One-year abstinence improves ADHD symptoms among patients with polysubstance use disorder.
Addict Behav Rep
; 6: 96-101, 2017 Dec.
Article
em En
| MEDLINE
| ID: mdl-29450242
ABSTRACT
INTRODUCTION:
Attention-deficit/hyperactivity disorder (ADHD) is a common comorbid disorder in patients suffering from substance use disorder (SUD). Individuals with co-occurring SUD and ADHD are more likely than SUD patients without ADHD to have developed SUD at a younger age, be polysubstance users, and need inpatient treatment more often. The present study investigates whether individuals with polysubstance use disorder who remain abstinent for a year after entering treatment have a more substantial reduction in ADHD symptoms than those who relapsed and controls. MATERIAL ANDMETHODS:
Subjects were SUD patients (N = 115) and healthy controls (N = 34). ADHD symptoms were assessed using the adult ADHD Self-Report Scale (ASRS). Substance use was assessed by self-reports on the Alcohol Use Disorders Identification Test (AUDIT) and the Drug Use Disorders Identification Test (DUDIT). Participants were defined as having relapsed if they had an AUDIT score ≥ 8 or a DUDIT score ≥ 2 for women and ≥ 6 for men.RESULTS:
Patients who remained abstinent for one year reported a substantial reduction of ADHD symptoms compared to patients who relapsed and controls.CONCLUSIONS:
Abstinence alleviates ADHD symptoms among patients with polysubstance use disorder. We suggest that confirmation of an ADHD diagnosis should follow a period of abstinence to avoid identification of false-positive cases.
ADHD; ADHD, attention deficit hyperactivity disorder; ANOVA, analysis of variance; ASRS, ADHD Self-Report Scale; AUDIT, Alcohol Use Disorders Identification Test; DSM, Diagnostic and Statistical Manual of Mental Disorders; DUDIT, Drug Use Disorders Identification Test; GP, general practitioner; Polysubstance; REK, Regional Ethical Committee; Recovery; SUD, substance use disorder; Substance use disorder; WASI, Wechsler abbreviated scale of intelligence
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Base de dados:
MEDLINE
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article