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

Author

Listed:
  • Alex HA 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 IA Matthys
  • Franz Moggi
  • Michiel van Kernebeek
  • Jose A Ramos-Quiroga
  • Ortal Slobodin
  • Hanneke Schaap-Jonker

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.

Suggested Citation

  • Alex HA 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 & Mar, 2025. "Religiousness and self-control in patients with substance use disorder (SUD) and comorbid attention deficit/hyperactivity disorder (ADHD)," International Journal of Social Psychiatry, , vol. 71(7), pages 1271-1280, November.
    • Handle: RePEc:sae:socpsy:v:71:y:2025:i:7:p:1271-1280
    DOI: 10.1177/00207640251331973
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    References listed on IDEAS

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    1. Ahmed N. Hassan & Zena Agabani & Fardowsa Ahmed & Benjamin Shapiro & Bernard Le Foll, 2023. "The Impact of religiosity/spirituality on slowing the progression of substance use: Based on the National Epidemiological Survey of Alcohol and Related Conditions (NESARC-III)," International Journal of Social Psychiatry, , vol. 69(6), pages 1399-1408, September.
    2. Nurit Novis-Deutsch & Haym Dayan & Yehuda Pollak & Mona Khoury-Kassabri, 2022. "Religiosity as a moderator of ADHD-related antisocial behaviour and emotional distress among secular, religious and Ultra-Orthodox Jews in Israel," International Journal of Social Psychiatry, , vol. 68(4), pages 773-782, June.
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