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创伤后应激障碍与酒精使用障碍住院患者的成年注意缺陷多动障碍高度共病。

Posttraumatic Stress Disorder Is Highly Comorbid With Adult ADHD in Alcohol Use Disorder Inpatients.

机构信息

CHRU de Tours, Équipe de Liaison et de Soins en Addictologie, Tours, France.

Centre Hospitalier Louis Sevestre, La Membrolle-sur-Choisille, Tours, France.

出版信息

J Atten Disord. 2021 Sep;25(11):1594-1602. doi: 10.1177/1087054720903363. Epub 2020 May 12.

Abstract

Increasing number of studies show an association between adult ADHD (a-ADHD) and posttraumatic stress disorder (PTSD). We explored this association in alcohol use disorder (AUD) inpatients. In total, 551 inpatients cross-sectionally completed self-administered questionnaires regarding sociodemographics, lifetime trauma exposure, PTSD Checklist for , Adult ADHD Self-Report Scale (ASRS), and Wender Utah Rating Scale (WURS). We considered self-reported a-ADHD when ASRS and WURS had significant scores. Prevalence for a-ADHD was 20%. PTSD prevalence was higher in a-ADHD patients (84% vs. 40%; < .001). They also were younger ( < .001) and women ( = .015). Adult ADHD was associated with more traumatic events, and symptoms were correlated with PTSD severity. After adjusting for age, gender and marital status, PTSD severity was associated with a-ADHD. Our study confirms that a-ADHD is associated with PTSD in AUD inpatients, and thus, may represent a specific subpopulation. Future studies should explore implication of this dual diagnosis on AUD and treatment outcome.

摘要

越来越多的研究表明,成人注意缺陷多动障碍(a-ADHD)与创伤后应激障碍(PTSD)之间存在关联。我们在酒精使用障碍(AUD)住院患者中探讨了这种关联。共有 551 名住院患者横断面上完成了关于社会人口统计学、终生创伤暴露、创伤后应激障碍检查表(PCL)、成人 ADHD 自评量表(ASRS)和 Wender Utah 评定量表(WURS)的自我报告问卷。当 ASRS 和 WURS 有显著分数时,我们认为存在自报的 a-ADHD。a-ADHD 的患病率为 20%。在 a-ADHD 患者中,PTSD 的患病率更高(84%比 40%;<0.001)。他们也更年轻(<0.001)和女性(=0.015)。成人 ADHD 与更多的创伤事件有关,且症状与 PTSD 严重程度相关。在调整年龄、性别和婚姻状况后,PTSD 严重程度与 a-ADHD 相关。我们的研究证实,a-ADHD 与 AUD 住院患者的 PTSD 相关,因此,可能代表一个特定的亚人群。未来的研究应探讨这一双重诊断对 AUD 和治疗结果的影响。

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