In: Journal of Attention Disorders, 24 (2020), Nr. 14. pp. 2072-2083. ISSN 1087-0547 (Druck-Ausg.), 1557-1246 (Online-Ausg.)
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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. (J. of Att. Dis. 2020; 24(14) 2072–2083)
Document type: | Article |
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Journal or Publication Title: | Journal of Attention Disorders |
Volume: | 24 |
Number: | 14 |
Publisher: | Sage |
Place of Publication: | Thousand Oaks, Calif. |
Edition: | Zweitveröffentlichung |
Date Deposited: | 27 Nov 2020 13:49 |
Date: | 2020 |
ISSN: | 1087-0547 (Druck-Ausg.), 1557-1246 (Online-Ausg.) |
Page Range: | pp. 2072-2083 |
Faculties / Institutes: | Service facilities > Zentralinstitut für Seelische Gesundheit |
DDC-classification: | 150 Psychology 610 Medical sciences Medicine |
Uncontrolled Keywords: | dual disorder, structured interview, alcohol, substance related disorders |
Additional Information: | Dieser Beitrag ist aufgrund einer (DFG-geförderten) Allianz bzw. Nationallizenz frei zugänglich. *** This publication is freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively. |