Iandvuelst taigttaetniotnio no fd tehfeic rite lhaytipoenrsahcitpiv biteyt wdieseonr der aunsed dreisinofrodrecres?m ent sensitivity in substance

Abstract

Objective: It is known that adult ADHD coexistence is high in patients with substance use disorder (SUD). With the prediction that the Behavioral Activation System (BAS) and Behavioral Inhibition System (BIS), which Gray suggested to underlie motivated behavior, may be effective in these two psychopathological conditions, this study investigated the relationship between BIS/DAS dimensions and ADHD symptoms in substance abusers. Method: The study included 91 male patients over the age of 18 diagnosed with substance use disorder according to DSM-5 who were admitted to the AMATEM outpatient clinic of Elazığ Mental Health and Diseases Hospital for outpatient treatment and 99 male healthy controls with similar sociodemographic characteristics. Participants were given a form in which sociodemographic and substance use questions were asked and Adult Attention Deficit Hyperactivity Disorder Self-Report Scale (ASRS), Wender-Utah Rating Scale (WURS), Behavioral Inhibition System/Behavioral Activation System Scale (BIS/BAS). Results: In our study, the prevalence of adult ADHD among substance abusers was found to be 10.1%. When the groups were compared according to the scale scores, a statistically significant difference was found between the individuals with substance use disorder and the control group according to BIS-anxiety, FFFS-fear, WURS scale scores and total ASRS scores. Discussion: Our findings suggest that in substance abusers, an inhibitory system such as DCDS-fear may not be activated as negative feedback, and they may impulsively turn to substances to cope with increased anxiety, and that substance use in individuals with ADHD may be effective on attention by increasing the sense of pleasure rather than hyperactivity that impulsivity may provide.