Is co-occurrence of adult adhd with bipolar disorder a risk factor for violent behavior?

•ADHD symptomatology, strongly predicts violent tendencies and aggression in bipolar disorder.•Male gender was identified as a predictor of violent tendencies in patients with bipolar disorder.•Young age was identified as a predictor of aggression in patients with bipolar disorder.•Detecting the com...

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Veröffentlicht in:Psychiatry research 2023-08, Vol.326, p.115302-115302, Article 115302
Hauptverfasser: Teksin, Meryem Gül, Özalp, Elvan, Bal, Neşe Burcu, Özer, İbrahim, Çayköylü, Ali
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Sprache:eng
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Zusammenfassung:•ADHD symptomatology, strongly predicts violent tendencies and aggression in bipolar disorder.•Male gender was identified as a predictor of violent tendencies in patients with bipolar disorder.•Young age was identified as a predictor of aggression in patients with bipolar disorder.•Detecting the comorbidity of ADHD in bipolar disorder can contribute to the prevention of violent behavior in these patients. Research has shown that individuals with psychiatric disorders such as bipolar disorder (BD) and attention deficit and hyperactivity disorder (ADHD) have a higher likelihood of violent behavior. This study investigated the frequency of comorbid BD and ADHD in adultpatients and the relationship between this comorbidity and violent behavior. We assessed 105 remitted patients diagnosed with BD I (n = 91) or BD II (n = 14). The patients were administered the Sociodemographic Data Scale, the Wender-Utah Rating Scale (WURS), the Adult ADHD Self-Report Scale (ASRS), the Buss-Perry Aggression Questionnaire (BPAQ), and theViolence Tendency Scale (VTS) as self-reports. The same clinician administered the Diagnostic Interview for ADHD in adults (DIVA 2.0) to patients who scored≥36 on the WURS. Comorbid ADHD was diagnosed in 15.2% of patients according to the DIVA 2.0. In the multiple linear regression analysis, there was a statistically significant positive effect of the ASRS total score on the VTS and the BPAQ total score. Furthermore, it was found that male gender had a statistically significant positive effect on VTS total score and young age had a statistically significant positive effect on BPQA total score. These findings demonstrate an association between BD, comorbid ADHD, and violent behavior.
ISSN:0165-1781
1872-7123
DOI:10.1016/j.psychres.2023.115302