The Proportion of Attention-deficit/Hyperactivity Disorder among Alcohol-dependent Patients and its Association with Age of Onset of Alcohol Dependence: A Cross-sectional Study in a Tertiary Care Hospital
Context: Attention-deficit/hyperactivity disorder (ADHD) is common but often underrecognized in patients with substance use disorder, particularly in those with alcohol dependence, where it is linked to earlier onset and higher relapse risk. Aims: This study aims to determine the proportion of ADHD...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Journal of Psychiatry Spectrum |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jopsys.jopsys_40_24 |
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| Summary: | Context:
Attention-deficit/hyperactivity disorder (ADHD) is common but often underrecognized in patients with substance use disorder, particularly in those with alcohol dependence, where it is linked to earlier onset and higher relapse risk.
Aims:
This study aims to determine the proportion of ADHD in patients with alcohol dependence syndrome (ADS) and its relationship with the age of onset of alcohol dependence.
Settings and Design:
A total of 111 patients presenting to a tertiary care hospital in South India were included in this cross-sectional study.
Materials and Methods:
Patients diagnosed with ADS based on the International Classification of Diseases-10 criteria were divided into early-onset (EO) (developed dependence before 25 years of age) and late-onset (LO) (developed dependence after 25 years of age) groups. For the assessment of childhood ADHD, the Wender Utah Rating Scale was used, and the Adult ADHD Self-Report Scale checklist was used to assess ADHD in adulthood.
Statistical Analysis:
Chi-square tests and odds ratios (OR) were used to express the relative risk of association of ADHD with EO ADS.
Results:
Eighty-nine patients (80.18%) had an EO of alcohol dependence and 22 patients (19.82%) had a LO of dependence. About 39.32% of EO patients had a childhood history of ADHD. The OR of developing EO alcohol use disorder was found to be 1.73 in subjects with childhood ADHD.
Conclusions:
This study supports the evidence that patients with alcohol dependence receiving treatment have a significant prevalence of previously undetected ADHD, which may impact treatment strategies and outcomes. |
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| ISSN: | 2949-6969 |