment accordingly.
The final version of this research has been published in European Addiction Research. © 2018 Karger Publishers
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