소아기 주의력결핍 과잉행동장애 양상이 성인기 알코올 사용장애에 미치는 영향

• 영문명: Childhood ADHD Features are Associated with Adulthood Alcohol Use Disorder
• 발행기관: 한국중독정신의학회
• 저자명: 은태경(Tae-Kyung Eun) 김한오(Hano Kim) 박선희(Sunhee Park) 임재영(Jae-Young Lim) 정재경(Jae-Kyung Chung) 김의중(Eui-Joong Kim) 이규영(Kyu Young Lee) 방수영(Soo-Young Bhang) 이진경(Jin-Kyung Lee) 주은정(Eun-Jeong Joo)
• 간행물 정보: 『중독정신의학』Vol.21, No.1, 30~37쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2017.04.30

국문 초록

Objectives ： To find a possible association between childhood Attention Deficit Hyperactivity Disorder (ADHD) features and adulthood alcohol use disorder, we investigated the scores of the Wender-Utah Rating Scale (WURS) in Korean male patients with alcohol use disorder. Methods ： Seventy-one adult male patients with alcohol use disorder and 71 normal adult male controls were included in the study. The ADHD features of childhood were determined using the WURS. The total score and three Factor Sum Scores (Impulsivity score, Inattention score, Mood instability score) were analyzed. In addition, we investigated the scores of the Adult ADHD Self-Report Scale-V1.1 (ASRS) and clinical characteristics in association with childhood ADHD features. Results ： Childhood ADHD and adulthood ADHD features were found 28.2% and 14.1% in the patient group, respectively. The WURS scores were significant-ly higher in the patient group, as compared to the control group. Familial loading of alcohol use disorder and depression, ASRS, education, occupational status, and previous suicidal attempts were associated with one or more Factor Sum Scores. Higher inattention score was associated with previous suicidal attempts in the patients group (p=0.038, OR=1.16). Conclusion : The study results indicated that childhood ADHD features are the risk factors of adulthood alcohol use disorder in the Korean male population. Especially, childhood inattention could be a significant risk factor for suicidal behavior in patients with alcohol use disorder.

목차

서 론

방 법

결 과

고 찰

결 론

키워드

ADHD Alcohol use disorder Childhood factor score Wender-utah rating scale 주의력결핍 과잉행동장애 알코올 사용장애 소아기 요인점수 웬더유타척도.