Psychiatric Comorbidity in Treatment-Seeking Alcohol Dependence Patients With and Without ADHD.
Objective:To estimate the prevalence of ADHD in adult patients treated for alcohol dependence and to analyze the characteristics of consumption and psychiatric comorbidity, in function of a possible ADHD in adulthood.Method:We administered the Adult ADHD Self-Report Scale (ASRS) to 726 alcohol-dependent patients. Clinical diagnosis, followingDiagnostic and Statistical Manual of Mental Disorders(4th ed., text rev.;DSM-IV-TR) criteria was made in the first four weeks of treatment. A subsample of 297 patients was evaluated usingConners' Adult ADHD Diagnostic Interview for DSM-IV(CAADID-II) to test the psychometric properties of ASRS.Results:After analyzing the properties of the ASRS (sensitivity: 83.3%; specificity: 66.1%), the prevalence of ADHD, in the whole sample, was estimated to be 16.2%. Being younger, lifetime history of cocaine dependence and the presence of an affective, anxiety or personality disorder were associated with a possible ADHD.Conclusion:The estimated prevalence of ADHD in patients being treated for alcohol dependence is high, and the presence of a possible ADHD in adulthood is associated with an increase in psychiatric comorbidity.
1 Hospital Universitari Vall d'Hebron, Barcelona, Spain.|2 Barcelona Public Health Agency (ASPB), Barcelona, Spain.|3 Biomedical Network Research Centre on Mental Health (CIBERSAM), Barcelona, Spain.|4 Universitat Autònoma de Barcelona, Spain.
Carlos
C
Roncero
5 Institut Clinic de Neurociències, Barcelona, Spain.|6 Unitat de Conductes Adictives, Barcelona, Spain.
Lluisa
L
Ortega
1 Hospital Universitari Vall d'Hebron, Barcelona, Spain.|2 Barcelona Public Health Agency (ASPB), Barcelona, Spain.
Jesús
J
Pérez-Pazos
5 Institut Clinic de Neurociències, Barcelona, Spain.|6 Unitat de Conductes Adictives, Barcelona, Spain.
Anna
A
Lligoña
1 Hospital Universitari Vall d'Hebron, Barcelona, Spain.|2 Barcelona Public Health Agency (ASPB), Barcelona, Spain.
Alfonso C
AC
Abad
5 Institut Clinic de Neurociències, Barcelona, Spain.|6 Unitat de Conductes Adictives, Barcelona, Spain.
Antoni
A
Gual
1 Hospital Universitari Vall d'Hebron, Barcelona, Spain.|2 Barcelona Public Health Agency (ASPB), Barcelona, Spain.
Marta
M
Sorribes
1 Hospital Universitari Vall d'Hebron, Barcelona, Spain.|2 Barcelona Public Health Agency (ASPB), Barcelona, Spain.|4 Universitat Autònoma de Barcelona, Spain.
Lara
L
Grau-López
1 Hospital Universitari Vall d'Hebron, Barcelona, Spain.|3 Biomedical Network Research Centre on Mental Health (CIBERSAM), Barcelona, Spain.|4 Universitat Autònoma de Barcelona, Spain.
Miquel
M
Casas
1 Hospital Universitari Vall d'Hebron, Barcelona, Spain.|2 Barcelona Public Health Agency (ASPB), Barcelona, Spain.|4 Universitat Autònoma de Barcelona, Spain.
Constanza
C
Daigre
D000328:Adult; D000437:Alcoholism / Q000453:epidemiology; D001289:Attention Deficit Disorder with Hyperactivity / Q000453:epidemiology; D015897:Comorbidity; D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D015995:Prevalence; D011594:Psychometrics
adult ADHD; alcohol dependence; comorbidity