{"title":"Factors associated with attention deficit hyperactivity disorder symptoms among patients with substance use in Malaysia.","authors":"M R Md Yusop, S Mohamed, N H Jaris, A Jamal","doi":"10.12809/eaap2426","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Attention deficit hyperactivity disorder (ADHD) often coexists with substance use disorders (SUDs). This study aimed to determine factors associated with ADHD symptoms among adults with SUDs in Malaysia.</p><p><strong>Methods: </strong>Patients aged ≥18 years with a ≥1-year history of substance use who were admitted to any of the three drug rehabilitation centres in urban Malaysia for >1 month were invited to participate. Participants were interviewed using the Malay version of the Alcohol, Smoking and Substance Involvement Screening Test to assess substance use and the Malay version of the Adult ADHD Self-Reporting Scale to assess ADHD symptoms.</p><p><strong>Results: </strong>The prevalence of adult ADHD symptoms among participants with SUDs was 47.2%. Compared with participants without ADHD, a lower proportion of participants with ADHD had medical comorbidities (84.9% vs 93.3%, p = 0.018), whereas a higher proportion of participants with ADHD symptoms had a history of imprisonment (80.8% vs 65.6%, adjusted p = 0.018) and first imprisonment before the age of 18 years (24.6% vs 16.8%, adjusted p = 0.048).</p><p><strong>Conclusion: </strong>A high proportion of adults undergoing rehabilitation for SUDs have ADHD symptoms. Screening and interventions for ADHD should be integrated into SUD rehabilitation programmes.</p>","PeriodicalId":39171,"journal":{"name":"East Asian Archives of Psychiatry","volume":"34 4","pages":"91-102"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"East Asian Archives of Psychiatry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12809/eaap2426","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Attention deficit hyperactivity disorder (ADHD) often coexists with substance use disorders (SUDs). This study aimed to determine factors associated with ADHD symptoms among adults with SUDs in Malaysia.
Methods: Patients aged ≥18 years with a ≥1-year history of substance use who were admitted to any of the three drug rehabilitation centres in urban Malaysia for >1 month were invited to participate. Participants were interviewed using the Malay version of the Alcohol, Smoking and Substance Involvement Screening Test to assess substance use and the Malay version of the Adult ADHD Self-Reporting Scale to assess ADHD symptoms.
Results: The prevalence of adult ADHD symptoms among participants with SUDs was 47.2%. Compared with participants without ADHD, a lower proportion of participants with ADHD had medical comorbidities (84.9% vs 93.3%, p = 0.018), whereas a higher proportion of participants with ADHD symptoms had a history of imprisonment (80.8% vs 65.6%, adjusted p = 0.018) and first imprisonment before the age of 18 years (24.6% vs 16.8%, adjusted p = 0.048).
Conclusion: A high proportion of adults undergoing rehabilitation for SUDs have ADHD symptoms. Screening and interventions for ADHD should be integrated into SUD rehabilitation programmes.
背景：注意缺陷多动障碍（ADHD）常与物质使用障碍（sud）共存。本研究旨在确定马来西亚成年sud患者ADHD症状的相关因素。方法：邀请年龄≥18岁，有≥1年药物使用史的患者在马来西亚城市三所戒毒中心中的任何一所接受治疗10个月。使用马来语版本的酒精、吸烟和物质介入筛选测试来评估物质使用，使用马来语版本的成人ADHD自我报告量表来评估ADHD症状。结果：在患有sud的参与者中，成人ADHD症状的患病率为47.2%。与没有ADHD的参与者相比，ADHD参与者有医疗合并症的比例较低（84.9% vs 93.3%, p = 0.018），而有ADHD症状的参与者有入狱史的比例较高（80.8% vs 65.6%，校正p = 0.018）， 18岁前有第一次入狱史（24.6% vs 16.8%，校正p = 0.048）。结论：接受ADHD康复治疗的成人中有较高比例存在ADHD症状。ADHD的筛查和干预应纳入SUD康复方案。
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