Muhammad Nazar, Murugesan Bhavani G, Singal Prakamya, Antai Angelica, Jain Lakshit
Psychiatry, Cornerstone Family Healthcare, New York, USA.
Psychiatry and Behavioral Sciences, State University of New York (SUNY) Upstate Medical University, Syracuse, USA.
Cureus. 2023 Apr 10;15(4):e37372. doi: 10.7759/cureus.37372. eCollection 2023 Apr.
To raise awareness of attention-deficit/hyperactivity disorder (ADHD) as an underdiagnosed, undertreated disorder in adult patients with comorbid substance use disorder (SUD) who are misdiagnosed with other common psychiatric illnesses and to reduce fear and hesitancy in prescribing stimulants as treatment in such a patient population. ADHD diagnosis is easier in the child and adolescent population than the adults due to comorbidities of other psychiatric illnesses and SUD. However, diagnosing ADHD appropriately in an increasing number of adult patients presents challenges. Even if they get diagnosed appropriately, the stigma of substance use disorder holds the providers prescribing stimulant medications for such patient populations due to the high comorbidity of ADHD with SUD. Accurate diagnosis of ADHD in adults is a worthwhile endeavor as this diagnosis is comorbidly present in many mood and substance use disorders patients. Treating ADHD in this population can improve clinical symptoms and overall quality of life.
提高对注意力缺陷多动障碍（ADHD）的认识，该障碍在患有共病物质使用障碍（SUD）的成年患者中未得到充分诊断和治疗，这些患者常被误诊为其他常见精神疾病，并减少在此类患者群体中开具兴奋剂作为治疗药物时的恐惧和犹豫。由于其他精神疾病和SUD的共病情况，ADHD在儿童和青少年群体中比在成人中更容易诊断。然而，在越来越多的成年患者中准确诊断ADHD存在挑战。即使他们得到了正确诊断，物质使用障碍的污名化使得医疗服务提供者不敢为这类患者群体开具兴奋剂药物，因为ADHD与SUD的共病率很高。准确诊断成人ADHD是一项有价值的工作，因为在许多情绪和物质使用障碍患者中都并存这种诊断。治疗该人群的ADHD可以改善临床症状和整体生活质量。
