Objective: To explore personality and readiness to change among substance use disorders (SUD) patients with and without ADHD. Method: SUD + ADHD versus SUD − ADHD patients consecutively entering treatment between 2010 and 2012 were compared concerning personality (Temperament and Character Inventory) and readiness to change (Stages of Change Readiness and Treatment Eagerness Scale). Results: Among 103 SUD patients (76 men, age M = 43.3, SD = 11.1), 16 (15.5%) were diagnosed with ADHD. SUD + ADHD patients reported significantly elevated eagerness to effort (p = .008) compared with SUD − ADHD patients, who reported significantly elevated fear of uncertainty (p < .000). SUD + ADHD patients reported higher ambition (p = .025), self-forgetfulness (p = .029), and lower recognition (p = .022). They were younger (p = .019) and showed more often amphetamine addiction (p = .022) compared with SUD − ADHD patients. Conclusion: The distinct characteristics found in SUD + ADHD and SUD − ADHD patients underline the need for differentiated treatment interventions.
AbiolaT.UdofiaO.SheikhT. L.SanniK. (2015). Assessing change readiness and treatment eagerness among psychoactive substance users in Northern Nigeria. Journal of Substance Abuse Treatment, 58, 72-77.
2.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
3.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
4.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
5.
AshersonP.BuitelaarJ.FaraoneS. V.RohdeL. A. (2016). Adult attention-deficit hyperactivity disorder: Key conceptual issues. The Lancet Psychiatry, 3, 568-578.
6.
BaborT. F.Higgins-BiddleJ. C.SaundersJ. B.MonteiroM. G. (2001). The Alcohol Use Disorders Identification Test (AUDIT): Guidelines for use in primary care (2nd ed.). Geneva, Switzerland: World Health Organization.
7.
BatesD.MaechlerM.BolkerB.WalkerS. (2015). Fitting Linear Mixed-Effects Models using lme4. Journal of Statistical Software, 67, 1-48.
8.
BelcherA. M.VolkowN. D.MoellerF. G.FerreS. (2014). Personality traits and vulnerability or resilience to substance use disorders. Trends in Cognitive Sciences, 18, 211-217.
9.
BermanA. H.BergmanH.PalmstiernaT.SchlyterF. (2005). Evaluation of the Drug Use Disorders Identification Test (DUDIT) in criminal justice and detoxification settings and in a Swedish population sample. European Addiction Research, 11, 22-31.
10.
BiedermanJ.PettyC. R.WoodworthK. Y.LomedicoA.HyderL. L.FaraoneS. V. (2012). Adult outcome of attention-deficit/hyperactivity disorder: A controlled 16-year follow-up study. Journal of Clinical Psychiatry, 73, 941-950.
11.
BlumeA. W.SchmalingK. B. (1997). Specific classes of symptoms predict readiness to change scores among dually diagnosed patients. Addictive Behaviors, 22, 625-630.
12.
BlumeA. W.SchmalingK. B.MarlattG. A. (2005). Memory, executive cognitive function, and readiness to change drinking behavior. Addictive Behaviors, 30, 301-314.
13.
Burrow-SanchezJ. J.LundbergK. J. (2007). Readiness to change in adults waiting for publicly funded substance abuse treatment. Addictive Behaviors, 32, 199-204.
14.
CloningerC. R. (2004). Feeling good: The science of well-being. Oxford, UK: Oxford University Press.
15.
CloningerC. R.PrzybeckT.SvrakicD.WetzelR. D. (1994). The Temperament and Character Inventory (TCI): A guide to its development and use. St Louis, MO: Center for Psychobiology of Personality, Washington University.
16.
CloningerC. R.ZoharA. H. (2011). Personality and the perception of health and happiness. Journal of Affective Disorders, 128, 24-32.
17.
DiClementeC. C.SchlundtD.GemmellL. (2004). Readiness and stages of change in addiction treatment. American Journal on Addictions, 13, 103-119.
18.
EvrenC.EvrenB.YancarC.ErkiranM. (2007). Temperament and character model of personality profile of alcohol- and drug-dependent inpatients. Comprehensive Psychiatry, 48, 283-288.
19.
FaraoneS. V.KunwarA.AdamsonJ.BiedermanJ. (2009). Personality traits among ADHD adults: Implications of late-onset and subthreshold diagnoses. Psychological Medicine, 39, 685-693.
20.
FirstM. B.SpitzerR. L.GibbonM.WilliamsJ. B. W.BenjaminL. (1995). Structured Clinical Interview for DSM-IV (SCID II) (Version 2.0 ed.). New York: New York State Psychiatric Institute.
21.
GjervanB.TorgersenT.RasmussenK.NordahlH. M. (2014). ADHD symptoms are differentially related to specific aspects of quality of life. Journal of Attention Disorders, 18, 598-606.
22.
HalmoyA.FasmerO. B.GillbergC.HaavikJ. (2009). Occupational outcome in adult ADHD: Impact of symptom profile, comorbid psychiatric problems, and treatment: A cross-sectional study of 414 clinically diagnosed adult ADHD patients. Journal of Attention Disorders, 13, 175-187.
23.
HildebrandM. (2015). The psychometric properties of the Drug Use Disorders Identification Test (DUDIT): A review of recent research. Journal of Substance Abuse Treatment, 53, 52-59.
24.
HofvanderB.StahlbergO.NydenA.WentzE.degl’InnocentiA.BillstedtE.. . . AnckarsaterH. (2011). Life history of aggression scores are predicted by childhood hyperactivity, conduct disorder, adult substance abuse, and low cooperativeness in adult psychiatric patients. Psychiatry Research, 185, 280-285.
25.
IBM Corp. (2013). IBM SPSS Statistics for Windows (Version 22.0). Armonk, NY: Author.
26.
JohannM.BobbeG.PutzhammerA.WodarzN. (2003). Comorbidity of alcohol dependence with attention-deficit hyperactivity disorder: Differences in phenotype with increased severity of the substance disorder, but not in genotype (serotonin transporter and 5-hydroxytryptamine-2c receptor). Alcoholism Clinical & Experimental Research, 27, 1527-1534.
27.
JosefssonK.CloningerC. R.HintsanenM.JokelaM.Pulkki-RabackL.Keltikangas-JarvinenL. (2011). Associations of personality profiles with various aspects of well-being: A population-based study. Journal of Affective Disorders, 133, 265-273.
28.
KesslerR. C.AdlerL.AmesM.DemlerO.FaraoneS.HiripiE.. . . WaltersE. E. (2005). The World Health Organization Adult ADHD Self-Report Scale (ASRS): A short screening scale for use in the general population. Psychological Medicine, 35, 245-256.
29.
KooijS. J.BejerotS.BlackwellA.CaciH.Casas-BrugueM.CarpentierP. J.. . . AshersonP. (2010). European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD. BMC Psychiatry, 10, 67.
30.
Le BerreA. P.VabretF.CauvinC.PinonK.AllainP.PitelA. L.. . . BeaunieuxH. (2012). Cognitive barriers to readiness to change in alcohol-dependent patients. Alcoholism Clinical & Experimental Research, 36, 1542-1549.
31.
Le BonO.BasiauxP.StreelE.TeccoJ.HanakC.HansenneM.. . . DupontS. (2004). Personality profile and drug of choice; a multivariate analysis using Cloninger’s TCI on heroin addicts, alcoholics, and a random population group. Drug and Alcohol Dependence, 73, 175-182.
32.
LevinF. R.EvansS. M.VosburgS. K.HortonT.BrooksD.NgJ. (2004). Impact of attention-deficit hyperactivity disorder and other psychopathology on treatment retention among cocaine abusers in a therapeutic community. Addictive Behaviors, 29, 1875-1882.
33.
LøvaasE. K.DahlT. (2013). Rusmiddelbruk og ADHD: Hvordan forstå og hjelpe? [Substance use and ADHD: How to understand and help?]. Oslo, Norway: Gyldendal Akademisk.
34.
MarxI.KrauseJ.BergerC.HasslerF. (2014). Dissociable patterns in the control of emotional interference in adults with attention-deficit/hyperactivity disorder (ADHD) and in adults with alcohol dependence. PLoS ONE, 9(9), e107750.
35.
MillerW. R.ToniganJ. S. (1996). Assessing drinkers’ motivation for change: The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). Psychology of Addictive Behaviors, 10, 81-89.
36.
MirandaA.BerenguerC.ColomerC.RoselloR. (2014). Influence of the symptoms of Attention Deficit Hyperactivity Disorder (ADHD) and comorbid disorders on functioning in adulthood. Psicothema, 26, 471-476.
37.
MostertJ. C.ShumskayaE.MennesM.OnninkA. M.HoogmanM.KanC. C.. . . NorrisD. G. (2016). Characterising resting-state functional connectivity in a large sample of adults with ADHD. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 67, 82-91.
38.
NideckerM.DiClementeC. C.BennettM. E.BellackA. S. (2008). Application of the transtheoretical model of change: Psychometric properties of leading measures in patients with co-occurring drug abuse and severe mental illness. Addictive Behaviors, 33, 1021-1030.
39.
OhlmeierM. D.PetersK.KordonA.SeifertJ.WildtB. T.WieseB.. . . SchneiderU. (2007). Nicotine and alcohol dependence in patients with comorbid attention-deficit/hyperactivity disorder (ADHD). Alcohol and Alcoholism, 42, 539-543.
40.
Pedrero PerezE. J.Ruiz Sanchez de LeonJ. M.Olivar ArroyoA.Rojo MotaG.Llanero LuqueM.Puerta GarciaC. (2011). [Personality differences between alcohol abusers and matched controls: Relation to frontal symptoms and subtypes of addicts]. Psicothema, 23, 100-106.
41.
ProchaskaJ. O.DiClementeC. C.NorcrossJ. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47, 1102-1114.
42.
R Core Team. (2015). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing. Available from https://www.R-project.org/
43.
RumpfH. J.WohlertT.Freyer-AdamJ.GrothuesJ.BischofG. (2013). Screening questionnaires for problem drinking in adolescents: Performance of AUDIT, AUDIT-C, CRAFFT and POSIT. European Addiction Research, 19, 121-127.
44.
SalgadoC. A.BauC. H.GrevetE. H.FischerA. G.VictorM. M.KalilK. L.. . . Belmonte-de-AbreuP. (2009). Inattention and hyperactivity dimensions of ADHD are associated with different personality profiles. Psychopathology, 42, 108-112.
45.
SheehanD.JanavsJ.BakerR.Harnett-ShehaanK.KnappE.SheehanM. (1994). Mini international neuropsychiatric interview. Tampa: University of South Florida.
46.
SizooB.van den BrinkW.Gorissen van EenigeM.van der GaagR. J. (2009). Personality characteristics of adults with autism spectrum disorders or attention deficit hyperactivity disorder with and without substance use disorders. The Journal of Nervous and Mental Disease, 197, 450-454.
47.
Sonuga-BarkeE. J. (2003). The dual pathway model of AD/HD: An elaboration of neuro-developmental characteristics. Neuroscience & Biobehavioral Reviews, 27, 593-604.
48.
Sosial-og Helsedirektoratet. (2007). Veileder i diagnostikk og behandling av AD/HD: Diagnostikk og behandling av hyperkinetisk forstyrrelse/attention deficit hyperactivity disorder (AD/HD) hos barn, ungdom og voksne (IS 1244) [Guide to diagnosis and treatment of AD/HD: Diagnosis and treatment of hyperkinetic disorder/attention deficit hyperactivity disorder (AD/HD) in children, adolescents and adults (IS 1244)]. Oslo, Norway: Author.
49.
TammL.AdinoffB.NakoneznyP. A.WinhusenT.RiggsP. (2012). Attention-deficit/hyperactivity disorder subtypes in adolescents with comorbid substance-use disorder. The American Journal of Drug and Alcohol Abuse, 38, 93-100.
50.
van de GlindG.KonsteniusM.KoeterM. W. J.van Emmerik-van OortmerssenK.CarpentierP.-J.KayeS.. . . YoungJ. (2014). Variability in the prevalence of adult ADHD in treatment seeking substance use disorder patients: Results from an international multi-center study exploring DSM-IV and DSM-5 criteria. Drug and Alcohol Dependence, 134, 158-166.
51.
van Emmerik-van OortmerssenK.van de GlindG.KoeterM. W. J.AllsopS.AuriacombeM.BartaC.SchoeversR. A. (2014). Psychiatric comorbidity in treatment-seeking substance use disorder patients with and without attention deficit hyperactivity disorder: Results of the IASP study. Addiction (Abingdon, England), 109, 262-272.
WilensT. E.KwonA.TanguayS.ChaseR.MooreH.FaraoneS. V.BiedermanJ. (2005). Characteristics of adults with attention deficit hyperactivity disorder plus substance use disorder: The role of psychiatric comorbidity. American Journal on Addictions, 14, 319-327.
54.
WillcuttE. G. (2012). The prevalence of DSM-IV attention-deficit/hyperactivity disorder: A meta-analytic review. Neurotherapeutics, 9, 490-499.
55.
World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva, Switzerland: Author.
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