TDAH en pacientes con adicción a sustancias: análisis de la prevalencia y de los problemas relacionados con el consumo en una muestra atendida en un servicio de tratamiento ambulatorio

Abstract

Existing comorbidity between substance use disorders and attention-deficit/hiperactivity disorder has been noted for several authors. The aim of this paper is to analyze the prevalence and severity of ADHD compared to patients without ADHD in a sample of patients treated in an outpatient drug addiction services.

Material and methods

Sample is composed of 162 patients from Drug Abuse Services of Huelva (Spain). The assessment tool for the severity of SUD was the semi-structured interview EuropASI. The quality of life scores were obtained by administering the TECVASP. For the screening of ADHD it was used the ASRS 1.1.

Results

ADHD prevalence was 27.8% in the total sample. Prevalence among alcohol consumers was 33.3%, among cocaine consumers was 42.2%, among cannabis consumers was 48.9%, and heroin consumers showed a 13.3%. ADHD patients showed worse quality of life, and greater severity in drug profile, social and familiar relationships and psychiatric statement.

Conclusions

The results obtained underscore the convenience of a detailed evaluation from therapist. It should be considered the complications of a potential dual diagnosis in terms of gravity of consumption, social difficulties and severity of general psychiatric statement.