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The Characteristics of Mood Polarity, Temperament, and Suicide Risk in Adult ADHD
The present study was designed to shed light on a topic rarely explored and to suggest possible ways to detect risk factors for the presence of suicidal ideation and behaviors in a sample of adult patients with Attention-Deficit Hyperactivity Disorder (ADHD). This study also explored the association...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215300/ https://www.ncbi.nlm.nih.gov/pubmed/32326351 http://dx.doi.org/10.3390/ijerph17082871 |
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author | Giupponi, Giancarlo Innamorati, Marco Rogante, Elena Sarubbi, Salvatore Erbuto, Denise Maniscalco, Ignazio Sanna, Livia Conca, Andreas Lester, David Pompili, Maurizio |
author_facet | Giupponi, Giancarlo Innamorati, Marco Rogante, Elena Sarubbi, Salvatore Erbuto, Denise Maniscalco, Ignazio Sanna, Livia Conca, Andreas Lester, David Pompili, Maurizio |
author_sort | Giupponi, Giancarlo |
collection | PubMed |
description | The present study was designed to shed light on a topic rarely explored and to suggest possible ways to detect risk factors for the presence of suicidal ideation and behaviors in a sample of adult patients with Attention-Deficit Hyperactivity Disorder (ADHD). This study also explored the association between ADHD, affective temperaments, the presence of hypomania symptoms, and suicide risk. We hypothesized that (compared to healthy controls) (1) patients with adult ADHD would report more negative affective temperaments and more hypomania symptoms and (2) that they would have a higher suicide risk. The participants included 63 consecutive adult inpatients (18 women, 45 men) with ADHD and 69 healthy controls (42 women, 22 men). All participants were administered the Wender Utah Rating Scale (WURS), the Hypomania Check-List-32 (HCL-32), the Mood Disorder Questionnaire (MDQ), the Temperament Evaluation for Memphis, Pisa, Paris, and San Diego (TEMPS-A), and the Columbia-Suicide Severity Rating Scale (C-SSRS). Forty-six percent of the ADHD patients had an Axis 1 comorbid disorder. ADHD patients (compared to controls) more often reported suicidal ideation (46.0% vs. 5.9%, one-way Fisher exact test p < 0.001; phi = 0.46). ADHD patients and the controls also significantly differed in all the scales administered (with Cohen’s d between 0.92–4.70), except for the TEMPS-A Hyperthymia scale. A regression model indicated that ADHD was independently associated with higher scores of a negative temperaments/hypomania factor (Odd Ratio = 14.60) but not with suicidal ideation. A high incidence of suicidal ideation, comorbid psychiatric disorders, and negative affective temperaments was reported in adult ADHD patients, and clinicians should routinely assess risk factors for suicide among these patients. |
format | Online Article Text |
id | pubmed-7215300 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-72153002020-05-18 The Characteristics of Mood Polarity, Temperament, and Suicide Risk in Adult ADHD Giupponi, Giancarlo Innamorati, Marco Rogante, Elena Sarubbi, Salvatore Erbuto, Denise Maniscalco, Ignazio Sanna, Livia Conca, Andreas Lester, David Pompili, Maurizio Int J Environ Res Public Health Article The present study was designed to shed light on a topic rarely explored and to suggest possible ways to detect risk factors for the presence of suicidal ideation and behaviors in a sample of adult patients with Attention-Deficit Hyperactivity Disorder (ADHD). This study also explored the association between ADHD, affective temperaments, the presence of hypomania symptoms, and suicide risk. We hypothesized that (compared to healthy controls) (1) patients with adult ADHD would report more negative affective temperaments and more hypomania symptoms and (2) that they would have a higher suicide risk. The participants included 63 consecutive adult inpatients (18 women, 45 men) with ADHD and 69 healthy controls (42 women, 22 men). All participants were administered the Wender Utah Rating Scale (WURS), the Hypomania Check-List-32 (HCL-32), the Mood Disorder Questionnaire (MDQ), the Temperament Evaluation for Memphis, Pisa, Paris, and San Diego (TEMPS-A), and the Columbia-Suicide Severity Rating Scale (C-SSRS). Forty-six percent of the ADHD patients had an Axis 1 comorbid disorder. ADHD patients (compared to controls) more often reported suicidal ideation (46.0% vs. 5.9%, one-way Fisher exact test p < 0.001; phi = 0.46). ADHD patients and the controls also significantly differed in all the scales administered (with Cohen’s d between 0.92–4.70), except for the TEMPS-A Hyperthymia scale. A regression model indicated that ADHD was independently associated with higher scores of a negative temperaments/hypomania factor (Odd Ratio = 14.60) but not with suicidal ideation. A high incidence of suicidal ideation, comorbid psychiatric disorders, and negative affective temperaments was reported in adult ADHD patients, and clinicians should routinely assess risk factors for suicide among these patients. MDPI 2020-04-21 2020-04 /pmc/articles/PMC7215300/ /pubmed/32326351 http://dx.doi.org/10.3390/ijerph17082871 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Giupponi, Giancarlo Innamorati, Marco Rogante, Elena Sarubbi, Salvatore Erbuto, Denise Maniscalco, Ignazio Sanna, Livia Conca, Andreas Lester, David Pompili, Maurizio The Characteristics of Mood Polarity, Temperament, and Suicide Risk in Adult ADHD |
title | The Characteristics of Mood Polarity, Temperament, and Suicide Risk in Adult ADHD |
title_full | The Characteristics of Mood Polarity, Temperament, and Suicide Risk in Adult ADHD |
title_fullStr | The Characteristics of Mood Polarity, Temperament, and Suicide Risk in Adult ADHD |
title_full_unstemmed | The Characteristics of Mood Polarity, Temperament, and Suicide Risk in Adult ADHD |
title_short | The Characteristics of Mood Polarity, Temperament, and Suicide Risk in Adult ADHD |
title_sort | characteristics of mood polarity, temperament, and suicide risk in adult adhd |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215300/ https://www.ncbi.nlm.nih.gov/pubmed/32326351 http://dx.doi.org/10.3390/ijerph17082871 |
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