Cover Image

Screening for adult attention-deficit/hyperactivity disorder in alcohol dependent patients: Underreporting of ADHD symptoms in self-report scales

Background - Attention-deficit/hyperactivity disorder (ADHD) is a common comorbid disorder that is frequently overlooked in adults with alcohol use disorder (AUD). Moreover, identifying ADHD in AUD patients is time-consuming and difficult. The aim of this study was to assess the clinical utility of...

Full description

Saved in:
Bibliographic Details
Main Authors: Luderer, Mathias (Author) , Reinhard, Iris (Author) , Kiefer, Falk (Author)
Format: Article (Journal)
Language:English
Published: 2019
In: Drug and alcohol dependence
Year: 2019, Volume: 195, Pages: 52-58
ISSN:1879-0046
DOI:10.1016/j.drugalcdep.2018.11.020
Online Access:Verlag, Volltext: https://doi.org/10.1016/j.drugalcdep.2018.11.020
Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S0376871618308305
Get full text
Author Notes:Mathias Luderer, Nurcihan Kaplan-Wickel, Agnes Richter, Iris Reinhard, Falk Kiefer, Tillmann Weber

MARC

LEADER 00000caa a2200000 c 4500
001 1677397918
003 DE-627
005 20250416101829.0
007 cr uuu---uuuuu
008 190920s2019 xx |||||o 00| ||eng c
024 7 |a 10.1016/j.drugalcdep.2018.11.020  |2 doi 
035 |a (DE-627)1677397918 
035 |a (DE-599)KXP1677397918 
035 |a (OCoLC)1341244333 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Luderer, Mathias  |d 1980-  |e VerfasserIn  |0 (DE-588)1060475960  |0 (DE-627)800001974  |0 (DE-576)416559859  |4 aut 
245 1 0 |a Screening for adult attention-deficit/hyperactivity disorder in alcohol dependent patients  |b Underreporting of ADHD symptoms in self-report scales  |c Mathias Luderer, Nurcihan Kaplan-Wickel, Agnes Richter, Iris Reinhard, Falk Kiefer, Tillmann Weber 
264 1 |c 2019 
300 |a 7 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Available online 10 December 2018 
500 |a Gesehen am 20.09.2019 
520 |a Background - Attention-deficit/hyperactivity disorder (ADHD) is a common comorbid disorder that is frequently overlooked in adults with alcohol use disorder (AUD). Moreover, identifying ADHD in AUD patients is time-consuming and difficult. The aim of this study was to assess the clinical utility of two self-report screening instruments for adult ADHD in AUD patients. - Methods - 404 adults seeking residential treatment for AUD were screened using the Conners’ Adult ADHD Rating Scale Screening Self-Rating (CAARS-S-SR) and the Adult ADHD Rating Scale (ASRS). Results were compared with ADHD diagnosis obtained from a stepped approach: first, a structured interview (Diagnostic Interview for ADHD in adults 2.0.; DIVA) was applied; second, probable ADHD diagnoses had to be confirmed by two expert clinicians. - Results - At the previously reported cut-off values, ASRS and CAARS-S-SR showed low sensitivities of 57.1 and 70.6%. A high number of false negative results (NPV ASRS: 89.5%; CAARS-S-SR: 92.3%) indicates underreporting of ADHD symptoms. Sensitivity improved at lower cut-off (ASRS ≥ 11; CAARS-S-SR ≥60) or with a combination of both instruments at lower cut-offs. Area Under the Curve (AUC) for the combination of ASRS and CAARS-S-SR was superior to the AUCs of the single questionnaires. - Conclusions - Underreporting of ADHD symptoms in ASRS and CAARS-S-SR of AUD patients requires lower cut-off values to detect the majority of ADHD, albeit at the expense of an increased rate of false-positive results. Cut-off values should be adjusted to the clinical setting. Clinicians should take into consideration that a negative screening result does not necessarily imply absence of ADHD. 
650 4 |a Addiction 
650 4 |a ADHD 
650 4 |a Alcohol dependence 
650 4 |a Screening 
650 4 |a Substance use disorder 
650 4 |a Validity 
700 1 |a Reinhard, Iris  |d 1962-  |e VerfasserIn  |0 (DE-588)1141069776  |0 (DE-627)898810965  |0 (DE-576)494199083  |4 aut 
700 1 |a Kiefer, Falk  |d 1969-  |e VerfasserIn  |0 (DE-588)140919635  |0 (DE-627)703829033  |0 (DE-576)176310339  |4 aut 
773 0 8 |i Enthalten in  |t Drug and alcohol dependence  |d Amsterdam [u.a.] : Elsevier Science, 1975  |g 195(2019), Seite 52-58  |h Online-Ressource  |w (DE-627)320441059  |w (DE-600)2004927-4  |w (DE-576)252887816  |x 1879-0046  |7 nnas  |a Screening for adult attention-deficit/hyperactivity disorder in alcohol dependent patients Underreporting of ADHD symptoms in self-report scales 
773 1 8 |g volume:195  |g year:2019  |g pages:52-58  |g extent:7  |a Screening for adult attention-deficit/hyperactivity disorder in alcohol dependent patients Underreporting of ADHD symptoms in self-report scales 
856 4 0 |u https://doi.org/10.1016/j.drugalcdep.2018.11.020  |x Verlag  |x Resolving-System  |3 Volltext 
856 4 0 |u http://www.sciencedirect.com/science/article/pii/S0376871618308305  |x Verlag  |3 Volltext 
951 |a AR 
992 |a 20190920 
993 |a Article 
994 |a 2019 
998 |g 140919635  |a Kiefer, Falk  |m 140919635:Kiefer, Falk  |d 60000  |e 60000PK140919635  |k 0/60000/  |p 5 
998 |g 1141069776  |a Reinhard, Iris  |m 1141069776:Reinhard, Iris  |d 60000  |e 60000PR1141069776  |k 0/60000/  |p 4 
999 |a KXP-PPN1677397918  |e 3516894822 
BIB |a Y 
SER |a journal 
JSO |a {"language":["eng"],"title":[{"title_sort":"Screening for adult attention-deficit/hyperactivity disorder in alcohol dependent patients","title":"Screening for adult attention-deficit/hyperactivity disorder in alcohol dependent patients","subtitle":"Underreporting of ADHD symptoms in self-report scales"}],"origin":[{"dateIssuedDisp":"2019","dateIssuedKey":"2019"}],"recId":"1677397918","type":{"media":"Online-Ressource","bibl":"article-journal"},"note":["Available online 10 December 2018","Gesehen am 20.09.2019"],"relHost":[{"language":["eng"],"part":{"pages":"52-58","extent":"7","year":"2019","text":"195(2019), Seite 52-58","volume":"195"},"title":[{"title":"Drug and alcohol dependence","subtitle":"an international journal on biomedical and psychosocial approaches","title_sort":"Drug and alcohol dependence"}],"pubHistory":["1.1975 -"],"origin":[{"publisherPlace":"Amsterdam [u.a.]","dateIssuedKey":"1975","publisher":"Elsevier Science","dateIssuedDisp":"1975-"}],"recId":"320441059","type":{"bibl":"periodical","media":"Online-Ressource"},"note":["Gesehen am 26.04.07","Ungezählte Beil.: Supplement"],"disp":"Screening for adult attention-deficit/hyperactivity disorder in alcohol dependent patients Underreporting of ADHD symptoms in self-report scalesDrug and alcohol dependence","id":{"eki":["320441059"],"issn":["1879-0046"],"zdb":["2004927-4"]},"physDesc":[{"extent":"Online-Ressource"}]}],"id":{"doi":["10.1016/j.drugalcdep.2018.11.020"],"eki":["1677397918"]},"physDesc":[{"extent":"7 S."}],"name":{"displayForm":["Mathias Luderer, Nurcihan Kaplan-Wickel, Agnes Richter, Iris Reinhard, Falk Kiefer, Tillmann Weber"]},"person":[{"family":"Luderer","given":"Mathias","role":"aut","display":"Luderer, Mathias"},{"family":"Reinhard","display":"Reinhard, Iris","role":"aut","given":"Iris"},{"family":"Kiefer","display":"Kiefer, Falk","role":"aut","given":"Falk"}]} 
SRT |a LUDERERMATSCREENINGF2019 

Similar Items