Klinik Psikiyatri Dergisi (Sep 2021)
Differences in the perception of social support and traumatic experiences in adolescents with substance use disorder and attention deficit and hyperactivity disorder (tur)
Abstract
INTRODUCTION[|]The aim of this study was to investigate the childhood traumas and perceived social support of the adolescents with Attention Deficit and Hyperactivity Disorder (ADHD) and Substance Use Disorder(SUD)[¤]METHODS[|]The 150 male patients, 52 of with the diagnosis of substance use disorder (SUD), and 48 of whom were diagnosed with comorbid SUD and ADHD, and also 50 of with the diagnosis of with ADHD without the history of substance use, and their parents were included in the study. All adolescent completed the Childhood Trauma Questionnaire, Perceived Family and Friend Support Scale and Multi-Dimensional Perceived Social Support Scale while their parents completed the Screening and Assessment Scale Based on the DSM-IV for the Behavioral Disorders in Children and Adolescents. [¤]RESULTS[|]street life/experience, escaping from home, committing any crime, self-mutilative behavior and suicide attempt was higher particularly in adolescents with SUD and comorbid ADHD. The childhood traumas were higher in adolescents the SUD -ADHD. Physical and sexual abuse were found to be higher in SUD-ADHD. Emotional neglect was found to be high in SUD. No difference was identified between the three groups in terms of the scores of the perceived family and friend support. In respect of the score of the Multi-Dimensional Perceived Social Support, the friend subscale score was higher in the non-comorbid ADHD group.[¤]DISCUSSION AND CONCLUSION[|]Emotional neglect is a serious risk factor for SUD, independent of ADHD. The presence of ADHD increases the risk of abuse. Early intervention by detecting trauma survivors, recognizing ADHD and intervening with family members can be effective in preventing SUD, which is an important mental health problem for the individual and society.[¤]
Keywords