Prevalence Estimates of ADHD in a Sample of Inpatients With Alcohol Dependence.

Autor: Luderer, Mathias; Sick, Christian; Kaplan-Wickel, Nurcihan; Reinhard, Iris; Richter, Agnes; Kiefer, Falk; Weber, Tillmann

Publication year: 2020

Journal of attention disorders

issn:1557-1246 1087-0547

doi: 10.1177/1087054717750272

Abstract:

Objective: ADHD is common in patients with alcohol dependence, but prevalence results are inconsistent. We investigated ADHD prevalence in a complex design to avoid over- or underdiagnosing. Method: Patients with alcohol dependence starting long-term residential treatment were included. A structured interview (Diagnostic Interview for ADHD in Adults [DIVA]) was conducted on all patients. DIVA results indicating childhood or adulthood ADHD were assessed in successive diagnostic interviews by two expert clinicians. Results: 415 of 488 patients had completed the entire diagnostic assessment. ADHD prevalence was 20.5%. DIVA results correlated moderately with experts’ diagnoses. In patients with ADHD, a higher comorbid illicit substance use was prevalent and alcohol dependence started earlier and was more severe. Conclusion: This study provides the largest sample on ADHD prevalence in alcohol dependent inpatients. Despite great efforts to avoid overestimation, we found every fifth patient to have ADHD. ADHD diagnosis should not be based solely on a structured interview but should be clinically confirmed.

Language: eng

Rights:

Pmid: 29308693

Tags: Humans; Adult; Child; Comorbidity; *Attention Deficit Disorder with Hyperactivity/epidemiology; Prevalence; alcohol; Inpatients; *Alcoholism/epidemiology; *Substance-Related Disorders/epidemiology; dual disorder; structured interview; substance related disorders

Link: https://pubmed.ncbi.nlm.nih.gov/29308693/