ADHD and Mental Health Symptoms in the Identification of Young Adults with Increased Risk of Alcohol Dependency in the General Population—The HUNT4 Population Study

Symptoms of ADHD are strongly associated with alcohol use disorders, and mental health symptoms attenuate this relationship. There is limited knowledge about how specific symptoms of inattentiveness and hyperactivity/impulsivity can explain this association. We aimed to identify self-reported execut...

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Autores principales:	Anders Dahlen Forsmo Lauvsnes, Mette Langaas, Alexander Olsen, Jasmin Vassileva, Olav Spigset, Rolf W. Gråwe
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	public health alcohol ADHD cognitive dysfunction mental health classification Medicine R
Acceso en línea:	https://doaj.org/article/fb892e3c09bb401585ee84406cedc52f
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spelling	oai:doaj.org-article:fb892e3c09bb401585ee84406cedc52f2021-11-11T16:42:27ZADHD and Mental Health Symptoms in the Identification of Young Adults with Increased Risk of Alcohol Dependency in the General Population—The HUNT4 Population Study10.3390/ijerph1821116011660-46011661-7827https://doaj.org/article/fb892e3c09bb401585ee84406cedc52f2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11601https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Symptoms of ADHD are strongly associated with alcohol use disorders, and mental health symptoms attenuate this relationship. There is limited knowledge about how specific symptoms of inattentiveness and hyperactivity/impulsivity can explain this association. We aimed to identify self-reported executive cognitive functioning and mental health and variables that may help identify subjects with an elevated risk of alcohol dependence in the general population. Data included 3917 subjects between 19 and 30 years old in the 4th Trøndelag Health Study. The Adult ADHD Self report Scale—Screener, the Hospital Anxiety and Depression Scale, and demographic variables were used as input variables. The alcohol screening instrument CAGE was used as the response variable for binary alcohol dependence risk. We used logistic regression and automated model selection to arrive at our final model that identified sex, age, inattentiveness, hyperactivity/impulsivity symptoms, and anxiety as predictors of having a CAGE score ≥2, achieving an area under the receiver operating characteristic curve of 0.692. A balanced accuracy approach indicated an optimal cut-off of 0.153 with sensitivity 0.55 and specificity 0.74. Despite attrition in the data, our findings may be important in the assessment of individual risk for alcohol dependency and when developing algorithms for risk triage in public health.Anders Dahlen Forsmo LauvsnesMette LangaasAlexander OlsenJasmin VassilevaOlav SpigsetRolf W. GråweMDPI AGarticlepublic healthalcoholADHDcognitive dysfunctionmental healthclassificationMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11601, p 11601 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	public health alcohol ADHD cognitive dysfunction mental health classification Medicine R
spellingShingle	public health alcohol ADHD cognitive dysfunction mental health classification Medicine R Anders Dahlen Forsmo Lauvsnes Mette Langaas Alexander Olsen Jasmin Vassileva Olav Spigset Rolf W. Gråwe ADHD and Mental Health Symptoms in the Identification of Young Adults with Increased Risk of Alcohol Dependency in the General Population—The HUNT4 Population Study
description	Symptoms of ADHD are strongly associated with alcohol use disorders, and mental health symptoms attenuate this relationship. There is limited knowledge about how specific symptoms of inattentiveness and hyperactivity/impulsivity can explain this association. We aimed to identify self-reported executive cognitive functioning and mental health and variables that may help identify subjects with an elevated risk of alcohol dependence in the general population. Data included 3917 subjects between 19 and 30 years old in the 4th Trøndelag Health Study. The Adult ADHD Self report Scale—Screener, the Hospital Anxiety and Depression Scale, and demographic variables were used as input variables. The alcohol screening instrument CAGE was used as the response variable for binary alcohol dependence risk. We used logistic regression and automated model selection to arrive at our final model that identified sex, age, inattentiveness, hyperactivity/impulsivity symptoms, and anxiety as predictors of having a CAGE score ≥2, achieving an area under the receiver operating characteristic curve of 0.692. A balanced accuracy approach indicated an optimal cut-off of 0.153 with sensitivity 0.55 and specificity 0.74. Despite attrition in the data, our findings may be important in the assessment of individual risk for alcohol dependency and when developing algorithms for risk triage in public health.
format	article
author	Anders Dahlen Forsmo Lauvsnes Mette Langaas Alexander Olsen Jasmin Vassileva Olav Spigset Rolf W. Gråwe
author_facet	Anders Dahlen Forsmo Lauvsnes Mette Langaas Alexander Olsen Jasmin Vassileva Olav Spigset Rolf W. Gråwe
author_sort	Anders Dahlen Forsmo Lauvsnes
title	ADHD and Mental Health Symptoms in the Identification of Young Adults with Increased Risk of Alcohol Dependency in the General Population—The HUNT4 Population Study
title_short	ADHD and Mental Health Symptoms in the Identification of Young Adults with Increased Risk of Alcohol Dependency in the General Population—The HUNT4 Population Study
title_full	ADHD and Mental Health Symptoms in the Identification of Young Adults with Increased Risk of Alcohol Dependency in the General Population—The HUNT4 Population Study
title_fullStr	ADHD and Mental Health Symptoms in the Identification of Young Adults with Increased Risk of Alcohol Dependency in the General Population—The HUNT4 Population Study
title_full_unstemmed	ADHD and Mental Health Symptoms in the Identification of Young Adults with Increased Risk of Alcohol Dependency in the General Population—The HUNT4 Population Study
title_sort	adhd and mental health symptoms in the identification of young adults with increased risk of alcohol dependency in the general population—the hunt4 population study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/fb892e3c09bb401585ee84406cedc52f
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ADHD and Mental Health Symptoms in the Identification of Young Adults with Increased Risk of Alcohol Dependency in the General Population—The HUNT4 Population Study

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