Cuneyt Evren1, Gokhan Umut1, Bilge Evren2
1Bakirkoy Training and Research Hospital for Psychiatry Neurology and Neurosurgery, Istanbul, Turkey
2Department of Psychiatry, Baltalimani State Hospital for Muskuloskeletal Disorders, Istanbul, Turkey
Aim: The aim of the present study was to evaluate relationship of ADHD symptoms with severity of dissociative experiences, while controlling the effects of anxiety, depression and childhood traumas in a sample of inpatients with alcohol use disorder (AUD).
Materials and Methods: Participants included 190 inpatients with AUD. Participants were evaluated with the State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), the Adult ADHD Self-Report Scale (ASRS), and Dissociative Experiences Scale (DES).
Results: 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 considered as a group with high risk of dissociative disorder. This group had higher scores from anxiety, depression, childhood trauma and ADHD scores than the other groups. Age, education, marital status and employment did not differ between the groups. ASRS total score and inattentive (IN) subscale scores were moderately correlated with DES score (r=0.552 and r=0.547 respectively), whereas hyperactive/impulsive (HI) subscale was mildly correlated with DES score (r=0.430). Severity of ADHD (particularly HI dimension) predicted the severity of dissociative symptoms even after controlling the state anxiety, depressive symptoms and childhood trauma.
Conclusions: These findings suggest that the severity of ADHD symptoms, particularly IN dimension, may be related with the severity of dissociative experiences, together with the depression and physical abuse among inpatients with AUD.