Prevalence of adult attention deficit hyperactivity disorder in patients of alcohol dependence syndrome: A cross-sectional study.

Industrial Psychiatry Journal Pub Date : 2025-05-01 Epub Date: 2025-07-18 DOI:10.4103/ipj.ipj_492_24
Rishabh Singh, Kaushik Chatterjee, V S Chauhan
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Abstract

Background: Alcohol use disorders (AUDs) are among the most common comorbid psychiatric disorders in patients with adult attention deficit hyperactivity disorder (ADHD), and adult ADHD is an independent risk factor for developing AUD.

Aim: To study the prevalence of adult ADHD in patients with Alcohol dependence syndrome (ADS).

Materials and methods: In total, 177 cases of ADS diagnosed as per International Classification of Diseases-10, Diagnostic Criteria for Research (ICD-10, DCR) were included. The severity of alcohol dependence was estimated by the Severity of Alcohol Dependence Questionnaire (SADQ). The included patients were screened for adult ADHD by the Adult ADHD Self-Report Scale (ASRS-v1.1) symptom checklist, and statistical tests were applied.

Results: Out of 177 patients with ADS, 21 patients screened positive for adult ADHD (11.9%). Greater severity of alcohol dependence among those screened positive for adult ADHD was noted compared to the adult ADHD negative group (P = 0.013). Adult ADHD-positive patients had an earlier age of onset of alcohol consumption (P = 0.020), higher mean duration of alcohol consumption (P < 0.001), and early onset of ADS (P = 0.038). ICD-10 criteria of loss of control, salience, and use despite harmful effects were significantly higher among the adult ADHD-positive group.

Conclusion: The study findings suggest a significant prevalence of adult ADHD among patients with ADS.

酒精依赖综合征患者成人注意缺陷多动障碍的患病率:一项横断面研究。
背景:酒精使用障碍(AUDs)是成人注意缺陷多动障碍(ADHD)患者中最常见的共病精神障碍之一,成人ADHD是发生AUD的独立危险因素。目的:探讨成人酒精依赖综合征(ADS)患者ADHD的患病率。材料与方法:共纳入177例按照《国际疾病分类-10研究诊断标准》(ICD-10, DCR)诊断的ADS。通过酒精依赖严重程度问卷(SADQ)评估酒精依赖严重程度。采用成人注意力缺陷多动障碍自我报告量表(ASRS-v1.1)症状检查表筛查成人注意力缺陷多动障碍患者,并进行统计学检验。结果:177例ADS患者中,21例成人ADHD筛查阳性(11.9%)。与成人ADHD阴性组相比,成人ADHD筛查阳性组的酒精依赖程度更严重(P = 0.013)。成年adhd阳性患者开始饮酒年龄较早(P = 0.020),平均饮酒时间较长(P < 0.001), ADS发病早(P = 0.038)。在成人adhd阳性组中,失去控制、显著性和使用有害影响的ICD-10标准明显更高。结论:研究结果表明,成人ADHD在ad患者中有显著的患病率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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39 weeks
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