Patterns of cognitive impairments among heroin and cocaine users: the association with self-reported learning disabilities and infectious disease.
This study used data from six neuropsychological measures of executive function (EF) and general intellectual functioning (GIF) administered to 303 regular users of heroin and/or cocaine as indicators in a latent profile analysis (LPA). Results indicated the presence of three profiles: impaired GIF and EF profile (30.8%), intact GIF and EF profile (58.8%), and high GIF/intact EF profile (10.4%). Using a multinomial logistic regression, it was determined that individuals who reported being diagnosed with either a learning disability (LD) and/or attention-deficit/hyperactivity disorder (ADHD) were more likely to be in the impaired GIF and EF profile than other profiles. Results from a logistic regression indicated that the impaired GIF and EF profile was associated with a greater prevalence of past hepatitis B and/or C infection. Implication for harm reduction and treatment programs and the need to take into account individuals with LD and ADHD are discussed.
Severtson
Stevan G
SG
University of Pittsburg, PA, USA. sgs27@pitt.edu
Hedden
Sarra L
SL
Johns Hopkins Bloomberg School of Public Health-Mental Health, Baltimore, MD, USA.
Martins
Silvia S
SS
Johns Hopkins Bloomberg School of Public Health-Mental Health, Baltimore, MD, USA.
Latimer
William W
WW
Johns Hopkins Bloomberg School of Public Health-Mental Health, Baltimore, MD, USA.
D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity / Q000453:epidemiology*; D019970:Cocaine-Related Disorders / Q000150:complications / Q000453:epidemiology*; D003072:Cognition Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D015897:Comorbidity; D056344:Executive Function / Q000502:physiology; D005260:Female; D006525:Hepatitis, Viral, Human / Q000453:epidemiology*; D006556:Heroin Dependence / Q000150:complications / Q000453:epidemiology*; D006801:Humans; D007360:Intelligence / Q000502:physiology; D007859:Learning Disabilities / Q000453:epidemiology*; D008297:Male; D057566:Self Report