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Ruchkin, Vladislav V.ORCID iD iconorcid.org/0000-0002-2510-6798
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Publications (10 of 84) Show all publications
Stickley, A., Koposov, R., Koyanagi, A., Inoue, Y. & Ruchkin, V. V. (2019). ADHD and depressive symptoms in adolescents: the role of community violence exposure. Social Psychiatry and Psychiatric Epidemiology, 54(6), 683-691
Open this publication in new window or tab >>ADHD and depressive symptoms in adolescents: the role of community violence exposure
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2019 (English)In: Social Psychiatry and Psychiatric Epidemiology, ISSN 0933-7954, E-ISSN 1433-9285, Vol. 54, no 6, p. 683-691Article in journal (Refereed) Published
Abstract [en]

Purpose Comorbid depression is common in adolescents with attention-deficit/hyperactivity disorder (ADHD). As yet, however, little is known about the factors associated with co-occurring depression in this population. To address this research gap, the current study examined the role of community violence exposure in the association between ADHD symptoms and depression. Methods Data came from 505 Russian adolescents [mean age 14.37 (SD = 0.96)] who had teacher-reported information on ADHD symptoms that was collected in conjunction with the Social and Health Assessment (SAHA). Adolescent self-reports of witnessing and being a victim of community violence were also obtained while depressive symptoms were self-assessed with an adapted version of the Center for Epidemiologic Studies-Depression Scale (CES-D). Logistic regression analyses were performed to examine associations. Results In univariable analyses, both witnessing and being a victim of violence were associated with significantly increased odds for depressive symptoms in adolescents with ADHD symptoms compared to non-ADHD adolescents who had not experienced community violence. However, in the multivariable analysis only being a victim of violence continued to be associated with significantly increased odds for depression [odds ratio (OR) 4.67, 95% confidence interval (CI) 1.33-16.35]. Conclusion Exposure to community violence may be associated with depression in adolescents with ADHD symptoms. Clinicians should enquire about exposure to community violence in adolescents with ADHD/ADHD symptoms. Early therapeutic interventions to address the effects of violence exposure in adolescents with ADHD may be beneficial for preventing depression in this group.

Place, publisher, year, edition, pages
SPRINGER HEIDELBERG, 2019
Keywords
Attention-deficit/hyperactivity disorder, Depressive symptoms, Witness violence, Violent victimization, Adolescent
National Category
Psychiatry
Identifiers
urn:nbn:se:uu:diva-386437 (URN)10.1007/s00127-019-01662-5 (DOI)000469248100004 ()30706080 (PubMedID)
Available from: 2019-06-20 Created: 2019-06-20 Last updated: 2019-06-20Bibliographically approved
Stickley, A., Koposov, R., Kamio, Y., Takahashi, H., Koyanagi, A., Inoue, Y., . . . Ruchkin, V. V. (2019). Attention deficit/hyperactivity disorder and future expectations in Russian adolescents. ADHD Attention Deficit and Hyperactivity Disorders, 11(3), 279-287
Open this publication in new window or tab >>Attention deficit/hyperactivity disorder and future expectations in Russian adolescents
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2019 (English)In: ADHD Attention Deficit and Hyperactivity Disorders, ISSN 1866-6116, E-ISSN 1866-6647, Vol. 11, no 3, p. 279-287Article in journal (Refereed) Published
Abstract [en]

In recent years, there has been an increasing focus on the role of future expectations-the extent to which a future outcome is deemed likely-in the health and well-being of adolescents, with research linking future expectations to outcomes such as an increased likelihood of engaging in risky health behaviors. As yet, however, there has been no research on future expectations and attention deficit/hyperactivity disorder (ADHD) in adolescence. To address this research gap, the current study examined the association between ADHD symptoms/possible ADHD status and future expectations in a school-based sample of adolescents. Data were analyzed from 537 Russian adolescents (aged 12-17) with teacher-reported ADHD symptoms and self-reported future expectations. Logistic regression analysis was used to examine associations. In fully adjusted analyses, inattention symptoms/possible ADHD inattentive status was associated with lower future educational expectations, while a possible ADHD hyperactivity status was associated with increased odds for negative future expectations relating to work, family and succeeding in what is most important. The findings of this study suggest that greater ADHD symptoms/possible ADHD status in adolescence may be linked to an increased risk for negative future expectations across a variety of different life domains.

Place, publisher, year, edition, pages
SPRINGER WIEN, 2019
Keywords
ADHD, Adolescent, Future expectations, Hyperactivity, Inattention
National Category
Psychiatry Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-394697 (URN)10.1007/s12402-019-00292-w (DOI)000484481000007 ()30852726 (PubMedID)
Available from: 2019-10-21 Created: 2019-10-21 Last updated: 2019-10-21Bibliographically approved
Stickley, A., Leinsalu, M., Ruchkin, V. V., Oh, H., Narita, Z. & Koyanagi, A. (2019). Attention-deficit/hyperactivity disorder symptoms and perceived mental health discrimination in adults in the general population. European psychiatry, 56, 91-96
Open this publication in new window or tab >>Attention-deficit/hyperactivity disorder symptoms and perceived mental health discrimination in adults in the general population
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2019 (English)In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 56, p. 91-96Article in journal (Refereed) Published
Abstract [en]

Background: The experience of discrimination is common in individuals with mental health problems and has been associated with a range of negative outcomes. As yet, however, there has been an absence of research on this phenomenon in adults with attention-deficit/hyperactivity disorder (ADHD). The current study examined the association between ADHD symptoms and mental health discrimination in the general adult population.

Methods: The analytic sample comprised 7274 individuals aged 18 and above residing in private households in England that were drawn from the Adult Psychiatric Morbidity Survey, 2007. Information on ADHD was obtained with the Adult ADHD Self-Report Scale (ASRS) Screener. A single-item question was used to assess mental health discrimination experienced in the previous 12 months. Logistic regression analysis was used to examine associations.

Results: The prevalence of discrimination increased as ADHD symptoms increased but was especially elevated in those with the most severe ADHD symptoms (ASRS score 18-24). In a multivariable logistic regression analysis that was adjusted for a variety of covariates including common mental disorders, ADHD symptoms (ASRS >= 14) were associated with almost 3 times higher odds for experiencing mental health discrimination (odds ratio: 2.81, 95% confidence interval: 1.49-5.31).

Conclusion: ADHD symptoms are associated with higher odds for experiencing mental health discrimination and this association is especially elevated in those with the most severe ADHD symptoms. Interventions to inform the general public about ADHD may be important for reducing the stigma and discrimination associated with this disorder in adults.

Keywords
ADHD, Adult, Discrimination, Epidemiology
National Category
Psychiatry
Identifiers
urn:nbn:se:uu:diva-378195 (URN)10.1016/j.eurpsy.2018.12.004 (DOI)000458502900011 ()30654318 (PubMedID)
Available from: 2019-03-07 Created: 2019-03-07 Last updated: 2019-03-07Bibliographically approved
Isaksson, J., Sjöblom, S., Schwab-Stone, M., Stickley, A. & Ruchkin, V. (2019). Risk Factors Associated with Alcohol Use in Early Adolescence among American Inner-City Youth: A Longitudinal Study. Substance Use & Misuse, 1-9
Open this publication in new window or tab >>Risk Factors Associated with Alcohol Use in Early Adolescence among American Inner-City Youth: A Longitudinal Study
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2019 (English)In: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, p. 1-9Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: Early alcohol use is associated with an increased risk for later alcohol dependence, as well as social and mental health problems. In this study, we investigate the risk factors (internalizing and externalizing behaviors) associated with early alcohol consumption over a period of 1 year, and examine whether the association is sex-specific. Methods: U.S. inner-city adolescents (N = 1785, Mean age = 12.11) were assessed and reassessed in the sixth and seventh grades (Mean age = 13.10). Self-reported information was obtained on the lifetime level of alcohol consumption, internalizing (depression, anxiety and posttraumatic stress [PTS]), and externalizing behaviors (sensation seeking, conduct problems and affiliation with delinquent peers). Associations between the variables were examined using structural equation modeling (SEM). Results: In an adjusted SEM analysis drinking by the sixth grade was primarily associated with externalizing behaviors, whereas PTS was linked to lower levels of alcohol consumption. In addition, alcohol consumption and greater externalizing behaviors by the sixth grade predicted higher alcohol consumption by the seventh grade, whereas anxiety and African American ethnicity were associated with less alcohol consumption. No sex differences were found in the association between internalizing and externalizing behaviors and drinking. However, in the adjusted SEM analysis female sex predicted higher lifetime consumption by the seventh grade. Conclusion: Sensation seeking behavior, conduct problems and affiliation with delinquent peers should be regarded as risk factors and taken into consideration when planning prevention efforts in order to decrease alcohol use in early adolescence.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2019
Keywords
Alcohol use, adolescents, externalizing symptoms, internalizing symptoms, longitudinal study
National Category
Psychiatry Substance Abuse
Identifiers
urn:nbn:se:uu:diva-396690 (URN)10.1080/10826084.2019.1671867 (DOI)000494063100001 ()31686574 (PubMedID)
Available from: 2019-11-08 Created: 2019-11-08 Last updated: 2019-11-27Bibliographically approved
Stickley, A., Koyanagi, A., Takahashi, H., Ruchkin, V. V., Inoue, Y., Yazawa, A. & Kamio, Y. (2018). Attention-deficit/hyperactivity disorder symptoms and happiness among adults in the general population. Psychiatry Research, 265, 317-323
Open this publication in new window or tab >>Attention-deficit/hyperactivity disorder symptoms and happiness among adults in the general population
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2018 (English)In: Psychiatry Research, ISSN 0165-1781, E-ISSN 1872-7123, Vol. 265, p. 317-323Article in journal (Refereed) Published
Abstract [en]

Despite an increasing focus on the role of mood and emotions in attention-deficit/hyperactivity disorder (ADHD), as yet, there has been comparatively little research on positive emotions. To address this research gap, the current study examined the association between ADHD symptoms and happiness using data from the 2007 Adult Psychiatric Morbidity Survey. The analytic sample comprised 7274 adults aged 18 and above residing in private households in England. Information was collected on ADHD symptoms using the Adult ADHD Self-Report Scale (ASRS) Screener, while happiness was assessed with a single (3-point) measure. Multivariable ordinal logistic regression analysis and a mediation analysis were performed to examine associations. Greater ADHD symptom severity was associated with higher odds for feeling less happy. Mood instability (percentage mediated 37.1%), anxiety disorder (35.6%) and depression (29.9%) were all important mediators of the association between ADHD and happiness. Given that happiness has been linked to a number of beneficial outcomes, the results of this study highlight the importance of diagnosing ADHD in adults and also of screening for and treating any comorbid psychiatric disorders in these individuals.

Place, publisher, year, edition, pages
ELSEVIER IRELAND LTD, 2018
Keywords
ADHD, Anxiety, Depression, Emotion, Happiness, Stressful life events
National Category
Psychiatry
Identifiers
urn:nbn:se:uu:diva-358278 (URN)10.1016/j.psychres.2018.05.004 (DOI)000435428300048 ()29778053 (PubMedID)
Available from: 2018-08-27 Created: 2018-08-27 Last updated: 2018-08-27Bibliographically approved
Löfving-Gupta, S., Willebrand, M., Koposov, R., Blatny, M., Hrdlicka, M., Schwab-Stone, M. & Ruchkin, V. (2018). Community violence exposure and substance use: cross-cultural and gender perspectives. European Child and Adolescent Psychiatry, 27(4), 493-500
Open this publication in new window or tab >>Community violence exposure and substance use: cross-cultural and gender perspectives
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2018 (English)In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 27, no 4, p. 493-500Article in journal (Refereed) Published
Abstract [en]

The negative effects of community violence exposure on child and adolescent mental health are well documented and exposure to community violence has been linked both to a number of internalizing and externalizing symptoms. Our aim was, therefore, to investigate cross-cultural and gender differences in the relationship between community violence exposure and substance abuse. A self-report survey was conducted among 10,575, 12-18 year old adolescents in three different countries, Czech Republic (N = 4537), Russia (N = 2377) and US (N = 3661). We found that in all three countries both substance use and problem behavior associated with it increased similarly along with severity of violence exposure and this association was not gender-specific. It was concluded that in spite of the differences in the levels of violence exposure and substance use cross-culturally and by gender, the pattern of their association is neither culturally nor gender bound.

Place, publisher, year, edition, pages
SPRINGER, 2018
Keywords
Community violence exposure, Substance use, Gender, Adolescents
National Category
Psychiatry Pediatrics
Identifiers
urn:nbn:se:uu:diva-358568 (URN)10.1007/s00787-017-1097-5 (DOI)000429661700010 ()29264649 (PubMedID)
Available from: 2018-09-17 Created: 2018-09-17 Last updated: 2018-09-17Bibliographically approved
Koposov, R., Stickley, A. & Ruchkin, V. V. (2018). Inhalant use in adolescents in northern Russia. Social Psychiatry and Psychiatric Epidemiology, 53(7), 709-716
Open this publication in new window or tab >>Inhalant use in adolescents in northern Russia
2018 (English)In: Social Psychiatry and Psychiatric Epidemiology, ISSN 0933-7954, E-ISSN 1433-9285, Vol. 53, no 7, p. 709-716Article in journal (Refereed) Published
Abstract [en]

To determine the prevalence of inhalant use in Russian adolescents and to investigate associated psychosocial problems from a gender perspective. Data on inhalant use and comorbid psychopathology were collected by means of self-reports from 2892 (42.4% boys) sixth to tenth grade students in public schools in Arkhangelsk, Russia. Multivariate analysis of covariance was used to assess differences in the levels of internalizing and externalizing problems in boys and girls, who were non-users and users of inhalants. The prevalence of inhalant use was 6.1% among boys and 3.4% among girls. Compared with non-users, inhalant users scored significantly higher on internalizing and externalizing problems, functional impairment and lower on academic motivation, with psychopathology increasing with age. While there were no gender differences for internalizing problems, increased levels of externalizing problems in inhalant users were gender-specific (significantly higher in boys). Inhalant use is related to significantly higher levels of comorbid psychopathology in Russian adolescents. Comprehensive, evidence-based prevention and intervention policies are needed to address inhalant use and its harmful effects.

Place, publisher, year, edition, pages
SPRINGER HEIDELBERG, 2018
Keywords
Inhalant use, Adolescents, Mental health
National Category
Psychiatry
Identifiers
urn:nbn:se:uu:diva-358279 (URN)10.1007/s00127-018-1524-z (DOI)000435524000006 ()29721591 (PubMedID)
Available from: 2018-08-27 Created: 2018-08-27 Last updated: 2018-08-27Bibliographically approved
Tingstedt, O., Lindblad, F., Koposov, R., Blatny, M., Hrdlicka, M., Stickley, A. & Ruchkin, V. V. (2018). Somatic symptoms and internalizing problems in urban youth: a cross-cultural comparison of Czech and Russian adolescents. European Journal of Public Health, 28(3), 480-484
Open this publication in new window or tab >>Somatic symptoms and internalizing problems in urban youth: a cross-cultural comparison of Czech and Russian adolescents
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2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, no 3, p. 480-484Article in journal (Refereed) Published
Abstract [en]

Background: Although the association between somatic complaints and internalizing problems (anxiety, somatic anxiety and depression) is well established, it remains unclear whether the pattern of this relationship differs by gender and in different cultures. The aim of this study was to examine cross-cultural and gender-specific differences in the association between somatic complaints and internalizing problems in youth from the Czech Republic and Russia. Methods: The Social and Health Assessment, a self-report survey, was completed by representative community samples of adolescents, age 12-17 years, from the Czech Republic (N = 4770) and Russia (N = 2728). Results: A strong association was observed between somatic complaints and internalizing psychopathology. Although the levels of internalizing problems differed by country and gender, they increased together with and largely in a similar way to somatic complaints for boys and girls in both countries. Conclusion: The association between somatic symptoms and internalizing problems seems to be similar for boys and girls across cultures.

Place, publisher, year, edition, pages
Oxford University Press, 2018
National Category
Psychiatry Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-357721 (URN)10.1093/eurpub/cky001 (DOI)000434046900019 ()29373646 (PubMedID)
Available from: 2018-08-31 Created: 2018-08-31 Last updated: 2018-08-31Bibliographically approved
Isaksson, J., Stickley, A., Koposov, R. & Ruchkin, V. V. (2018). The danger of being inattentive: ADHD symptoms and risky sexual behaviour in Russian adolescents. European psychiatry, 47, 42-48
Open this publication in new window or tab >>The danger of being inattentive: ADHD symptoms and risky sexual behaviour in Russian adolescents
2018 (English)In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 47, p. 42-48Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Prior research has indicated that attention-deficit/hyperactivity disorder (ADHD) symptoms may be associated with an increased likelihood of engaging in risky sexual behaviour (RSB). However, research on this association among adolescents has been comparatively limited and mainly confined to North America. The aim of this study was to examine if inattention and hyperactivity/impulsivity symptoms were linked to RSB in a community cohort sample of Russian adolescents.

METHODS: The study was based on a group of 537 adolescents from Northern Russia. Information on inattention and hyperactivity/impulsivity as well as conduct problems was obtained through teacher ratings, while information on RSB (previous unprotected sex, number of sexual partners, sex while intoxicated and partner pregnancies), substance use, perception of risk, and parenting behaviour was based on students' self-reports. Binary logistic regression analysis was used to examine associations between the variables.

RESULTS: Teacher-rated inattention symptoms predicted RSB, independently of co-morbid conduct problems, substance use, risk perception, and different parenting styles (parental warmth, involvement and control). In addition, male sex, binge drinking and a lower assessment of perceived risk were all significantly associated with RSB in an adjusted model. Neither teacher-rated hyperactivity/impulsivity symptoms nor conduct problems were linked to RSB in the full model.

CONCLUSIONS: Deficits in planning and organizing behaviours, being easily distracted and forgetful seem to be of importance for RSB in Russian adolescents. This highlights the importance of discriminating between different ADHD symptoms in adolescence to prevent risk behaviours and their potentially detrimental outcomes on health and well-being.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Attention-deficit/hyperactivity disorder, Binge drinking, Conduct problems, Perception of risk, Risky sexual behaviour
National Category
Clinical Medicine Psychiatry
Identifiers
urn:nbn:se:uu:diva-332998 (URN)10.1016/j.eurpsy.2017.09.004 (DOI)000419527700007 ()29100171 (PubMedID)
Available from: 2017-11-04 Created: 2017-11-04 Last updated: 2019-06-27Bibliographically approved
Stickley, A., Koyanagi, A., Takahashi, H., Ruchkin, V. V., Inoue, Y. & Kamio, Y. (2017). Attention-deficit/hyperactivity disorder and physical multimorbidity: A population-based study. European psychiatry, 45, 227-234
Open this publication in new window or tab >>Attention-deficit/hyperactivity disorder and physical multimorbidity: A population-based study
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2017 (English)In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 45, p. 227-234Article in journal (Refereed) Published
Abstract [en]

Background: There has been little research on the association of attention-deficit/hyperactivity disorder (ADHD) with co-occurring physical diseases. The aim of this study was to examine the association between possible ADHD and physical multimorbidity (i.e. >= 2 physical diseases) among adults in the English general population.

Methods: Data were analyzed from 7274 individuals aged >= 18 years that came from the Adult Psychiatric Morbidity Survey 2007. ADHD symptoms were assessed with the Adult Self-Report Scale (ASRS) Screener. Information was also obtained on 20 self-reported doctor/other health professional diagnosed physical health conditions present in the past 12 months. Multivariable logistic regression and mediation analyses were conducted to assess the associations.

Results: There was a monotonic relation between the number of physical diseases and possible ADHD (ASRS score >= 14). Compared to those with no diseases, individuals with >= 5 diseases had over 3 times higher odds for possible ADHD (odds ratio [OR]: 3.30, 95% confidence interval [CI]: 2.48-4.37). This association was observed in all age groups. Stressful life events (% mediated 10.3-24.3%), disordered eating (6.8%), depression (12.8%), and anxiety (24.8%) were significant mediators in the association between possible ADHD and physical multimorbidity.

Conclusion: Adults that screen positive for ADHD are at an increased risk for multimorbidity and several factors are important in this association. As many adults with ADHD remain undiagnosed, the results of this study highlight the importance of detecting adult ADHD as it may confer an increased risk for poorer health outcomes, including physical multimorbidity.

Keywords
ADHD, Multimorbidity, Physical disease, Epidemiology, Stress
National Category
Psychiatry
Identifiers
urn:nbn:se:uu:diva-341632 (URN)10.1016/j.eurpsy.2017.07.010 (DOI)000414461300032 ()28957792 (PubMedID)
Available from: 2018-02-12 Created: 2018-02-12 Last updated: 2018-02-12Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0002-2510-6798

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