Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Brumunddal, Norway.
Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Brumunddal, Norway; Faculty of Health and Social Science, Inland Norway University of Applied Sciences, Elverum, Norway; Institute of Clinical Medicine, University of Tromsø-The Arctic University of Norway, Tromsø, Norway.
Psychiatry Res. 2021 Jun;300:113904. doi: 10.1016/j.psychres.2021.113904. Epub 2021 Mar 31.
Attention deficit hyperactivity disorder (ADHD) and post-traumatic stress disorder (PTSD) are more common in alcohol use disorder (AUD) patients than in the general population. Still, there is a lack of knowledge about the relationship between the two conditions in these patients. The main objective of this study was to examine the prevalence of ADHD symptoms, and the relationship between ADHD symptoms and PTSD in AUD inpatients in treatment. Data from 85 AUD patients were collected. The Adult ADHD Self-Report Scale (ASRS) was used to measure ADHD symptoms in all patients. Differences between groups split by PTSD diagnosis and by ASRS clinical cut-off were described, and the relationship between ADHD symptom level and PTSD was tested in a multiple regression model. Almost half the patients scored above ASRS cut-off and 14% had PTSD. Of the patients whose score was above cut-off on the ASRS 23% had PTSD, versus 7% among those below cut-off. Higher ASRS score was associated with PTSD even when age, sex and trauma were adjusted for. This study confirms the high level of ADHD symptoms in AUD patients in treatment. Diagnostic evaluation of PTSD is recommended in patients with ADHD attending inpatient treatment programs for AUD.
注意力缺陷多动障碍（ADHD）和创伤后应激障碍（PTSD）在酒精使用障碍（AUD）患者中比在普通人群中更为常见。然而，人们对于这些患者中这两种情况之间的关系知之甚少。本研究的主要目的是检查治疗中的 AUD 住院患者中 ADHD 症状的患病率，以及 ADHD 症状与 PTSD 之间的关系。收集了 85 名 AUD 患者的数据。所有患者均使用成人 ADHD 自评量表（ASRS）测量 ADHD 症状。描述了根据 PTSD 诊断和 ASRS 临床截止值划分的组之间的差异，并在多元回归模型中测试了 ADHD 症状水平与 PTSD 之间的关系。几乎一半的患者的 ASRS 得分高于截止值，14%的患者患有 PTSD。在 ASRS 得分高于截止值的患者中，有 23%患有 PTSD，而在得分低于截止值的患者中，有 7%患有 PTSD。即使在调整了年龄、性别和创伤因素后，ASRS 得分较高也与 PTSD 相关。本研究证实了治疗中 AUD 患者中存在高水平的 ADHD 症状。建议在 ADHD 患者参加 AUD 住院治疗计划时对 PTSD 进行诊断评估。
