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Erschienen in: ADHD Attention Deficit and Hyperactivity Disorders 4/2017

03.04.2017 | Original Article

Relationship of self-mutilative behaviour with history of childhood trauma and adult ADHD symptoms in a sample of inpatients with alcohol use disorder

verfasst von: Cuneyt Evren, Gokhan Umut, Bilge Evren

Erschienen in: ADHD Attention Deficit and Hyperactivity Disorders | Ausgabe 4/2017

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Abstract

The aim of the present study was to evaluate relationship of self-mutilative behaviour (SMB) with the severity of childhood trauma and adult attention-deficit/hyperactivity disorder (ADHD) symptoms in a sample of inpatients with alcohol use disorder (AUD). Participants included 188 inpatients with AUD. Participants were evaluated with the Self-mutilative Behaviour Questionnaire, the Childhood Trauma Questionnaire (CTQ-28) and the Adult ADD/ADHD DSM-IV Based Diagnostic Screening and Rating Scale (Adult ADHD Scale). Among inpatients with AUD those who have a history of SMB constituted the SMB group (n = 57, 30.3%), and those without a history of SMB constituted the group without SMB (n = 131, 69.7%). Risk of high ADHD risk was 2.5 times higher among those with SMB. Adult ADHD Scale and CTQ-28 scores were also higher in the group with SMB. In the first backward logistic regression model, the severity of ADHD symptoms predicted the presence of SMB, together with the severity of childhood trauma, whereas in the second model, physical neglect and inattentive (IN) dimension of ADHD predicted the presence of SMB. These findings suggest that the higher severity of physical neglect and adult IN dimension of ADHD may be related to SMB among inpatients with AUD.
Literatur
Zurück zum Zitat American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). American Psychiatric Association, WashingtonCrossRef American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). American Psychiatric Association, WashingtonCrossRef
Zurück zum Zitat Arai S, Okamoto Y, Fujioka T et al (2016) Altered frontal pole development affects self-generated spatial working memory in ADHD. Brain Dev 38:471–480CrossRefPubMed Arai S, Okamoto Y, Fujioka T et al (2016) Altered frontal pole development affects self-generated spatial working memory in ADHD. Brain Dev 38:471–480CrossRefPubMed
Zurück zum Zitat Arias AJ, Gelernter J, Chan G et al (2008) Correlates of co-occurring ADHD in drug-dependent subjects: prevalence and features of substance dependence and psychiatric disorders. Addict Behav 33:1199–1207CrossRefPubMedPubMedCentral Arias AJ, Gelernter J, Chan G et al (2008) Correlates of co-occurring ADHD in drug-dependent subjects: prevalence and features of substance dependence and psychiatric disorders. Addict Behav 33:1199–1207CrossRefPubMedPubMedCentral
Zurück zum Zitat Barkley R, Murphy K, Fischer M (2008) ADHD in adults: what the science says. Guilford Press, New York Barkley R, Murphy K, Fischer M (2008) ADHD in adults: what the science says. Guilford Press, New York
Zurück zum Zitat Bernstein D, Fink L (1998) Childhood Trauma Questionnaire: a retrospective self-report manual. The Psychological Corporation, San Antonio Bernstein D, Fink L (1998) Childhood Trauma Questionnaire: a retrospective self-report manual. The Psychological Corporation, San Antonio
Zurück zum Zitat Bernstein DP, Fink L, Handelsman L et al (1994) Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry 151:1132–1136CrossRefPubMed Bernstein DP, Fink L, Handelsman L et al (1994) Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry 151:1132–1136CrossRefPubMed
Zurück zum Zitat Bidwell LC, Henry EA, Willcutt EG et al (2014) Childhood and current ADHD symptom dimensions are associated with more severe cannabis outcomes in college students. Drug Alcohol Depend 135:88–94CrossRefPubMed Bidwell LC, Henry EA, Willcutt EG et al (2014) Childhood and current ADHD symptom dimensions are associated with more severe cannabis outcomes in college students. Drug Alcohol Depend 135:88–94CrossRefPubMed
Zurück zum Zitat Bramham J, Murphy DGM, Xenitidis K et al (2012) Adults with attention deficit hyperactivity disorder: an investigation of age-related differences in behavioural symptoms, neuropsychological function and co-morbidity. Psychol Med 42:2225–2234CrossRefPubMed Bramham J, Murphy DGM, Xenitidis K et al (2012) Adults with attention deficit hyperactivity disorder: an investigation of age-related differences in behavioural symptoms, neuropsychological function and co-morbidity. Psychol Med 42:2225–2234CrossRefPubMed
Zurück zum Zitat Briere J, Gil E (1998) Self-mutilation in clinical and general population samples: prevalence, correlates, and functions. Am J Orthopsychiatry 68:609–620CrossRefPubMed Briere J, Gil E (1998) Self-mutilation in clinical and general population samples: prevalence, correlates, and functions. Am J Orthopsychiatry 68:609–620CrossRefPubMed
Zurück zum Zitat Capusan AJ, Kuja-Halkola R, Bendtsen P et al (2016) Childhood maltreatment and attention deficit hyperactivity disorder symptoms in adults: a large twin study. Psychol Med 46:2637–2646CrossRefPubMed Capusan AJ, Kuja-Halkola R, Bendtsen P et al (2016) Childhood maltreatment and attention deficit hyperactivity disorder symptoms in adults: a large twin study. Psychol Med 46:2637–2646CrossRefPubMed
Zurück zum Zitat Cooper J, Kapur N, Webb R et al (2005) Suicide after deliberate self-harm: a 4-year cohort study. Am J Psychiatry 162:297–303CrossRefPubMed Cooper J, Kapur N, Webb R et al (2005) Suicide after deliberate self-harm: a 4-year cohort study. Am J Psychiatry 162:297–303CrossRefPubMed
Zurück zum Zitat Dalbudak E, Evren C (2015) The impact of childhood traumas, depressive and anxiety symptoms on the relationship between borderline personality features and symptoms of adult attention deficit hyperactivity disorder in Turkish university students. Nord J Psychiatry 69:42–47CrossRefPubMed Dalbudak E, Evren C (2015) The impact of childhood traumas, depressive and anxiety symptoms on the relationship between borderline personality features and symptoms of adult attention deficit hyperactivity disorder in Turkish university students. Nord J Psychiatry 69:42–47CrossRefPubMed
Zurück zum Zitat Dowson J, Blackwell A (2010) Impulsive aggression in adults with attention-deficit/hyperactivity disorder. Acta Psychiatr Scand 121:103–110CrossRefPubMed Dowson J, Blackwell A (2010) Impulsive aggression in adults with attention-deficit/hyperactivity disorder. Acta Psychiatr Scand 121:103–110CrossRefPubMed
Zurück zum Zitat Dowson J, Blackwell A, Turner D et al (2007) Questionnaire ratings of attention-deficit/hyperactivity disorder (ADHD) in adults are associated with spatial working memory. Eur Psychiatry 22:256–263CrossRefPubMed Dowson J, Blackwell A, Turner D et al (2007) Questionnaire ratings of attention-deficit/hyperactivity disorder (ADHD) in adults are associated with spatial working memory. Eur Psychiatry 22:256–263CrossRefPubMed
Zurück zum Zitat Estévez N, Dey M, Eich-Höchli D et al (2015) Adult attention-deficit/hyperactivity disorder and its association with substance use and substance use disorders in young men. Epidemiol Psychiatr Sci 20:1–12 Estévez N, Dey M, Eich-Höchli D et al (2015) Adult attention-deficit/hyperactivity disorder and its association with substance use and substance use disorders in young men. Epidemiol Psychiatr Sci 20:1–12
Zurück zum Zitat Evans C, Lacey JH (1992) Multiple self-damaging behaviour among alcoholic women. A prevalence study. Br J Psychiatry 161:643–647CrossRefPubMed Evans C, Lacey JH (1992) Multiple self-damaging behaviour among alcoholic women. A prevalence study. Br J Psychiatry 161:643–647CrossRefPubMed
Zurück zum Zitat Evren C, Evren B (2005) Self-mutilation in substance-dependent patients and relationship with childhood abuse and neglect, alexithymia and temperament and character dimensions of personality. Drug Alcohol Depend 80:15–22CrossRefPubMed Evren C, Evren B (2005) Self-mutilation in substance-dependent patients and relationship with childhood abuse and neglect, alexithymia and temperament and character dimensions of personality. Drug Alcohol Depend 80:15–22CrossRefPubMed
Zurück zum Zitat Evren C, Kural S, Cakmak D (2006a) Clinical correlates of self-mutilation in Turkish male substance-dependent inpatients. Psychopathology 39:248–254CrossRefPubMed Evren C, Kural S, Cakmak D (2006a) Clinical correlates of self-mutilation in Turkish male substance-dependent inpatients. Psychopathology 39:248–254CrossRefPubMed
Zurück zum Zitat Evren C, Kural S, Cakmak D (2006b) Clinical correlates of childhood abuse and neglect in substance dependents. Addict Behav 31:475–485CrossRefPubMed Evren C, Kural S, Cakmak D (2006b) Clinical correlates of childhood abuse and neglect in substance dependents. Addict Behav 31:475–485CrossRefPubMed
Zurück zum Zitat Evren C, Sar V, Evren B, Dalbudak E (2008) Self-mutilation among male patients with alcohol dependency: the role of dissociation. Compr Psychiatry 49:489–495CrossRefPubMed Evren C, Sar V, Evren B, Dalbudak E (2008) Self-mutilation among male patients with alcohol dependency: the role of dissociation. Compr Psychiatry 49:489–495CrossRefPubMed
Zurück zum Zitat Evren C, Dalbudak E, Cakmak D (2009) Personality dimensions in male patients with early-onset alcohol dependence who seek treatment. Isr J Psychiatry Relat Sci 46:204–206PubMed Evren C, Dalbudak E, Cakmak D (2009) Personality dimensions in male patients with early-onset alcohol dependence who seek treatment. Isr J Psychiatry Relat Sci 46:204–206PubMed
Zurück zum Zitat Evren C, Dalbudak E, Evren B et al (2011) Self-mutilative behaviours in male alcohol-dependent inpatients and relationship with posttraumatic stress disorder. Psychiatry Res 186:91–96CrossRefPubMed Evren C, Dalbudak E, Evren B et al (2011) Self-mutilative behaviours in male alcohol-dependent inpatients and relationship with posttraumatic stress disorder. Psychiatry Res 186:91–96CrossRefPubMed
Zurück zum Zitat Evren C, Cinar O, Evren B, Celik S (2012a) Relationship of self-mutilative behaviours with severity of borderline personality, childhood trauma and impulsivity in male substance-dependent inpatients. Psychiatry Res 200:20–25CrossRefPubMed Evren C, Cinar O, Evren B, Celik S (2012a) Relationship of self-mutilative behaviours with severity of borderline personality, childhood trauma and impulsivity in male substance-dependent inpatients. Psychiatry Res 200:20–25CrossRefPubMed
Zurück zum Zitat Evren C, Cinar O, Evren B, Celik S (2012b) Self-mutilative behaviors in male substance-dependent inpatients and relationship with anger and aggression: mediator effect of childhood trauma. Compr Psychiatry 53:252–258CrossRefPubMed Evren C, Cinar O, Evren B, Celik S (2012b) Self-mutilative behaviors in male substance-dependent inpatients and relationship with anger and aggression: mediator effect of childhood trauma. Compr Psychiatry 53:252–258CrossRefPubMed
Zurück zum Zitat Favazza AR (1989) Why patients mutilate themselves. Hosp Community Psychiatry 40:137–145PubMed Favazza AR (1989) Why patients mutilate themselves. Hosp Community Psychiatry 40:137–145PubMed
Zurück zum Zitat Fulwiler C, Forbes C, Santangelo SL, Folstein M (1997) Self-mutilation and suicide attempt: distinguishing features in prisoners. J Am Acad Psychiatry Law 25:69–77PubMed Fulwiler C, Forbes C, Santangelo SL, Folstein M (1997) Self-mutilation and suicide attempt: distinguishing features in prisoners. J Am Acad Psychiatry Law 25:69–77PubMed
Zurück zum Zitat Gould F, Clarke J, Heim C et al (2012) The effects of child abuse and neglect on cognitive functioning in adulthood. J Psychiatr Res 46:500–506CrossRefPubMedPubMedCentral Gould F, Clarke J, Heim C et al (2012) The effects of child abuse and neglect on cognitive functioning in adulthood. J Psychiatr Res 46:500–506CrossRefPubMedPubMedCentral
Zurück zum Zitat Gunay S, Savran C, Aksoy U et al (2006) The norm, transliteral equivalence, validity, reliability study of Adult Attention Deficit Hyperactivity Scale. Psychiatry Turk 8:98–107 Gunay S, Savran C, Aksoy U et al (2006) The norm, transliteral equivalence, validity, reliability study of Adult Attention Deficit Hyperactivity Scale. Psychiatry Turk 8:98–107
Zurück zum Zitat Gvion Y, Apter A (2011) Aggression, impulsivity, and suicide behavior: a review of the literature. Arch Suicide Res 15:93–112CrossRefPubMed Gvion Y, Apter A (2011) Aggression, impulsivity, and suicide behavior: a review of the literature. Arch Suicide Res 15:93–112CrossRefPubMed
Zurück zum Zitat Haavisto A, Sourander A, Multimäki P et al (2005) Factors associated with ideation and acts of deliberate self-harm among 18-year-old boys. A prospective 10-year follow-up study. Soc Psychiatry Psychiatr Epidemiol 40:912–921CrossRefPubMed Haavisto A, Sourander A, Multimäki P et al (2005) Factors associated with ideation and acts of deliberate self-harm among 18-year-old boys. A prospective 10-year follow-up study. Soc Psychiatry Psychiatr Epidemiol 40:912–921CrossRefPubMed
Zurück zum Zitat Hawton K, Harriss L, Simkin S et al (2004) Self-cutting: patient characteristics compared with self-poisoners. Suicide Life Threat Behav 34:199–208CrossRefPubMed Hawton K, Harriss L, Simkin S et al (2004) Self-cutting: patient characteristics compared with self-poisoners. Suicide Life Threat Behav 34:199–208CrossRefPubMed
Zurück zum Zitat Hawton K, Saunders K, Topiwala A, Haw C (2013) Psychiatric disorders in patients presenting to hospital following self-harm: a systematic review. J Affect Disord 151:821–830CrossRefPubMed Hawton K, Saunders K, Topiwala A, Haw C (2013) Psychiatric disorders in patients presenting to hospital following self-harm: a systematic review. J Affect Disord 151:821–830CrossRefPubMed
Zurück zum Zitat Impey M, Heun R (2012) Completed suicide, ideation and attempt in attention deficit hyperactivity disorder. Acta Psychiatr Scand 125:93–102CrossRefPubMed Impey M, Heun R (2012) Completed suicide, ideation and attempt in attention deficit hyperactivity disorder. Acta Psychiatr Scand 125:93–102CrossRefPubMed
Zurück zum Zitat Izutsu T, Shimotsu S, Matsumoto T et al (2006) Deliberate self-harm and childhood hyperactivity in junior high school students. Eur Child Adolesc Psychiatry 15:172–176CrossRefPubMed Izutsu T, Shimotsu S, Matsumoto T et al (2006) Deliberate self-harm and childhood hyperactivity in junior high school students. Eur Child Adolesc Psychiatry 15:172–176CrossRefPubMed
Zurück zum Zitat James A, Lai FH, Dahl C (2004) Attention deficit hyperactivity disorder and suicide: a review of possible associations. Acta Psychiatr Scand 110:408–415CrossRefPubMed James A, Lai FH, Dahl C (2004) Attention deficit hyperactivity disorder and suicide: a review of possible associations. Acta Psychiatr Scand 110:408–415CrossRefPubMed
Zurück zum Zitat Johann M, Bobbe G, Putzhammer A, Wodarz N (2003) Comorbidity of alcohol dependence with attention-deficit hyperactivity disorder: differences in phenotype with increased severity of the substance disorder, but not in genotype (Serotonin Transporter and 5-Hydroxytryptamine-2c Receptor). Alcohol Clin Exp Res 27:1527–1534CrossRefPubMed Johann M, Bobbe G, Putzhammer A, Wodarz N (2003) Comorbidity of alcohol dependence with attention-deficit hyperactivity disorder: differences in phenotype with increased severity of the substance disorder, but not in genotype (Serotonin Transporter and 5-Hydroxytryptamine-2c Receptor). Alcohol Clin Exp Res 27:1527–1534CrossRefPubMed
Zurück zum Zitat Klein RG, Mannuzza S, Olazagasti MAR et al (2012) Clinical and functional outcome of childhood attention-deficit/hyperactivity disorder 33 years later. Arch Gen Psychiatry 69:1295–1303CrossRefPubMedPubMedCentral Klein RG, Mannuzza S, Olazagasti MAR et al (2012) Clinical and functional outcome of childhood attention-deficit/hyperactivity disorder 33 years later. Arch Gen Psychiatry 69:1295–1303CrossRefPubMedPubMedCentral
Zurück zum Zitat Koenen KC, Moffitt TE, Poulton R et al (2007) Early childhood factors associated with the development of post-traumatic stress disorder: results from a longitudinal birth cohort. Psychol Med 37:181–192CrossRefPubMed Koenen KC, Moffitt TE, Poulton R et al (2007) Early childhood factors associated with the development of post-traumatic stress disorder: results from a longitudinal birth cohort. Psychol Med 37:181–192CrossRefPubMed
Zurück zum Zitat Lam LT (2002) Attention Deficit Disorder and hospitalization due to injury among older adolescents in New South Wales, Australia. J Atten Disord 6:77–82CrossRefPubMed Lam LT (2002) Attention Deficit Disorder and hospitalization due to injury among older adolescents in New South Wales, Australia. J Atten Disord 6:77–82CrossRefPubMed
Zurück zum Zitat Matthys F, Soyez V, van den Brink W et al (2014) Barriers to implementation of treatment guidelines for ADHD in adults with substance use disorder. J Dual Diagn 10:130–138CrossRefPubMed Matthys F, Soyez V, van den Brink W et al (2014) Barriers to implementation of treatment guidelines for ADHD in adults with substance use disorder. J Dual Diagn 10:130–138CrossRefPubMed
Zurück zum Zitat McCloud A, Barnaby B, Omu N et al (2004) Relationship between alcohol use disorders and suicidality in a psychiatric population: in-patient prevalence study. Br J Psychiatry 184:439–445CrossRefPubMed McCloud A, Barnaby B, Omu N et al (2004) Relationship between alcohol use disorders and suicidality in a psychiatric population: in-patient prevalence study. Br J Psychiatry 184:439–445CrossRefPubMed
Zurück zum Zitat Ouyang L, Fang X, Mercy J et al (2008) Attention-deficit/hyperactivity disorder symptoms and child maltreatment: a population-based study. J Pediatr 153:851–856CrossRefPubMed Ouyang L, Fang X, Mercy J et al (2008) Attention-deficit/hyperactivity disorder symptoms and child maltreatment: a population-based study. J Pediatr 153:851–856CrossRefPubMed
Zurück zum Zitat Roncero C, Ortega L, Pérez-Pazos J et al (2015) Psychiatric comorbidity in treatment-seeking alcohol dependence patients with and without ADHD. J Atten Disord. doi:10.1177/1087054715598841 Roncero C, Ortega L, Pérez-Pazos J et al (2015) Psychiatric comorbidity in treatment-seeking alcohol dependence patients with and without ADHD. J Atten Disord. doi:10.​1177/​1087054715598841​
Zurück zum Zitat Sacks MB, Flood AM, Dennis MF et al (2008) Self-mutilative behaviors in male veterans with posttraumatic stress disorder. J Psychiatr Res 42:487–494CrossRefPubMed Sacks MB, Flood AM, Dennis MF et al (2008) Self-mutilative behaviors in male veterans with posttraumatic stress disorder. J Psychiatr Res 42:487–494CrossRefPubMed
Zurück zum Zitat Sar V, Ozturk E, Ikikardes E (2012) Validity and reliability of the Turkish version of Childhood Trauma Questionnaire. Turk Klin J Med Sci 32:1054–1063 Sar V, Ozturk E, Ikikardes E (2012) Validity and reliability of the Turkish version of Childhood Trauma Questionnaire. Turk Klin J Med Sci 32:1054–1063
Zurück zum Zitat Semiz UB, Basoglu C, Oner O et al (2008) Effects of diagnostic comorbidity and dimensional symptoms of attention-deficit-hyperactivity disorder in men with antisocial personality disorder. Aust N Z J Psychiatry 42:405–413CrossRefPubMedPubMedCentral Semiz UB, Basoglu C, Oner O et al (2008) Effects of diagnostic comorbidity and dimensional symptoms of attention-deficit-hyperactivity disorder in men with antisocial personality disorder. Aust N Z J Psychiatry 42:405–413CrossRefPubMedPubMedCentral
Zurück zum Zitat Stevens SE, Sonuga-Barke EJS, Kreppner JM et al (2008) Inattention/overactivity following early severe institutional deprivation: presentation and associations in early adolescence. J Abnorm Child Psychol 36:385–398CrossRefPubMed Stevens SE, Sonuga-Barke EJS, Kreppner JM et al (2008) Inattention/overactivity following early severe institutional deprivation: presentation and associations in early adolescence. J Abnorm Child Psychol 36:385–398CrossRefPubMed
Zurück zum Zitat Suominen K, Isometsä E, Haukka J, Lönnqvist J (2004) Substance use and male gender as risk factors for deaths and suicide. Soc Psychiatry Psychiatr Epidemiol 39:720–724CrossRefPubMed Suominen K, Isometsä E, Haukka J, Lönnqvist J (2004) Substance use and male gender as risk factors for deaths and suicide. Soc Psychiatry Psychiatr Epidemiol 39:720–724CrossRefPubMed
Zurück zum Zitat Swanson EN, Owens EB, Hinshaw SP (2014) Pathways to self-harmful behaviors in young women with and without ADHD: a longitudinal examination of mediating factors. J Child Psychol Psychiatry 55:505–515CrossRefPubMed Swanson EN, Owens EB, Hinshaw SP (2014) Pathways to self-harmful behaviors in young women with and without ADHD: a longitudinal examination of mediating factors. J Child Psychol Psychiatry 55:505–515CrossRefPubMed
Zurück zum Zitat Taylor MR, Boden JM, Rucklidge JJ (2014) The relationship between ADHD symptomatology and self-harm, suicidal ideation, and suicidal behaviours in adults: a pilot study. Atten Defic Hyperact Disord: ADHD 6:303–312CrossRefPubMed Taylor MR, Boden JM, Rucklidge JJ (2014) The relationship between ADHD symptomatology and self-harm, suicidal ideation, and suicidal behaviours in adults: a pilot study. Atten Defic Hyperact Disord: ADHD 6:303–312CrossRefPubMed
Zurück zum Zitat Turell SC, Armsworth MW (2000) Differentiating incest survivors who self-mutilate. Child Abuse Negl 24:237–249CrossRefPubMed Turell SC, Armsworth MW (2000) Differentiating incest survivors who self-mutilate. Child Abuse Negl 24:237–249CrossRefPubMed
Zurück zum Zitat Turgay A (1995) Adult ADD/ADHD DSM-IV Based Diagnostic Screening and Rating Scale (unpublished scale). Integrative Therapy Institute, Toronto, Canada Turgay A (1995) Adult ADD/ADHD DSM-IV Based Diagnostic Screening and Rating Scale (unpublished scale). Integrative Therapy Institute, Toronto, Canada
Zurück zum Zitat van de Glind G, Konstenius M, Koeter MWJ et al (2014) Variability in the prevalence of adult ADHD in treatment seeking substance use disorder patients: results from an international multi-center study exploring DSM-IV and DSM-5 criteria. Drug Alcohol Depend 134:158–166CrossRefPubMed van de Glind G, Konstenius M, Koeter MWJ et al (2014) Variability in the prevalence of adult ADHD in treatment seeking substance use disorder patients: results from an international multi-center study exploring DSM-IV and DSM-5 criteria. Drug Alcohol Depend 134:158–166CrossRefPubMed
Zurück zum Zitat Walker EA, Unutzer J, Rutter C et al (1999) Costs of health care use by women HMO members with a history of childhood abuse and neglect. Arch Gen Psychiatry 56:609–613CrossRefPubMed Walker EA, Unutzer J, Rutter C et al (1999) Costs of health care use by women HMO members with a history of childhood abuse and neglect. Arch Gen Psychiatry 56:609–613CrossRefPubMed
Zurück zum Zitat Wapp M, van de Glind G, van Emmerik-van Oortmerssen K et al (2015) Risk factors for borderline personality disorder in treatment seeking patients with a substance use disorder: an international multicenter study. Eur Addict Res 21:188–194CrossRefPubMedPubMedCentral Wapp M, van de Glind G, van Emmerik-van Oortmerssen K et al (2015) Risk factors for borderline personality disorder in treatment seeking patients with a substance use disorder: an international multicenter study. Eur Addict Res 21:188–194CrossRefPubMedPubMedCentral
Zurück zum Zitat Willcutt EG, Pennington BF, Chhabildas NA et al (1999) Psychiatric comorbidity associated with DSM-IV ADHD in a nonreferred sample of twins. J Am Acad Child Adolesc Psychiatry 38:1355–1362CrossRefPubMed Willcutt EG, Pennington BF, Chhabildas NA et al (1999) Psychiatric comorbidity associated with DSM-IV ADHD in a nonreferred sample of twins. J Am Acad Child Adolesc Psychiatry 38:1355–1362CrossRefPubMed
Zurück zum Zitat Yates TM (2004) The developmental psychopathology of self-injurious behavior: compensatory regulation in posttraumatic adaptation. Clin Psychol Rev 24:35–74CrossRefPubMed Yates TM (2004) The developmental psychopathology of self-injurious behavior: compensatory regulation in posttraumatic adaptation. Clin Psychol Rev 24:35–74CrossRefPubMed
Metadaten
Titel
Relationship of self-mutilative behaviour with history of childhood trauma and adult ADHD symptoms in a sample of inpatients with alcohol use disorder
verfasst von
Cuneyt Evren
Gokhan Umut
Bilge Evren
Publikationsdatum
03.04.2017
Verlag
Springer Vienna
Erschienen in
ADHD Attention Deficit and Hyperactivity Disorders / Ausgabe 4/2017
Print ISSN: 1866-6116
Elektronische ISSN: 1866-6647
DOI
https://doi.org/10.1007/s12402-017-0228-7

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