Adult Adhd Screening in Alcohol-dependent Patients - 07/10/15
Résumé |
Introduction |
The association of ADHD and Substance Abuse has been a focus of research. Studies point to elevated rates of ADHD in patients with history of alcohol abuse or dependence.
Objectives |
The main objective of this study was to assess the presence of ADHD in patients with history of alcohol abuse or dependence and investigate a possible relationship with consumption patterns and other mental comorbidities, including personality disorders.
Methods |
We interviewed patients that were hospitalized, were attending the Day Hospital or were being followed in therapeutic groups in a Treatment and Alcohol Rehabilitation Unit of the Centro Hospitalar Psiquiátrico de Lisboa. It was collected social and demographic data and applied the following scales: Adult ADHD Self-Report Scale (ASRS); Diagnostic Interview for ADHD in adults (DIVA 2.0); Personality Diagnostic Questionnaire for the DSM IV (PDQ4). Patients were also submitted to a psychiatric interview in order to assess the presence of other comorbidities and suicide attempts.
Results |
57 patients were evaluated, 80% were male; 63.2% obtained scores PDQ4 suggestive of personality disorder. A high percentage of patients had an history of consumption of other abuse substances and had comorbidity with depression and anxiety disorders. In ASRS scale, 33.3% had scores suggestive of ADHD.
Conclusions |
Diagnosis of ADHD in patients with substance abuse is complex since there are similar symptoms that are present in other mental disorders. However, the presence of ADHD is associated with a more severe expression of addictive behaviors and a worse prognosis, hence the importance of its early diagnosis.
Le texte complet de cet article est disponible en PDF.Vol 30 - N° S1
P. 502 - mars 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?