Variability in the prevalence of adult ADHD in treatment seeking substance use disorder patients

Available studies vary in their estimated prevalence of attention deficit/hyperactivity disorder (ADHD) in substance use disorder (SUD) patients, ranging from 2 to 83%. A better understanding of the possible reasons for this variability and the effect of the change from DSM-IV to DSM-5 is needed. A...

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Autores: van de Glind, Geurt, Koeter, Maarten W. J., van Emmerik-van Oortmerssen, Katelijne, Carpentier, Pieter Jan, Kaye, Sharlene, Degenhardt, Louisa, Skutle, Arvid, Franck, Johan, Bu, Eli Torild Hellandsjø, Moggi, Franz, Dom, Geert|||0000-0001-6492-0429, Verspreet, Sofie, Demetrovics, Zsolt|||0000-0001-5604-7551, Kapitány-Fövény, Máté, Fatséas, Melina, Auriacombe, Marc|||0000-0002-8938-8683, Schillinger, Arild, Møller, Merete, Johnson, Brian, Faraone, Stephen V.|||0000-0002-9217-3982, Ramos-Quiroga, Josep Antoni|||0000-0003-1622-0350, Casas Brugué, Miquel|||0000-0003-3496-8522, Allsop, Steve, Carruthers, Susan, Schoevers, Robert A., Wallhed, Sara, Barta, Csaba, Alleman, Peter, Levin, Frances R., van den Brink, Wim, Konstenius, Maija
Tipo de recurso: artículo
Fecha de publicación:2013
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:184957
Acceso en línea:https://ddd.uab.cat/record/184957
https://dx.doi.org/urn:doi:10.1016/j.drugalcdep.2013.09.026
Access Level:acceso abierto
Palabra clave:Prevalence
Substance use disorder
Attention deficit hyperactivity disorder
DSM-5
Adults
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spelling Variability in the prevalence of adult ADHD in treatment seeking substance use disorder patientsResults from an international multi-center study exploring DSM-IV and DSM-5 criteriavan de Glind, GeurtKoeter, Maarten W. J.van Emmerik-van Oortmerssen, KatelijneCarpentier, Pieter JanKaye, SharleneDegenhardt, LouisaSkutle, ArvidFranck, JohanBu, Eli Torild HellandsjøMoggi, FranzDom, Geert|||0000-0001-6492-0429Verspreet, SofieDemetrovics, Zsolt|||0000-0001-5604-7551Kapitány-Fövény, MátéFatséas, MelinaAuriacombe, Marc|||0000-0002-8938-8683Schillinger, ArildMøller, MereteJohnson, BrianFaraone, Stephen V.|||0000-0002-9217-3982Ramos-Quiroga, Josep Antoni|||0000-0003-1622-0350Casas Brugué, Miquel|||0000-0003-3496-8522Allsop, SteveCarruthers, SusanSchoevers, Robert A.Wallhed, SaraBarta, CsabaAlleman, PeterLevin, Frances R.van den Brink, WimKonstenius, MaijaPrevalenceSubstance use disorderAttention deficit hyperactivity disorderDSM-5AdultsAvailable studies vary in their estimated prevalence of attention deficit/hyperactivity disorder (ADHD) in substance use disorder (SUD) patients, ranging from 2 to 83%. A better understanding of the possible reasons for this variability and the effect of the change from DSM-IV to DSM-5 is needed. A two stage international multi-center, cross-sectional study in 10 countries, among patients form inpatient and outpatient addiction treatment centers for alcohol and/or drug use disorder patients. A total of 3558 treatment seeking SUD patients were screened for adult ADHD. A subsample of 1276 subjects, both screen positive and screen negative patients, participated in a structured diagnostic interview. Prevalence of DSM-IV and DSM-5 adult ADHD varied for DSM-IV from 5.4% (CI 95%: 2.4-8.3) for Hungary to 31.3% (CI 95%:25.2-37.5) for Norway and for DSM-5 from 7.6% (CI 95%: 4.1-11.1) for Hungary to 32.6% (CI 95%: 26.4-38.8) for Norway. Using the same assessment procedures in all countries and centers resulted in substantial reduction of the variability in the prevalence of adult ADHD reported in previous studies among SUD patients (2-83%→ 5.4-31.3%). The remaining variability was partly explained by primary substance of abuse and by country (Nordic versus non-Nordic countries). Prevalence estimates for DSM-5 were slightly higher than for DSM-IV. Given the generally high prevalence of adult ADHD, all treatment seeking SUD patients should be screened and, after a confirmed diagnosis, treated for ADHD since the literature indicates poor prognoses of SUD in treatment seeking SUD patients with ADHD.Universitat Autònoma de Barcelona 22013-01-0120132013-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/184957https://dx.doi.org/urn:doi:10.1016/j.drugalcdep.2013.09.026reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:1849572026-06-06T12:50:31Z
dc.title.none.fl_str_mv Variability in the prevalence of adult ADHD in treatment seeking substance use disorder patients
Results from an international multi-center study exploring DSM-IV and DSM-5 criteria
title Variability in the prevalence of adult ADHD in treatment seeking substance use disorder patients
spellingShingle Variability in the prevalence of adult ADHD in treatment seeking substance use disorder patients
van de Glind, Geurt
Prevalence
Substance use disorder
Attention deficit hyperactivity disorder
DSM-5
Adults
title_short Variability in the prevalence of adult ADHD in treatment seeking substance use disorder patients
title_full Variability in the prevalence of adult ADHD in treatment seeking substance use disorder patients
title_fullStr Variability in the prevalence of adult ADHD in treatment seeking substance use disorder patients
title_full_unstemmed Variability in the prevalence of adult ADHD in treatment seeking substance use disorder patients
title_sort Variability in the prevalence of adult ADHD in treatment seeking substance use disorder patients
dc.creator.none.fl_str_mv van de Glind, Geurt
Koeter, Maarten W. J.
van Emmerik-van Oortmerssen, Katelijne
Carpentier, Pieter Jan
Kaye, Sharlene
Degenhardt, Louisa
Skutle, Arvid
Franck, Johan
Bu, Eli Torild Hellandsjø
Moggi, Franz
Dom, Geert|||0000-0001-6492-0429
Verspreet, Sofie
Demetrovics, Zsolt|||0000-0001-5604-7551
Kapitány-Fövény, Máté
Fatséas, Melina
Auriacombe, Marc|||0000-0002-8938-8683
Schillinger, Arild
Møller, Merete
Johnson, Brian
Faraone, Stephen V.|||0000-0002-9217-3982
Ramos-Quiroga, Josep Antoni|||0000-0003-1622-0350
Casas Brugué, Miquel|||0000-0003-3496-8522
Allsop, Steve
Carruthers, Susan
Schoevers, Robert A.
Wallhed, Sara
Barta, Csaba
Alleman, Peter
Levin, Frances R.
van den Brink, Wim
Konstenius, Maija
author van de Glind, Geurt
author_facet van de Glind, Geurt
Koeter, Maarten W. J.
van Emmerik-van Oortmerssen, Katelijne
Carpentier, Pieter Jan
Kaye, Sharlene
Degenhardt, Louisa
Skutle, Arvid
Franck, Johan
Bu, Eli Torild Hellandsjø
Moggi, Franz
Dom, Geert|||0000-0001-6492-0429
Verspreet, Sofie
Demetrovics, Zsolt|||0000-0001-5604-7551
Kapitány-Fövény, Máté
Fatséas, Melina
Auriacombe, Marc|||0000-0002-8938-8683
Schillinger, Arild
Møller, Merete
Johnson, Brian
Faraone, Stephen V.|||0000-0002-9217-3982
Ramos-Quiroga, Josep Antoni|||0000-0003-1622-0350
Casas Brugué, Miquel|||0000-0003-3496-8522
Allsop, Steve
Carruthers, Susan
Schoevers, Robert A.
Wallhed, Sara
Barta, Csaba
Alleman, Peter
Levin, Frances R.
van den Brink, Wim
Konstenius, Maija
author_role author
author2 Koeter, Maarten W. J.
van Emmerik-van Oortmerssen, Katelijne
Carpentier, Pieter Jan
Kaye, Sharlene
Degenhardt, Louisa
Skutle, Arvid
Franck, Johan
Bu, Eli Torild Hellandsjø
Moggi, Franz
Dom, Geert|||0000-0001-6492-0429
Verspreet, Sofie
Demetrovics, Zsolt|||0000-0001-5604-7551
Kapitány-Fövény, Máté
Fatséas, Melina
Auriacombe, Marc|||0000-0002-8938-8683
Schillinger, Arild
Møller, Merete
Johnson, Brian
Faraone, Stephen V.|||0000-0002-9217-3982
Ramos-Quiroga, Josep Antoni|||0000-0003-1622-0350
Casas Brugué, Miquel|||0000-0003-3496-8522
Allsop, Steve
Carruthers, Susan
Schoevers, Robert A.
Wallhed, Sara
Barta, Csaba
Alleman, Peter
Levin, Frances R.
van den Brink, Wim
Konstenius, Maija
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Prevalence
Substance use disorder
Attention deficit hyperactivity disorder
DSM-5
Adults
topic Prevalence
Substance use disorder
Attention deficit hyperactivity disorder
DSM-5
Adults
description Available studies vary in their estimated prevalence of attention deficit/hyperactivity disorder (ADHD) in substance use disorder (SUD) patients, ranging from 2 to 83%. A better understanding of the possible reasons for this variability and the effect of the change from DSM-IV to DSM-5 is needed. A two stage international multi-center, cross-sectional study in 10 countries, among patients form inpatient and outpatient addiction treatment centers for alcohol and/or drug use disorder patients. A total of 3558 treatment seeking SUD patients were screened for adult ADHD. A subsample of 1276 subjects, both screen positive and screen negative patients, participated in a structured diagnostic interview. Prevalence of DSM-IV and DSM-5 adult ADHD varied for DSM-IV from 5.4% (CI 95%: 2.4-8.3) for Hungary to 31.3% (CI 95%:25.2-37.5) for Norway and for DSM-5 from 7.6% (CI 95%: 4.1-11.1) for Hungary to 32.6% (CI 95%: 26.4-38.8) for Norway. Using the same assessment procedures in all countries and centers resulted in substantial reduction of the variability in the prevalence of adult ADHD reported in previous studies among SUD patients (2-83%→ 5.4-31.3%). The remaining variability was partly explained by primary substance of abuse and by country (Nordic versus non-Nordic countries). Prevalence estimates for DSM-5 were slightly higher than for DSM-IV. Given the generally high prevalence of adult ADHD, all treatment seeking SUD patients should be screened and, after a confirmed diagnosis, treated for ADHD since the literature indicates poor prognoses of SUD in treatment seeking SUD patients with ADHD.
publishDate 2013
dc.date.none.fl_str_mv 2
2013-01-01
2013
2013-01-01
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http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
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https://dx.doi.org/urn:doi:10.1016/j.drugalcdep.2013.09.026
url https://ddd.uab.cat/record/184957
https://dx.doi.org/urn:doi:10.1016/j.drugalcdep.2013.09.026
dc.language.none.fl_str_mv Inglés
eng
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