INS NYC 2024 Program

Poster	Poster Session 10 Program Schedule 02/17/2024 09:00 am - 10:15 am Room: Shubert Complex (Posters 1-60) Poster Session 10: Neurodevelopmental \| Congenital Conditions Final Abstract #7 Assessing the Relationship Between PTSD and ADHD Symptom Endorsement in an Adult Civilian Sample Maggie Bailey-Bila, University of Illinois at Chicago Department of Psychiatry, Chicago, United States Justin Numerick, University of Illinois at Chicago Department of Psychiatry, Chicago, United States Kayla Hall, University of Illinois at Chicago Department of Psychiatry, Chicago, United States Matthew Phillips, University of Illinois at Chicago Department of Psychiatry, Chicago, United States Nicole Durkin, University of Illinois at Chicago Department of Psychiatry, Chicago, United States Gabriel Ovsiew, University of Illinois at Chicago Department of Psychiatry, Chicago, United States Brian Cerny, University of Illinois at Chicago Department of Psychiatry, Chicago, United States Neil Pliskin, University of Illinois at Chicago Department of Psychiatry, Chicago, United States Kyle Jennette, University of Illinois at Chicago Department of Psychiatry, Chicago, United States Woojin Song, University of Illinois at Chicago Department of Psychiatry, Chicago, United States Jason Soble, University of Illinois at Chicago Department of Psychiatry, Chicago, United States Devin Ulrich, University of Illinois at Chicago Department of Psychiatry, Chicago, United States Category: ADHD/Attentional Functions Keyword 1: attention deficit hyperactivity disorder Keyword 2: post-traumatic stress disorder Objective: Trauma-exposed individuals with elevated symptoms of posttraumatic stress disorder (PTSD) may experience a constellation of symptoms including hypervigilance, irritability, difficulties concentrating, and impulsivity. Conversely, attention-deficit/hyperactivity disorder (ADHD) is a complex neurodevelopmental disorder characterized by symptoms of inattention, disorganization, and/or hyperactivity/impulsivity. Studies have suggested an association between ADHD and PTSD and have identified ADHD as an exacerbating factor after development of PTSD. Indeed, the lifetime prevalence of PTSD is significantly greater in adults with ADHD compared to others without ADHD, with those that have ADHD estimated to be four times more likely to also have PTSD. Additionally, other studies estimate the range for prevalence of comorbid ADHD and PTSD between 12% and 37% across the lifespan; however, the relationship between symptom endorsement of ADHD and PTSD symptoms on self-report measures is not well understood, and much of the prior research has been limited to military samples. Therefore, the current study seeks to shed light on this relationship among a civilian sample of adults referred for ADHD evaluation. Participants and Methods: Data from 228 consecutive adult patients referred for ADHD diagnostic evaluation at a midwestern academic medical center were examined. All patients were administered a uniform neurocognitive battery including objective assessments of cognitive functioning and self-report measures of ADHD and internalizing symptoms, including the PTSD Checklist for the DSM-5 (PCL-5) scores and the Clinical Assessment of Attention Deficit-Adult (CAT-A). After accounting for performance invalidity and excluding those with nonclinical PTSD symptoms (PCL-5 ≤33), 72 adult individuals (73.6% female, 26.4% male) who endorsed PTSD-symptoms above discretionary cut-off were examined using a correlation analysis to assess relationship between symptom endorsement of PTSD and ADHD. Participants in the final sample were aged 18-55 (M_age = 28.7, SD_age = 7.89) with an average of 15.9 years of education (SD_education = 2.132) and racially/ethnically diverse (18.1% White, 30.6% Hispanic, 26.4% Black, 18.1% Asian, 6.9% Other). Results: There was a small-to-medium correlation between PCL-5 scores and endorsement of impulsivity on the CAT-A Current Impulsivity scale (r = .362, p=0.002) and small correlation between PCL-5 scores and CAT-A Current Total symptom ADHD endorsement (r = 0.266, p=0.02). However, there was no correlation between PCL-5 scores and CAT-A Childhood symptom endorsement (r=0.065, p=.50). Conclusions: Overall, results suggest those experiencing significant PTSD symptoms report greater symptoms of impulsivity at present than other ADHD-related symptoms. This is consistent with previous research as other studies have also suggested greater impulsivity in those with ADHD and comorbid PTSD despite different underlying mechanisms for behavioral manifestations of impulsivity. These findings provide further support for the assessment of trauma-related symptoms in ADHD evaluations for the sake of diagnostic precision and ensuring appropriate treatment recommendations.

Poster

02/17/2024
09:00 am - 10:15 am
Room: Shubert Complex (Posters 1-60)

Poster Session 10: Neurodevelopmental | Congenital Conditions

Final Abstract #7

Assessing the Relationship Between PTSD and ADHD Symptom Endorsement in an Adult Civilian Sample

Maggie Bailey-Bila, University of Illinois at Chicago Department of Psychiatry, Chicago, United States
Justin Numerick, University of Illinois at Chicago Department of Psychiatry, Chicago, United States
Kayla Hall, University of Illinois at Chicago Department of Psychiatry, Chicago, United States
Matthew Phillips, University of Illinois at Chicago Department of Psychiatry, Chicago, United States
Nicole Durkin, University of Illinois at Chicago Department of Psychiatry, Chicago, United States
Gabriel Ovsiew, University of Illinois at Chicago Department of Psychiatry, Chicago, United States
Brian Cerny, University of Illinois at Chicago Department of Psychiatry, Chicago, United States
Neil Pliskin, University of Illinois at Chicago Department of Psychiatry, Chicago, United States
Kyle Jennette, University of Illinois at Chicago Department of Psychiatry, Chicago, United States
Woojin Song, University of Illinois at Chicago Department of Psychiatry, Chicago, United States
Jason Soble, University of Illinois at Chicago Department of Psychiatry, Chicago, United States
Devin Ulrich, University of Illinois at Chicago Department of Psychiatry, Chicago, United States

Category: ADHD/Attentional Functions

Keyword 1: attention deficit hyperactivity disorder
Keyword 2: post-traumatic stress disorder

Objective:

Trauma-exposed individuals with elevated symptoms of posttraumatic stress disorder (PTSD) may experience a constellation of symptoms including hypervigilance, irritability, difficulties concentrating, and impulsivity. Conversely, attention-deficit/hyperactivity disorder (ADHD) is a complex neurodevelopmental disorder characterized by symptoms of inattention, disorganization, and/or hyperactivity/impulsivity. Studies have suggested an association between ADHD and PTSD and have identified ADHD as an exacerbating factor after development of PTSD. Indeed, the lifetime prevalence of PTSD is significantly greater in adults with ADHD compared to others without ADHD, with those that have ADHD estimated to be four times more likely to also have PTSD. Additionally, other studies estimate the range for prevalence of comorbid ADHD and PTSD between 12% and 37% across the lifespan; however, the relationship between symptom endorsement of ADHD and PTSD symptoms on self-report measures is not well understood, and much of the prior research has been limited to military samples. Therefore, the current study seeks to shed light on this relationship among a civilian sample of adults referred for ADHD evaluation.

Participants and Methods:

Data from 228 consecutive adult patients referred for ADHD diagnostic evaluation at a midwestern academic medical center were examined. All patients were administered a uniform neurocognitive battery including objective assessments of cognitive functioning and self-report measures of ADHD and internalizing symptoms, including the PTSD Checklist for the DSM-5 (PCL-5) scores and the Clinical Assessment of Attention Deficit-Adult (CAT-A). After accounting for performance invalidity and excluding those with nonclinical PTSD symptoms (PCL-5 ≤33), 72 adult individuals (73.6% female, 26.4% male) who endorsed PTSD-symptoms above discretionary cut-off were examined using a correlation analysis to assess relationship between symptom endorsement of PTSD and ADHD. Participants in the final sample were aged 18-55 (M_age = 28.7, SD_age = 7.89) with an average of 15.9 years of education (SD_education = 2.132) and racially/ethnically diverse (18.1% White, 30.6% Hispanic, 26.4% Black, 18.1% Asian, 6.9% Other).

Results:

There was a small-to-medium correlation between PCL-5 scores and endorsement of impulsivity on the CAT-A Current Impulsivity scale (r = .362, p=0.002) and small correlation between PCL-5 scores and CAT-A Current Total symptom ADHD endorsement (r = 0.266, p=0.02). However, there was no correlation between PCL-5 scores and CAT-A Childhood symptom endorsement (r=0.065, p=.50).

Conclusions:

Overall, results suggest those experiencing significant PTSD symptoms report greater symptoms of impulsivity at present than other ADHD-related symptoms. This is consistent with previous research as other studies have also suggested greater impulsivity in those with ADHD and comorbid PTSD despite different underlying mechanisms for behavioral manifestations of impulsivity. These findings provide further support for the assessment of trauma-related symptoms in ADHD evaluations for the sake of diagnostic precision and ensuring appropriate treatment recommendations.