{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:40:24Z","timestamp":1753882824824,"version":"3.41.2"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p> This case report describes the therapeutic trajectory of a 47-year-old male ultra football fan from Switzerland, who was diagnosed and treated for attention-deficit\/hyperactivity disorder, together with comorbid alcohol misuse and insomnia. Prior to this episode of care, the patient exhibited symptoms of impulsivity and inattention and persistent patterns of harmful alcohol consumption, recurrently participating in football-related violence. A multimodal approach involving psychotherapy and psychopharmacology yielded notable improvements in symptom management. To date, the patient has shown improved psychosocial functioning, reporting a significant reduction in alcohol use and the cessation of all aggressive acts. Consequently, this case provides insights into the relationship between attention-deficit\/hyperactivity disorder and football-related violence, underlining the potential for tailored mental health interventions to enhance overall quality of life. <\/jats:p>","DOI":"10.1177\/2050313x241280766","type":"journal-article","created":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T06:08:58Z","timestamp":1725862138000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Multimodal treatment of attention-deficit\/hyperactivity disorder and comorbid symptoms in an ultra football fan: A case report from Switzerland"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1769-5684","authenticated-orcid":false,"given":"Alexander","family":"Smith","sequence":"first","affiliation":[{"name":"Department of Forensic Psychiatry, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Liebrenz","sequence":"additional","affiliation":[{"name":"Department of Forensic Psychiatry, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alain","family":"Brechb\u00fchl","sequence":"additional","affiliation":[{"name":"Institute of Law and Criminology, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Buadze","sequence":"additional","affiliation":[{"name":"Specialized Clinic for ADHD, Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,9,8]]},"reference":[{"key":"bibr1-2050313X241280766","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2023.115449"},{"key":"bibr2-2050313X241280766","doi-asserted-by":"publisher","DOI":"10.1007\/s12402-016-0208-3"},{"key":"bibr3-2050313X241280766","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2018.11.001"},{"key":"bibr4-2050313X241280766","doi-asserted-by":"publisher","DOI":"10.1007\/s00702-021-02308-0"},{"key":"bibr5-2050313X241280766","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2020.11.025"},{"key":"bibr6-2050313X241280766","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1203241"},{"key":"bibr7-2050313X241280766","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.15380"},{"issue":"68","key":"bibr8-2050313X241280766","first-page":"33","volume":"21","author":"Doidge M","year":"2018","journal-title":"Sport Soc"},{"key":"bibr9-2050313X241280766","unstructured":"Duttler G. Fu\u00dfballfantum Analyse der lebensweltlichen Reproduktion, konfliktbehafteten Kommunikation und systemischen Kolonialisierung deutscher Fankulturen Football Fandom (Volume 16) (English shop) Analysis of life-world reproduction, conflict-ridden communication and systemic colonization of German fan cultures]. W\u00fcrzburger Beitr\u00e4ge zur Sportwissenschaft. 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