Rates of undiagnosed attention deficit hyperactivity disorder in London drug and alcohol detoxification units

BMC Psychiatry

Research Article

Alun Morinan¹  Francis Keaney¹  Declan Murphy²  Kiriakos Xenitidis²  Stefanos Maltezos²  Susan Young³  Karen Glaser⁴  Raoul Howe-Forbes⁵  Jonna Kuntsi⁵  Philip J Asherson⁵  David Ball⁵  Zoe Huntley⁶  Charlotte Williams⁶  Amy Hammon⁶  Patrik Bolton⁷  E Jane Marshall⁸ 

[1] Addiction Unit, Maudsley Hospital, 58AF, London, SE, UK;Behavioural Genetics Unit, Institute of Psychiatry, Kings College London, London, SE, 58AF, UK;Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Kings College London, UK, SE58AF & Broadmoor Hospital, Crowthorne, RG45 7EG, Berkshire, UK;Institute of Gerontology, King's College London, 2R 2LS, London, WC, UK;MRC Social Genetic and Developmental Psychiatry, Institute of Psychiatry, Kings College London, SE 58AF, London, UK;MRC Social Genetic and Developmental Psychiatry, Institute of Psychiatry, Kings College London, SE 58AF, London, UK;Behavioural Genetics Unit, Institute of Psychiatry, Kings College London, London, SE, 58AF, UK;MRC Social Genetic and Developmental Psychiatry, Institute of Psychiatry, Kings College London, SE 58AF, London, UK;Child and Adolescent Psychiatry, Institute of Psychiatry, Kings College London, 58AF, London, SE, UK;National Addiction Centre, Institute of Psychiatry, Kings College London and Bethlem Addiction Service, South London and Maudsley NHS Foundation Trust, 5 8AF, London, SE, UK;

关键词: Autism Spectrum Disorder;    Autism Spectrum Disorder;    ADHD Symptom;    Atomoxetine;    ADHD Rating Scale;   

DOI  :  10.1186/1471-244X-12-223

 received in 2012-02-08, accepted in 2012-11-28,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundADHD is a common childhood onset mental health disorder that persists into adulthood in two-thirds of cases. One of the most prevalent and impairing comorbidities of ADHD in adults are substance use disorders. We estimate rates of ADHD in patients with substance abuse disorders and delineate impairment in the co-morbid group.MethodScreening for ADHD followed by a research diagnostic interview in people attending in-patient drug and alcohol detoxification units.ResultsWe estimated prevalence of undiagnosed ADHD within substance use disorder in-patients in South London around 12%. Those individuals with substance use disorders and ADHD had significantly higher self-rated impairments across several domains of daily life; and higher rates of substance abuse and alcohol consumption, suicide attempts, and depression recorded in their case records.ConclusionsThis study demonstrates the high rates of untreated ADHD within substance use disorder populations and the association of ADHD in such patients with greater levels of impairment. These are likely to be a source of additional impairment to patients and represent an increased burden on clinical services.

【 授权许可】

Unknown   
© Huntley et al.; licensee BioMed Central. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.