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Prevalence estimates of ADHD in a sample of inpatients with alcohol dependence

Objective: ADHD is common in patients with alcohol dependence, but prevalence results are inconsistent. We investigated ADHD prevalence in a complex design to avoid over- or underdiagnosing. Method: Patients with alcohol dependence starting long-term residential treatment were included. A structured...

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Main Authors: Luderer, Mathias (Author) , Sick, Christian (Author) , Kaplan-Wickel, Nurcihan (Author) , Reinhard, Iris (Author) , Richter, Agnes (Author) , Kiefer, Falk (Author) , Weber, Tillmann (Author)
Format: Article (Journal) Book/Monograph
Language:English
Published: Thousand Oaks, Calif. Sage 27 Nov. 2020
Heidelberg Universitätsbibliothek Heidelberg 27 Nov. 2020
DOI:10.11588/heidok.00029133
Online Access:Resolving-System, kostenfrei: https://nbn-resolving.de/urn:nbn:de:bsz:16-heidok-291336
Resolving-System, kostenfrei: http://dx.doi.org/10.11588/heidok.00029133
Verlag, kostenfrei, Volltext: http://www.ub.uni-heidelberg.de/archiv/29133
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Author Notes:Mathias Luderer, Christian Sick, Nurcihan Kaplan-Wickel, Iris Reinhard, Agnes Richter, Falk Kiefer, and Tillmann Weber
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Summary:Objective: ADHD is common in patients with alcohol dependence, but prevalence results are inconsistent. We investigated ADHD prevalence in a complex design to avoid over- or underdiagnosing. Method: Patients with alcohol dependence starting long-term residential treatment were included. A structured interview (Diagnostic Interview for ADHD in Adults [DIVA]) was conducted on all patients. DIVA results indicating childhood or adulthood ADHD were assessed in successive diagnostic interviews by two expert clinicians. Results: 415 of 488 patients had completed the entire diagnostic assessment. ADHD prevalence was 20.5%. DIVA results correlated moderately with experts’ diagnoses. In patients with ADHD, a higher comorbid illicit substance use was prevalent and alcohol dependence started earlier and was more severe. Conclusion: This study provides the largest sample on ADHD prevalence in alcohol dependent inpatients. Despite great efforts to avoid overestimation, we found every fifth patient to have ADHD. ADHD diagnosis should not be based solely on a structured interview but should be clinically confirmed. (J. of Att. Dis. 2020; 24(14) 2072–2083).
Item Description:In: Journal of Attention Disorders, 24 (2020), Nr. 14. pp. 2072-2083. ISSN 1087-0547 (Druck-Ausg.), 1557-1246 (Online-Ausg.)
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Physical Description:Online Resource
DOI:10.11588/heidok.00029133

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