Adult attention-deficit hyperactivity disorder symptoms and psychological distress, hazardous drinking, and problem gambling: A population-based study

André J. McDonald; Steven Cook; Nigel E. Turner; Anca R. Ialomiteanu; Robert E. Mann; Susan J. Bondy; Michael Roerecke; John McCready; Dov Millstone; Hayley A. Hamilton; Tara Elton-Marshall; Jürgen Rehm; Paul Kurdyak; Gabriela Ilie; Evelyn R. Vingilis; Christine M. Wickens; Mark van der Maas; Michael D. Cusimano

doi:10.1016/j.psychres.2021.113985

Adult attention-deficit hyperactivity disorder symptoms and psychological distress, hazardous drinking, and problem gambling: A population-based study

André J. McDonald, Steven Cook, Nigel E. Turner, Anca R. Ialomiteanu, Robert E. Mann, Susan J. Bondy, Michael Roerecke, John McCready, Dov Millstone, Hayley A. Hamilton, Tara Elton-Marshall, Jürgen Rehm, Paul Kurdyak, Gabriela Ilie, Evelyn R. Vingilis, Christine M. Wickens, Mark van der Maas, Michael D. Cusimano

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

Abstract

Recognition of ADHD in the adult population is relatively recent. Epidemiological research examining the mental health impact of ADHD in adulthood is thus limited. The objective of this study was to examine whether adult ADHD symptoms are associated with psychological distress, hazardous drinking, and problem gambling, after controlling for traumatic brain injury and sociodemographic characteristics. We analyzed data from a population-based survey administered in 2015 and 2016 to adults aged 18 years and over in Ontario, Canada (N = 3,817). Logistic regression was used to construct unadjusted and multivariable models for each of the three focal relationships. In the unadjusted models, ADHD symptoms were significantly related to psychological distress (OR = 9.3; 95% CI:6.1, 14.0) and hazardous drinking (OR = 2.1; 95% CI: 1.3, 3.4), but not to problem gambling (OR = 1.5; 0.5, 4.3). After adjustment, ADHD symptoms were significantly related to psychological distress (OR = 7.1; 95% CI: 4.6, 11.1), but not hazardous drinking (OR = 1.4; 95% CI: 0.8, 2.5) or problem gambling (OR = 0.6; 95% CI: 0.2, 2.5). This study further highlights the importance of clinicians assessing for concomitant ADHD and psychological distress in adults.

Original language	English
Article number	113985
Journal	Psychiatry Research
Volume	301
DOIs	https://doi.org/10.1016/j.psychres.2021.113985
Publication status	Published - Jul 2021

Bibliographical note

Funding Information:
Turner has received grant funding from the Ontario Lottery and Gaming to evaluate some of their prevention initiatives, but otherwise has not received funding from the gambling industry. The remaining authors report no other perceived, potential or actual competing interests for this project.

Funding Information:
The ideas expressed are those of the authors and do not necessarily reflect those of the Centre for Addiction and Mental Health, the University of Toronto, or the Ministry of Health and Long-Term Care. This project was supported by a grant from the Ministry of Health and Long-Term Care as Project No. 3632. Additional support was obtained from a STAIR Team Grant from the Canadian Institutes of Health Research (# TIR-103946; MC, RM, MA, GI) and from the Ontario Neurotrauma Foundation. The project was subject to ethics review by the Centre for Addiction and Mental Health (CAMH) and approved as Protocol #305/2009-06, 2015. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments including informed consent and confidentiality of all personal information.

Publisher Copyright:
© 2021 Elsevier B.V.

ASJC Scopus Subject Areas

Psychiatry and Mental health
Biological Psychiatry

PubMed: MeSH publication types

Journal Article
Research Support, Non-U.S. Gov't

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.psychres.2021.113985

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McDonald, A. J., Cook, S., Turner, N. E., Ialomiteanu, A. R., Mann, R. E., Bondy, S. J., Roerecke, M., McCready, J., Millstone, D., Hamilton, H. A., Elton-Marshall, T., Rehm, J., Kurdyak, P., Ilie, G., Vingilis, E. R., Wickens, C. M., van der Maas, M., & Cusimano, M. D. (2021). Adult attention-deficit hyperactivity disorder symptoms and psychological distress, hazardous drinking, and problem gambling: A population-based study. Psychiatry Research, 301, Article 113985. https://doi.org/10.1016/j.psychres.2021.113985

McDonald, AJ, Cook, S, Turner, NE, Ialomiteanu, AR, Mann, RE, Bondy, SJ, Roerecke, M, McCready, J, Millstone, D, Hamilton, HA, Elton-Marshall, T, Rehm, J, Kurdyak, P, Ilie, G, Vingilis, ER, Wickens, CM, van der Maas, M & Cusimano, MD 2021, 'Adult attention-deficit hyperactivity disorder symptoms and psychological distress, hazardous drinking, and problem gambling: A population-based study', Psychiatry Research, vol. 301, 113985. https://doi.org/10.1016/j.psychres.2021.113985

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title = "Adult attention-deficit hyperactivity disorder symptoms and psychological distress, hazardous drinking, and problem gambling: A population-based study",

abstract = "Recognition of ADHD in the adult population is relatively recent. Epidemiological research examining the mental health impact of ADHD in adulthood is thus limited. The objective of this study was to examine whether adult ADHD symptoms are associated with psychological distress, hazardous drinking, and problem gambling, after controlling for traumatic brain injury and sociodemographic characteristics. We analyzed data from a population-based survey administered in 2015 and 2016 to adults aged 18 years and over in Ontario, Canada (N = 3,817). Logistic regression was used to construct unadjusted and multivariable models for each of the three focal relationships. In the unadjusted models, ADHD symptoms were significantly related to psychological distress (OR = 9.3; 95% CI:6.1, 14.0) and hazardous drinking (OR = 2.1; 95% CI: 1.3, 3.4), but not to problem gambling (OR = 1.5; 0.5, 4.3). After adjustment, ADHD symptoms were significantly related to psychological distress (OR = 7.1; 95% CI: 4.6, 11.1), but not hazardous drinking (OR = 1.4; 95% CI: 0.8, 2.5) or problem gambling (OR = 0.6; 95% CI: 0.2, 2.5). This study further highlights the importance of clinicians assessing for concomitant ADHD and psychological distress in adults.",

author = "McDonald, {Andr{\'e} J.} and Steven Cook and Turner, {Nigel E.} and Ialomiteanu, {Anca R.} and Mann, {Robert E.} and Bondy, {Susan J.} and Michael Roerecke and John McCready and Dov Millstone and Hamilton, {Hayley A.} and Tara Elton-Marshall and J{\"u}rgen Rehm and Paul Kurdyak and Gabriela Ilie and Vingilis, {Evelyn R.} and Wickens, {Christine M.} and {van der Maas}, Mark and Cusimano, {Michael D.}",

note = "Funding Information: Turner has received grant funding from the Ontario Lottery and Gaming to evaluate some of their prevention initiatives, but otherwise has not received funding from the gambling industry. The remaining authors report no other perceived, potential or actual competing interests for this project. Funding Information: The ideas expressed are those of the authors and do not necessarily reflect those of the Centre for Addiction and Mental Health, the University of Toronto, or the Ministry of Health and Long-Term Care. This project was supported by a grant from the Ministry of Health and Long-Term Care as Project No. 3632. Additional support was obtained from a STAIR Team Grant from the Canadian Institutes of Health Research (# TIR-103946; MC, RM, MA, GI) and from the Ontario Neurotrauma Foundation. The project was subject to ethics review by the Centre for Addiction and Mental Health (CAMH) and approved as Protocol #305/2009-06, 2015. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments including informed consent and confidentiality of all personal information. Publisher Copyright: {\textcopyright} 2021 Elsevier B.V.",

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doi = "10.1016/j.psychres.2021.113985",

language = "English",

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T2 - A population-based study

AU - McDonald, André J.

AU - Cook, Steven

AU - Turner, Nigel E.

AU - Ialomiteanu, Anca R.

AU - Mann, Robert E.

AU - Bondy, Susan J.

AU - Roerecke, Michael

AU - McCready, John

AU - Millstone, Dov

AU - Hamilton, Hayley A.

AU - Elton-Marshall, Tara

AU - Rehm, Jürgen

AU - Kurdyak, Paul

AU - Ilie, Gabriela

AU - Vingilis, Evelyn R.

AU - Wickens, Christine M.

AU - van der Maas, Mark

AU - Cusimano, Michael D.

N1 - Funding Information: Turner has received grant funding from the Ontario Lottery and Gaming to evaluate some of their prevention initiatives, but otherwise has not received funding from the gambling industry. The remaining authors report no other perceived, potential or actual competing interests for this project. Funding Information: The ideas expressed are those of the authors and do not necessarily reflect those of the Centre for Addiction and Mental Health, the University of Toronto, or the Ministry of Health and Long-Term Care. This project was supported by a grant from the Ministry of Health and Long-Term Care as Project No. 3632. Additional support was obtained from a STAIR Team Grant from the Canadian Institutes of Health Research (# TIR-103946; MC, RM, MA, GI) and from the Ontario Neurotrauma Foundation. The project was subject to ethics review by the Centre for Addiction and Mental Health (CAMH) and approved as Protocol #305/2009-06, 2015. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments including informed consent and confidentiality of all personal information. Publisher Copyright: © 2021 Elsevier B.V.

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Adult attention-deficit hyperactivity disorder symptoms and psychological distress, hazardous drinking, and problem gambling: A population-based study

Abstract

Bibliographical note

ASJC Scopus Subject Areas

PubMed: MeSH publication types

UN SDGs

Access to Document

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