Religiousness and self-control in patients with substance use disorder (SUD) and comorbid attention deficit/hyperactivity disorder (ADHD)

Alex H.A. Begeman; Arnt Schellekens; Wim van den Brink; Csaba Barta; Christoffer Brynte; Cleo L. Crunelle; Laura De Fuentes-Merillas; Zsolt Demetrovics; Geert Dom; Johan Franck; Lara Grau; Mariely Hernandez; Romain Icick; Máté Kapitány-Fövény; Frances R. Levin; Mathias Luderer; Wiebren Markus; Frieda I.A. Matthys; Franz Moggi; Michiel van Kernebeek; Jose A. Ramos-Quiroga; Ortal Slobodin; Hanneke Schaap-Jonker

doi:10.1177/00207640251331973

Religiousness and self-control in patients with substance use disorder (SUD) and comorbid attention deficit/hyperactivity disorder (ADHD)

Alex H.A. Begeman, Arnt Schellekens, Wim van den Brink, Csaba Barta, Christoffer Brynte, Cleo L. Crunelle, Laura De Fuentes-Merillas, Zsolt Demetrovics, Geert Dom, Johan Franck, Lara Grau, Mariely Hernandez, Romain Icick, Máté Kapitány-Fövény, Frances R. Levin, Mathias Luderer, Wiebren Markus, Frieda I.A. Matthys, Franz Moggi, Michiel van KernebeekJose A. Ramos-Quiroga, Ortal Slobodin, Hanneke Schaap-Jonker

School of Education

Ben-Gurion University of the Negev

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

Abstract

Background: Religiousness has been positively associated with better mental health and stronger self-control, including in patients with substance use disorders (SUDs) or attention deficit/hyperactivity disorder (ADHD). However, data on religiousness in patients with SUD and comorbid ADHD are lacking. Objectives: This study aims to test in patients with SUD and comorbid ADHD whether (1) religiousness is negatively associated with SUD and ADHD symptom severity, and (2) self-control mediates the assumed negative association of religiousness with SUD and ADHD symptom severity. Method: In an international cohort study, baseline religiousness, self-control, SUD and ADHD symptom severity, and craving were assessed with self-report questionnaires and structured clinical interviews in 578 treatment-seeking SUD patients with comorbid adult ADHD (SUD + ADHD). Data were analyzed using structural equation modeling (SEM). Results: Stronger self-control wad associated with lower severity of both ADHD and SUD, but higher religiousness was only associated with lower severity of ADHD. This association was not mediated by self-control. Conclusion: Religiousness may have a salutary relationship with ADHD severity, but not with SUD severity. While self-control was associated with lower symptom severity for both co-occurring conditions, it may not be involved in the potentially salutary effects of religiousness in patients with SUD + ADHD.

Original language	American English
Article number	00207640251331973
Journal	International Journal of Social Psychiatry
DOIs	https://doi.org/10.1177/00207640251331973
State	Accepted/In press - 1 Jan 2025

Keywords

ADHD
Religiousness
SUD
craving
self-control

All Science Journal Classification (ASJC) codes

Psychiatry and Mental health

UN SDGs

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

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10.1177/00207640251331973

Cite this

Begeman, A. H. A., Schellekens, A., van den Brink, W., Barta, C., Brynte, C., Crunelle, C. L., De Fuentes-Merillas, L., Demetrovics, Z., Dom, G., Franck, J., Grau, L., Hernandez, M., Icick, R., Kapitány-Fövény, M., Levin, F. R., Luderer, M., Markus, W., Matthys, F. I. A., Moggi, F., ... Schaap-Jonker, H. (Accepted/In press). Religiousness and self-control in patients with substance use disorder (SUD) and comorbid attention deficit/hyperactivity disorder (ADHD). International Journal of Social Psychiatry, Article 00207640251331973. https://doi.org/10.1177/00207640251331973

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title = "Religiousness and self-control in patients with substance use disorder (SUD) and comorbid attention deficit/hyperactivity disorder (ADHD)",

abstract = "Background: Religiousness has been positively associated with better mental health and stronger self-control, including in patients with substance use disorders (SUDs) or attention deficit/hyperactivity disorder (ADHD). However, data on religiousness in patients with SUD and comorbid ADHD are lacking. Objectives: This study aims to test in patients with SUD and comorbid ADHD whether (1) religiousness is negatively associated with SUD and ADHD symptom severity, and (2) self-control mediates the assumed negative association of religiousness with SUD and ADHD symptom severity. Method: In an international cohort study, baseline religiousness, self-control, SUD and ADHD symptom severity, and craving were assessed with self-report questionnaires and structured clinical interviews in 578 treatment-seeking SUD patients with comorbid adult ADHD (SUD + ADHD). Data were analyzed using structural equation modeling (SEM). Results: Stronger self-control wad associated with lower severity of both ADHD and SUD, but higher religiousness was only associated with lower severity of ADHD. This association was not mediated by self-control. Conclusion: Religiousness may have a salutary relationship with ADHD severity, but not with SUD severity. While self-control was associated with lower symptom severity for both co-occurring conditions, it may not be involved in the potentially salutary effects of religiousness in patients with SUD + ADHD.",

keywords = "ADHD, Religiousness, SUD, craving, self-control",

author = "Begeman, {Alex H.A.} and Arnt Schellekens and {van den Brink}, Wim and Csaba Barta and Christoffer Brynte and Crunelle, {Cleo L.} and {De Fuentes-Merillas}, Laura and Zsolt Demetrovics and Geert Dom and Johan Franck and Lara Grau and Mariely Hernandez and Romain Icick and M{\'a}t{\'e} Kapit{\'a}ny-F{\"o}v{\'e}ny and Levin, {Frances R.} and Mathias Luderer and Wiebren Markus and Matthys, {Frieda I.A.} and Franz Moggi and {van Kernebeek}, Michiel and Ramos-Quiroga, {Jose A.} and Ortal Slobodin and Hanneke Schaap-Jonker",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2025.",

year = "2025",

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doi = "10.1177/00207640251331973",

language = "American English",

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Begeman, AHA, Schellekens, A, van den Brink, W, Barta, C, Brynte, C, Crunelle, CL, De Fuentes-Merillas, L, Demetrovics, Z, Dom, G, Franck, J, Grau, L, Hernandez, M, Icick, R, Kapitány-Fövény, M, Levin, FR, Luderer, M, Markus, W, Matthys, FIA, Moggi, F, van Kernebeek, M, Ramos-Quiroga, JA, Slobodin, O & Schaap-Jonker, H 2025, 'Religiousness and self-control in patients with substance use disorder (SUD) and comorbid attention deficit/hyperactivity disorder (ADHD)', International Journal of Social Psychiatry. https://doi.org/10.1177/00207640251331973

TY - JOUR

T1 - Religiousness and self-control in patients with substance use disorder (SUD) and comorbid attention deficit/hyperactivity disorder (ADHD)

AU - Begeman, Alex H.A.

AU - Schellekens, Arnt

AU - van den Brink, Wim

AU - Barta, Csaba

AU - Brynte, Christoffer

AU - Crunelle, Cleo L.

AU - De Fuentes-Merillas, Laura

AU - Demetrovics, Zsolt

AU - Dom, Geert

AU - Franck, Johan

AU - Grau, Lara

AU - Hernandez, Mariely

AU - Icick, Romain

AU - Kapitány-Fövény, Máté

AU - Levin, Frances R.

AU - Luderer, Mathias

AU - Markus, Wiebren

AU - Matthys, Frieda I.A.

AU - Moggi, Franz

AU - van Kernebeek, Michiel

AU - Ramos-Quiroga, Jose A.

AU - Slobodin, Ortal

AU - Schaap-Jonker, Hanneke

PY - 2025/1/1

Y1 - 2025/1/1

N2 - Background: Religiousness has been positively associated with better mental health and stronger self-control, including in patients with substance use disorders (SUDs) or attention deficit/hyperactivity disorder (ADHD). However, data on religiousness in patients with SUD and comorbid ADHD are lacking. Objectives: This study aims to test in patients with SUD and comorbid ADHD whether (1) religiousness is negatively associated with SUD and ADHD symptom severity, and (2) self-control mediates the assumed negative association of religiousness with SUD and ADHD symptom severity. Method: In an international cohort study, baseline religiousness, self-control, SUD and ADHD symptom severity, and craving were assessed with self-report questionnaires and structured clinical interviews in 578 treatment-seeking SUD patients with comorbid adult ADHD (SUD + ADHD). Data were analyzed using structural equation modeling (SEM). Results: Stronger self-control wad associated with lower severity of both ADHD and SUD, but higher religiousness was only associated with lower severity of ADHD. This association was not mediated by self-control. Conclusion: Religiousness may have a salutary relationship with ADHD severity, but not with SUD severity. While self-control was associated with lower symptom severity for both co-occurring conditions, it may not be involved in the potentially salutary effects of religiousness in patients with SUD + ADHD.

AB - Background: Religiousness has been positively associated with better mental health and stronger self-control, including in patients with substance use disorders (SUDs) or attention deficit/hyperactivity disorder (ADHD). However, data on religiousness in patients with SUD and comorbid ADHD are lacking. Objectives: This study aims to test in patients with SUD and comorbid ADHD whether (1) religiousness is negatively associated with SUD and ADHD symptom severity, and (2) self-control mediates the assumed negative association of religiousness with SUD and ADHD symptom severity. Method: In an international cohort study, baseline religiousness, self-control, SUD and ADHD symptom severity, and craving were assessed with self-report questionnaires and structured clinical interviews in 578 treatment-seeking SUD patients with comorbid adult ADHD (SUD + ADHD). Data were analyzed using structural equation modeling (SEM). Results: Stronger self-control wad associated with lower severity of both ADHD and SUD, but higher religiousness was only associated with lower severity of ADHD. This association was not mediated by self-control. Conclusion: Religiousness may have a salutary relationship with ADHD severity, but not with SUD severity. While self-control was associated with lower symptom severity for both co-occurring conditions, it may not be involved in the potentially salutary effects of religiousness in patients with SUD + ADHD.

KW - ADHD

KW - Religiousness

KW - SUD

KW - craving

KW - self-control

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U2 - 10.1177/00207640251331973

DO - 10.1177/00207640251331973

M3 - Article

C2 - 40509713

SN - 0020-7640

JO - International Journal of Social Psychiatry

JF - International Journal of Social Psychiatry

M1 - 00207640251331973

ER -

Religiousness and self-control in patients with substance use disorder (SUD) and comorbid attention deficit/hyperactivity disorder (ADHD)

Abstract

Keywords

All Science Journal Classification (ASJC) codes

UN SDGs

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