University of Aarhus, Centre for Alcohol and Drug Research, Artillerivej 90, Copenhagen S, Denmark.
Addict Behav. 2010 May;35(5):504-6. doi: 10.1016/j.addbeh.2009.12.007. Epub 2009 Dec 28.
Attention deficit and hyperactivity disorder has been associated with poor outcome in studies of substance use disorders. This study aimed to assess the course of self-reported symptoms of both attention deficit and hyperactivity among adults presenting for treatment for substance use disorders. A sample of 75 substance abusers were assessed after they were admitted to a centralized intake unit, and followed at 3 and 6 months after intake by independent interviewers (follow-up rate 81%). Symptoms of attention deficit and hyperactivity were assessed with the Adult Self-report Scale for ADHD (ASRS). Both types of symptoms declined significantly during follow-up, but attention symptoms had a high intraclass correlation (0.79), and hyperactivity had a moderate intraclass correlation (0.64). Both baseline attention deficit and hyperactivity symptoms were associated with worse work and social adjustment after controlling for baseline functioning. Hyperactivity was associated with poorer substance use outcomes at the trend level. In conclusion, both dimensions of ADHD contribute to worse functioning during early treatment for substance abusers, and the ASRS is a reasonably stable measure of ADHD symptoms during early recovery.
注意缺陷多动障碍与物质使用障碍研究中的不良结局有关。本研究旨在评估物质使用障碍患者接受治疗时，自我报告的注意缺陷和多动症状的病程。对 75 名物质滥用者在被收治到集中收治单位后进行评估，并在摄入后 3 个月和 6 个月由独立访谈者进行随访（随访率为 81%）。使用成人注意缺陷多动障碍自评量表（ASRS）评估注意缺陷和多动症状。在随访期间，两种症状均显著下降，但注意症状的组内相关系数较高（0.79），多动症状的组内相关系数为中度（0.64）。在控制基线功能后，基线时的注意缺陷和多动症状均与较差的工作和社会调整相关。多动症状与物质使用结果的改善呈负相关。总之，ADHD 的两个维度都与物质滥用者早期治疗期间的功能下降有关，并且 ASRS 是早期康复期间 ADHD 症状的一种合理稳定的测量方法。
