CHRU de Tours, Équipe de Liaison et de Soins en Addictologie, Tours, France.
Centre Hospitalier Louis Sevestre, La Membrolle-sur-Choisille, Tours, France.
J Atten Disord. 2021 Sep;25(11):1594-1602. doi: 10.1177/1087054720903363. Epub 2020 May 12.
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.
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。
