Coping styles in substance use disorder (SUD) patients with and without co-occurring attention deficit/hyperactivity disorder (ADHD) or autism spectrum disorder (ASD)

BMC Psychiatry

Wim van den Brink²  Theo van Achterberg⁴  Jooske van Busschbach¹  Peter J.J. Goossens⁵  Linda M. Kronenberg³ 

[1] University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands;Amsterdam Institute for Addiction Research, Academic Medical Center University of Amsterdam, Amsterdam, The Netherlands;Dimence Group, Center for Mental Health Care, Expertise Centre Developmental Disorders, Deventer, The Netherlands;Department of Public health and Caring Sciences, Uppsala University, Uppsala, Sweden;GGZ-VS, Institute for Education of Clinical Nurse Specialist in Mental Health, Utrecht, The Netherlands

关键词: Autism Spectrum Disorder;    Attention Deficit/Hyperactivity Disorder;    Substance Use Disorder;    Coping styles;   

Others  :  1219950
DOI  :  10.1186/s12888-015-0530-x

 received in 2015-02-12, accepted in 2015-06-14,  发布年份 2015

【 摘 要 】

Background

Patients with a substance use disorder (SUD) and co-occurring attention deficit hyperactivity disorder (ADHD) or autism spectrum disorder (ASD) often start using substances in an attempt to cope with the stress related to their ADHD or ASD. To improve treatment for these patient groups, it is important to identify and compare the various coping styles between SUD patients with and without ADHD or ASD and with subjects from a general population sample.

Methods

Cross-sectional study using the Utrecht Coping List (UCL) in 50 SUD patients, 41 SUD + ADHD patients, 31 SUD + ASD patients and 1,200 railway employees.

Results

Compared with the reference group, all three SUD groups showed a significant higher mean on the Palliative reaction, Avoidance, and Passive reaction subscales of the UCL. The scores for all UCL subscales of the SUD and the SUD + ADHD groups were very similar. However, the SUD + ASD group scored higher on Passive reaction and lower on Reassuring thoughts than the SUD and the SUD + ADHD groups and lower on Expression of emotions subscale in comparison with the SUD + ADHD group.

Conclusions

Regardless of the presence of a co-occurring disorder, SUD patients reported more palliative, avoidant and passive coping when confronted than people in the general population. In addition, SUD patients with co-occurring ASD were different from other SUD patients in their coping and professionals should take this into account when working on more adaptive coping strategies with these patients.

【 授权许可】

   
2015 Kronenberg et al.

【 图 表 】

Fig. 1.

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