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[ADHD and alcohol dependence: a common genetic predisposition?].

Norbert Wodarz1, Kirsten Lange, Rainer Laufkötter

  • 1Klinik und Poliklinik für Psychiatrie und Psychotherapie der Universität am Bezirksklinikum Regensburg. norbert.wodarz@medbo.de

Psychiatrische Praxis
|December 1, 2004
PubMed
Summary

Attention-deficit hyperactivity disorder (ADHD) often co-occurs with substance use disorders. This study found no shared genetic link via 5-HTT/5-HT2c alleles between adult ADHD and alcohol dependence in German alcoholics.

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[First Aid Training for Drug Overdose in Opioid Addicts and Provision of Take-Home Naloxone on Release from Prison: Feasibility Study from the Bavarian Model Project].

Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))·2022

Area of Science:

  • Neurogenetics
  • Psychiatry
  • Pharmacogenetics

Context:

  • Attention-deficit hyperactivity disorder (ADHD) frequently presents with comorbid substance use disorders in adulthood.
  • Both ADHD and alcohol dependence possess significant genetic components, suggesting potential shared genetic liabilities.
  • Understanding these genetic overlaps is crucial for developing targeted therapeutic strategies.

Purpose:

  • To investigate the potential shared genetic predisposition between adult ADHD and alcohol dependence.
  • To examine the allelic characteristics of the 5-HTT and 5-HT2c genes in individuals with alcohol dependence.
  • To determine if specific polymorphisms in these genes are associated with the comorbidity of ADHD and alcohol dependence.

Summary:

  • This study analyzed phenotype and 5-HTT/5-HT2c allelic variations in 314 individuals of German descent with alcohol dependence.

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  • A significant portion (21%) of the alcohol-dependent subjects met DSM-IV criteria for adult ADHD.
  • No significant differences in 5-HTT or 5-HT2c allele distribution were observed between alcoholics and controls, or between alcoholics with or without ADHD.
  • Impact:

    • The findings suggest that the investigated 5-HTT-promoter and 5-HT2c-receptor polymorphisms do not contribute to the shared genetic predisposition between ADHD and alcohol dependence in this sample.
    • This research helps to refine our understanding of the genetic architecture underlying the comorbidity of these conditions.
    • Further research into other genetic factors and environmental influences is warranted to fully elucidate the complex relationship between ADHD and alcohol dependence.