Dirks Henrike, Scherbaum Norbert, Kis Bernhard, Mette Christian
Klinik für abhängiges Verhalten und Suchtmedizin, LVR-Klinikum Essen, Klinik und Institut der Universität Duisburg-Essen.
Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Göttingen.
Fortschr Neurol Psychiatr. 2017 Jun;85(6):336-344. doi: 10.1055/s-0043-100763. Epub 2017 Jun 23.
Substance use disorders (SUD) are one of the most frequent mental disorders among adults. Attention-Deficit/Hyperactivity-Disorder (ADHD) is one of the most common mental health issues in childhood and adolescence, often persisting in adulthood. ADHD in childhood and adolescence is a robust predictor of tobacco, alcohol and illicit substance use in adulthood. Prevalence of comorbid ADHD in SUD patients is high. Nearly one quarter of these patients fulfill the DSM IV criteria for ADHD. Integrated concepts for treatment of SUD and ADHD are needed, but rare up to now. The aim of this review is to present and discuss recent scientific literature on the topic SUD and ADHD among adults and show its implications for clinical diagnostics and treatment.
物质使用障碍（SUD）是成年人中最常见的精神障碍之一。注意力缺陷多动障碍（ADHD）是儿童和青少年中最常见的心理健康问题之一，常常持续至成年期。儿童和青少年期的ADHD是成年后使用烟草、酒精和非法药物的有力预测因素。SUD患者中共病ADHD的患病率很高。这些患者中近四分之一符合ADHD的DSM-IV标准。需要针对SUD和ADHD的综合治疗理念，但目前尚属罕见。本综述的目的是介绍和讨论关于成年人中SUD和ADHD这一主题的最新科学文献，并展示其对临床诊断和治疗的意义。
