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Titolo:
Antecedents of opioid dependence and personality disorder: attention-deficit/hyperactivity disorder and conduct disorder
Autore:
Modestin, J; Matutat, B; Wurmle, O;
Indirizzi:
Univ Zurich, Hosp Psychiat, CH-8029 Zurich, Switzerland Univ Zurich Zurich Switzerland CH-8029 hiat, CH-8029 Zurich, Switzerland Univ Bern, Hosp Psychiat, CH-3072 Bern, Switzerland Univ Bern Bern Switzerland CH-3072 p Psychiat, CH-3072 Bern, Switzerland
Titolo Testata:
EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE
fascicolo: 1, volume: 251, anno: 2001,
pagine: 42 - 47
SICI:
0940-1334(200102)251:1<42:AOODAP>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
DEFICIT HYPERACTIVITY DISORDER; SUBSTANCE USE DISORDERS; PSYCHIATRIC-DISORDERS; DRUG-ADDICTS; AXIS-I; ADOLESCENTS; ABUSERS; ADULTS; ADHD; COMORBIDITY;
Keywords:
opioid dependence; personality disorder; attention-deficit/hyperactivity disorder; conduct disorder; male drug addicts;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Modestin, J Univ Zurich, Hosp Psychiat, Lenggstr 31, CH-8029 Zurich, Switzerland Univ Zurich Lenggstr 31 Zurich Switzerland CH-8029 witzerland
Citazione:
J. Modestin et al., "Antecedents of opioid dependence and personality disorder: attention-deficit/hyperactivity disorder and conduct disorder", EUR ARCH PS, 251(1), 2001, pp. 42-47

Abstract

Both attention-deficit/hyperactivity disorder (ADHD) and conduct disorder (CD) were explored as possible antecedents of opioid dependence and personality disorder. One hundred adult opioid-dependent, treatment-seeking male inpatients were explored; an extended clinical semistructured interview to collect sociodemographic, drug use related, and clinical data and the Structured Clinical Interview for DSM-IV personality disorders SCID-II were carried out. Four groups of patients, namely ADHD alone (4 patients), ADHD + CD (7 patients), CD alone (47 patients) and no ADHD/no CD (42 patients) were identified and compared with each other. The results indicate that ADHD alone does not predispose to the development of opioid dependence in male inpatients. Childhood ADHD may nevertheless be found more frequently in male opioid addicts due to its comorbidity with CD, which was identified in more than half of our sample. Patients with ADHD history seemed to go through the drug abuse career earlier and to develop more frequently histrionic and obsessive-compulsive personality disorder. Over half of the CD patients developed borderline and/or antisocial personality disorder; both ADHD and CD predispose significantly to the PD development. Early substance use preventivemeasures are necessary in children and adolescents suffering from CD and from ADHD comorbid with CD.

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Documento generato il 18/01/20 alle ore 13:01:50