Evren Cuneyt, Umut Gokhan, Bozkurt Muge, Can Yesim, Evren Bilge, Agachanli Ruken
Research, Treatment and Training Center for Alcohol and Substance Dependence (AMATEM), Bakirkoy Training and Research Hospital for Psychiatry Neurology and Neurosurgery, Istanbul, Turkey.
Department of Psychiatry, Baltalimani State Hospital for Muskuloskeletal Disorders, Istanbul, Turkey.
Indian J Psychiatry. 2017 Jul-Sep;59(3):306-312. doi: 10.4103/psychiatry.IndianJPsychiatry_366_16.
This study aimed to evaluate the relationship of attention-deficit/hyperactivity disorder (ADHD) symptoms with dissociative experiences, and the mediator role of childhood traumas on this relationship, while controlling the effect of depression in alcohol use disorder (AUD).
It was a hospital-based, cross-sectional study.
One hundred and ninety inpatients with AUD were evaluated with the Beck Depression Inventory, the Adult ADHD Self-Report Scale (ASRS), Childhood Trauma Qestionnaire, and Dissociative Experiences Scale (DES).
One-way ANOVA, Chi-squared test, and hierarchical linear regression model were performed.
The ratio of those who receive 10 points or less from DES was 26.8%, those who receive points between 11 and 30 was 45.3%, and those who receive more than 30 points was 27.9%. The latter group that was considered as a group with high risk of dissociative disorder had higher scores from depression, childhood trauma, and ADHD scores than the other groups. Rate of those with high probability of ADHD was higher among this group. ASRS total score and inattentive subscale scores were moderately ( = 0.552 and r = 0.547, respectively) and hyperactive/impulsive subscale was mildly ( = 0.430) correlated with DES score. Severity of ADHD was related with the severity of dissociative symptoms, and physical abuse had partial mediator effect on this relationship, even after controlling the depressive symptoms.
These findings demonstrate that the presence of severe IN symptoms is an important factor related with dissociative tendency in AUD population with a history of physical abuse.
本研究旨在评估注意力缺陷多动障碍（ADHD）症状与分离体验之间的关系，以及童年创伤在这种关系中的中介作用，同时控制酒精使用障碍（AUD）中抑郁的影响。
这是一项基于医院的横断面研究。
对190名AUD住院患者进行了贝克抑郁量表、成人ADHD自我报告量表（ASRS）、儿童创伤问卷和分离体验量表（DES）评估。
进行了单因素方差分析、卡方检验和分层线性回归模型分析。
DES得分10分及以下者占26.8%，得分在11至30分之间者占45.3%，得分超过30分者占27.9%。被认为有分离障碍高风险的后一组在抑郁、童年创伤和ADHD得分方面高于其他组。该组中ADHD高概率者的比例更高。ASRS总分和注意力不集中子量表得分与DES得分呈中度相关（分别为r = 0.552和r = 0.547），多动/冲动子量表与DES得分呈轻度相关（r = 0.******）。ADHD的严重程度与分离症状的严重程度相关，即使在控制了抑郁症状后，身体虐待在这种关系中也有部分中介作用。
这些发现表明，严重的ADHD症状的存在是有身体虐待史的AUD人群中与分离倾向相关的一个重要因素。
