Prevalence of Adult ADHD Co-morbidity in Alcohol Use Disorders in a General Hospital Setup

Lohit, Somashekar Reddy; Babu, Girish N.; Sharma, Shilpi; Rao, Suprita; Sachin, Beesanahalli Shanmukhappa; Matkar, Abhay Vishwas

doi:10.4103/ijpsym.ijpsym_464_18

Cited by 8 publications

(4 citation statements)

References 21 publications

(48 reference statements)

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“…This fits the results of the aforementioned meta-analysis (2012), which demonstrated a higher prevalence of ADHD among patients with OUD and alcohol use disorder than among patients with cocaine use disorder [13]. There were many studies among patients with alcohol use disorder over the years, showing similar results with a high ADHD prevalence (about 20%) [25,[29][30][31][32][33]. Recent studies in patients with benzodiazepine use disorder show even higher ADHD prevalence rates, which lie between 31% [34] and 39% [35,36], but there are also studies in populations of patients with cocaine use disorder showing high ADHD prevalence between 14% [37] and 20% [38].…”

supporting

confidence: 87%

ADHD Prevalence among Outpatients with Severe Opioid Use Disorder on Daily Intravenous Diamorphine and/or Oral Opioid Maintenance Treatment

Rohner

Gaspar

Rosén

et al. 2023

IJERPH

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(1) Background: Attention deficit hyperactivity disorder (ADHD) is a common comorbid condition in opioid use disorder (OUD) and is associated with a more severe course of substance use. Patients with severe OUD who have not responded to oral opioid maintenance treatment can be treated with intravenous diamorphine up to three times per day. Here, we investigated the prevalence of ADHD among patients undergoing either daily diamorphine maintenance treatment or daily oral opioid maintenance treatment. (2) Methods: We assessed all participants with the WURS-k and the ADHD-SR. The Diagnostic Interview for ADHD in Adults (DIVA) was performed with all participants who met the cut-off in the WURS-k and/or ADHD-SR. (3) Results: The overall prevalence of ADHD was 17.9%. Prevalence of ADHD among patients undergoing daily diamorphine maintenance treatment was 14.3%. Prevalence of ADHD among patients undergoing daily oral opioid maintenance treatment was 20.3%. The combined presentation of ADHD was the most prevalent condition. In urine samples of participants with comorbid ADHD, heroin was detected the most and cocaine the least frequently. (4) Conclusions: Almost one out of five patients with OUD suffered from comorbid ADHD. In 83.3%, ADHD had not been diagnosed prior to participation in this study. Thus, patients with SUD could benefit from being routinely screened for ADHD.

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confidence: 87%

ADHD Prevalence among Outpatients with Severe Opioid Use Disorder on Daily Intravenous Diamorphine and/or Oral Opioid Maintenance Treatment

Rohner

Gaspar

Rosén

et al. 2023

IJERPH

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“…After applying a diagnostic interview using DSM 5 in these subjects, ADHD diagnosis was confirmed in 19% (n = 19) of the subjects. 14…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Attention Deficit Hyperactivity Disorder - ADHD among Young Individuals - An Observational Study

Patel

Parikh

2021

Int J Sci Healthcare Res

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Background: Attention deficit hyperactivity disorder-ADHD is a developmental nervous behavioural disorder mostly diagnosed in childhood and rarely in adults. Characteristic clinical features in adults are mainly, hyperactivity, attention deficit and impulsiveness instability in interpersonal relations and alcohol abuse which can cause poor occupational, academic and social performance in future. As ADHD is usually undiagnosed in adults because of its poor knowledge of the symptoms. Need of study is to see the prevalence of ADHD among individuals, as ADHD youth are at high risk of a wide range of adverse psychiatric outcomes. Methodology: This observational study was performed in 307 young female & male of all the fields aged between 18-24, according to Newman’s classification. The subjects were screened for ADHD by Adult ADHD Self-Report Scale (ASRS) which has two parts- inattentive and hyperactive/impulsive. This questionnaire was sent through Google Form. Results: Statistical analysis was done using Microsoft Excel 10th version. According to ASR Scale among 307, 5.53% were highly likely to have inattentiveness and 6.64% were highly likely to have hyper activeness and impulsiveness. In 207 females 6.28%, 5.79% were highly likely to be inattentive, hyperactive/impulsive and in 100 males 9%,4% were highly likely to be hyperactive/impulsive, inattentive. Conclusion: Total prevalence of Adult ADHD is 11.40%. Among all the participants, prevalence of ADHD for Part-A (Inattentive) is 5.53% and Part-B (Hyperactive/Impulsive) is 6.64%. Out of total, 0.977% got mixed symptoms of ADHD. Keywords: Young individuals, ASRS, Adult ADHD, Inattentive, Hyperactive, Impulsive.

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“…6 It is speculated that the disabling characteristics of ADHD in adulthood may contribute to the onset or exacerbation of other psychiatric comorbidities, including substance use disorders. 7,8 Numerous studies have reported that patients with comorbid ADHD and substance use disorders exhibit greater substance use and more severe psychiatric symptoms, [9][10][11] including more intense cravings that could increase the risk of relapse. 12 A study comparing AUD relapse risk between subjects with and without ADHD traits showed a higher risk of relapse in the ADHD group.…”

Section: Introductionmentioning

confidence: 99%

“…Numerous studies have reported that patients with comorbid ADHD and substance use disorders exhibit greater substance use and more severe psychiatric symptoms, 9–11 including more intense cravings that could increase the risk of relapse 12 . A study comparing AUD relapse risk between subjects with and without ADHD traits showed a higher risk of relapse in the ADHD group 13 .…”

Section: Introductionmentioning

confidence: 99%

Attention‐deficit hyperactivity symptoms and risk of alcohol use relapse

Kawata

Sugihara

Kakibuchi³

et al. 2022

Neuropsychopharm Rep

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Aim Alcohol use disorder (AUD) is frequently accompanied by comorbid attention‐deficit hyperactivity disorder (ADHD). Comorbid ADHD has been reported to increase the severity of AUD. We investigated whether ADHD severity also influences AUD relapse risk at baseline and after inpatient treatment. Methods In this study, 187 AUD patients admitted to Narimasu Kosei Hospital from October 2019 to March 2021 were included in the analysis. According to the Adult ADHD Self‐Report Scale (ASRS), participants were divided into two groups: ASRS+ with ADHD characteristics (n = 43) and ASRS− with low/no ADHD characteristics (n = 144). Groups were compared for AUD relapse risk at the start of treatment (baseline) and before hospital discharge using the multidimensional Alcohol Relapse Risk Scale (ARRS). The change in relapse risk during hospitalization was also compared by assessment of the interaction between groups (ASRS+ vs. ASRS−) and time (at discharge vs. baseline). Results The total ARRS score and dimension subscores for stimulus‐induced vulnerability and emotionality problems were significantly higher in the ASRS+ group at baseline and before discharge compared to the ASRS− group. There was a significant group × time interaction indicating less improvement of stimulus‐induced vulnerability during inpatient treatment among the ASRS+ group compared to the ASRS− group. Conclusions Our findings suggest that AUD patients with ADHD characteristics have a higher risk of relapse both at baseline and after inpatient treatment. Stimulus‐induced vulnerability to relapse is less likely to improve with treatment in patients with ADHD characteristics.

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Prevalence of Adult ADHD Co-morbidity in Alcohol Use Disorders in a General Hospital Setup

Cited by 8 publications

References 21 publications

ADHD Prevalence among Outpatients with Severe Opioid Use Disorder on Daily Intravenous Diamorphine and/or Oral Opioid Maintenance Treatment

ADHD Prevalence among Outpatients with Severe Opioid Use Disorder on Daily Intravenous Diamorphine and/or Oral Opioid Maintenance Treatment

Prevalence of Attention Deficit Hyperactivity Disorder - ADHD among Young Individuals - An Observational Study

Attention‐deficit hyperactivity symptoms and risk of alcohol use relapse

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