Prevalence of undiagnosed and untreated attention deficit hyperactivity disorder in men with alcohol dependence – A case-control study
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Aim of the study: To compare the prevalence of adult attention deficit hyperactivity disorder (ADHD) among male alcohol users. Subject or material and methods: The current case-control study included 50 male patients with alcohol abuse and 50 age-matched healthy controls. Clinical Institute Withdrawal Assessment of Alcohol Scale-Revised, severity of alcohol dependence questionnaire, alcohol use disorders identification test, Mini-International Neuropsychiatric Interview Scale, adult ADHD self-report scale version 1.1 screener, diagnostic and statistical manual of mental disorders criteria for adult ADHD, and ADHD-rating scale-IV were used to assess the patients. The data obtained were analyzed using EPIINFO 7 and compared using paired t-test, student’s t-test, and Pearson’s chi-square test (P ≤ 0.05). Results: The prevalence of undiagnosed ADHD was significantly higher in alcohol abuse cases when compared to healthy controls (31 vs. 4; P < 0.0001). The most common (16) subtype of ADHD in alcohol abuse cases was the hyperactive/impulsive type, whereas in controls, it was the inattentive type (3). The severity of alcohol dependence was moderate in alcohol abuse cases with adult ADHD (25), whereas mild dependence was observed in cases without adult ADHD (9). The SAD-Q (34.46 ± 7.70 vs. 32.12 ± 10.17) and AUDIT-C (31.34 ± 3.63 vs. 29.23 ± 5.43) scores were higher in cases with adult ADHD as compared to cases without ADHD. Discussion: A significant association between alcohol abuse and the prevalence of ADHD was observed. The majority of the patients were young adults indicating that alcohol abuse with or without ADHD tends to commence early in life. Conclusions: Patients diagnosed with alcohol abuse should be screened frequently and treated for ADHD.
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Estimates of ADHD prevalence among SUD populations over the last decades have been inconsistent, ranging from 5.22% to 62%.
“However, there were many attempts to estimate the prevalence of ADHD among SUD populations over the last decades, with inconsistent data ranging from 5.22% [17] to 62% [18].”
From Prevalence of Attention Deficit Hyperactivity Disorder (ADHD) among Substance Use Disorder (SUD) Populations: Meta-Analysis. (2023) · cites this paper as [18]
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- Authors
- V, S., Chate, S., Patil, N., Tekalaki, B., & Patil, S.
- Corresponding author
- Chate, Sameeran
- Venue
- Archives of Psychiatry and Psychotherapy
- Published
- 2018-03-11
- Volume
- 20
- Issue
- 1
- Pages
- 26-32
- ISSN
- 1509-2046 (ISSN-L)
- 2083-828X
- OpenAlex
- W2790367073
- Cited by
- 7
- References
- 12
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 3 · 2020: 1
- FWCI
- 0.20
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Archives of Psychiatry and Psychotherapy (publishedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Keywords
- adult ADHD, alcoholism, alcohol abuse, undiagnosed ADHD, ADHD prevalence, alcohol dependence severity, comorbidities, ADHD screening, young adults
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