一项针对物质使用障碍患者注意力缺陷多动障碍的干预项目：一项现场试验的初步结果。

An intervention program for ADHD in patients with substance use disorders: preliminary results of a field trial.

作者信息

Goossensen M Anne, van de Glind Geurt, Carpentier Pieter-Jan, Wijsen Riek M A, van Duin Daniëlle, Kooij J J Sandra

机构信息

Institute of Health Policy and Management, P.O. Box 1738, 3000 DR, Rotterdam, The Netherlands.

出版信息

J Subst Abuse Treat. 2006 Apr;30(3):253-9. doi: 10.1016/j.jsat.2005.12.004.

DOI:10.1016/j.jsat.2005.12.004

PMID:16616170

Abstract

The comorbidity of attention deficit hyperactivity disorder (ADHD) is frequently not well recognized in substance abuse treatment institutions in The Netherlands. As a consequence, patients with substance use disorder (SUD) and ADHD often receive suboptimal treatment. To prevent every treatment center from having to invent its own diagnostic procedure and intervention for ADHD, a national working group was established. This group developed an intervention program for the screening, diagnosis, and treatment of ADHD in patients with SUD. This article describes the development and content of this intervention program. An important part of this development was testing the intervention program in two addiction treatment centers in The Netherlands. Systematic screening of ADHD was part of the test. A self-report questionnaire was used. Subjects with positive screening results were referred for the diagnostic procedure. Nine hundred twenty-eight screenings were performed: 207 screened positive, 115 came for further diagnostics, and 65 were ultimately diagnosed with ADHD.

摘要

在荷兰，物质滥用治疗机构常常未能充分认识到注意力缺陷多动障碍（ADHD）的共病情况。因此，患有物质使用障碍（SUD）和ADHD的患者往往接受不到最佳治疗。为避免每个治疗中心都要自行研发针对ADHD的诊断程序和干预措施，成立了一个全国性工作组。该小组制定了一项针对SUD患者中ADHD的筛查、诊断和治疗的干预计划。本文介绍了该干预计划的制定过程和内容。这一过程的一个重要部分是在荷兰的两个成瘾治疗中心对干预计划进行测试。ADHD的系统筛查是测试的一部分。使用了一份自我报告问卷。筛查结果呈阳性的受试者被转介进行诊断程序。共进行了928次筛查：207人筛查呈阳性，115人前来进一步诊断，最终65人被诊断为ADHD。