3. ASSESSMENT OF ADULT
ADHD IN SUBSTANCE USE
DISORDER PATIENTS
BY
MOSTAFA MAHMOUD ELSABBAN
MSC OF NEUROPSYCHIATRY AL AZHAR UNIVERSITY
ASSISTANT LECTURER OF PSYCHIATRY AL AZHAR UNIVERSITY- DAMIETTA
12. INTRODUCTION
• ADHD IS ONE OF THE MOST COMMON NEURODEVELOPMENTAL DISORDERS IN
CHILDHOOD AND OFTEN PERSISTS INTO ADULTHOOD .
• RECENT STUDIES ESTIMATED THE PREVALENCE RATE OF ADULT ADHD REACHES
4.0%.
(EBEJER ET AL, 2012).
• THE RELATIONSHIP BETWEEN ADHD AND SUD IS AN IMPORTANT AREA OF PUBLIC
HEALTH CONCERN.
• SOME STUDY RESULTS SUGGEST THAT THE PRESENCE OF ADHD PREDICTS THE
USE OF LICIT AND ILLICIT SUBSTANCES AND MAY LEAD TO SUBSTANCE USE
DISORDER.
(BAKER ET AL, 2012).
13. INTRODUCTION
• THE TRANSITION FROM ADOLESCENCE TO ADULTHOOD IS A CRITICAL
PERIOD OF LIFE FOR ALL YOUNG ADULTS AND UNDER THESE
CIRCUMSTANCES, THEY MAY BE MORE VULNERABLE TO USE LICIT AND
ILLICIT SUBSTANCES.
(REHM ET AL. 2006).
• FOR ALL THESE REASONS, ACHIEVING BETTER INSIGHTS INTO THE
RELATIONSHIP BETWEEN ADHD AND SUD MAY BE IMPORTANT IN
PREVENTING NEGATIVE CONSEQUENCES AND REDUCING THE BURDEN
OF ADHD LATER IN LIFE.
14. INTRODUCTION
• A CONSIDERABLE BODY OF RESEARCH ALREADY EXISTS
INVESTIGATING THIS RELATIONSHIP. HOWEVER, RESULTS ARE
INCONSISTENT, WITH SOME STUDIES FAILING TO IDENTIFY THE LINK
BETWEEN ADHD AND SUBSTANCE USE.
(MADSEN&DALSGAARD,2014).
15. INTRODUCTION
• FURTHERMORE, PREVIOUS STUDIES MAINLY FOCUSED ON THE
RELATIONSHIP BETWEEN ADHD AND SUD. FEW EXAMINED THE
INFLUENCE OF ADHD ON MORE GENERAL SUBSTANCE USE
PATTERNS–LIKE THE AGE OF FIRST USE, LIFETIME PREVALENCE
AND THE RISKY USE OF PARTICULAR SUBSTANCES–THAT MAY BE
PRECURSORS TO SUD.
17. AIM OF THE STUDY
1. TO ESTIMATE THE PREVALENCE RATE OF ADULT
ADHD AMONG SUBSTANCE USE DISORDER
PATIENTS.
2. TO COMPARE SUBSTANCE USE IN PATIENTS WITH
AND WITHOUT ADULT ADHD AS REGARD TO THE
ONSET, SEVERITY, AND THE TYPE OF THE
SUBSTANCE ABUSED.
19. • THIS STUDY WAS CROSS-SECTIONAL
COMPARATIVE STUDY THAT INCLUDES
INPATIENTS WITH SUD CHOSEN FROM
THE ADDICTION TREATMENT CENTER
AT PORT SAID PSYCHIATRIC HOSPITAL.
• OVER PERIOD OF 6 MONTHS FROM
12/2019 TO 4/2020.
• THE STUDY INCLUDED 200 PATIENTS
Study
design
20. INCLUSION
CRITERIA
1- AGE: 18-65 YEARS.
2- BOTH SEX WERE INCLUDED.
EXCLUSION
CRITERIA
1. Presence of severe physical and
neurological diseases.
2. Patients in their detoxification period.
22. 1.SOCIODEMOGRAPHIC DATA SHEET
2.ADHD SELF REPORT SCALE V1
3.SCID 1
4.WENDER UTAH RATING SCALE
5.ADDICTION SEVERITY INDEX(ASI)
ALL PATIENTS WERE SUBJECTED TO THE
FOLLOWING:
23.
24. IN OUR STUDY WE FOUND THAT 28.5% OF THE SUBSTANCE USE
DISORDER PATIENTS HAVE ADULT ADHD ACCORDING TO ADULT
ADHD SELF REPORT SCALE & SCID 1.
0
20
40
60
80
100
120
140
160
اضطرابَفرطَالحركةَعندَالبالغين يوجد الَيوجد
25. IN COMPARISON OF SUBSTANCE ABUSE DATA ACCORDING TO THE PRESENCE
OF ADULD ADHD, WE FOUND THAT ALL DATA ( INCLUDING: ONSET OF SUD,
NUMBER OF TREATMENTS, LONGEST PERIOD OF ABSTENENCE AND NUMBER
OF SUBSTANCES) WERE STATISTICALLY HIGHER IN ADHD GROUP
0
5
10
15
20
25
بدايةَالتعاطي عددَمحاوالتَالعالج أطولَفترةَامتناع عددَمراتَدخولَالمستشفى عددَالموادَالمخدرة
َيوجدَاضطراب الَيوجدَاضطراب
26. THE PERCENTAGE OF ADDICTIVE SUBSTANCES INCLUDING
ALCOHOL, TRAMADOL, OPIOIDS, AND STIMULANTS WERE
SIGNIFICANTLY HIGHER IN ADULT ADHD THAN NON-ADULT ADHD
PARTICIPANTS.
0
20
40
60
80
100
120
140
160
الحشيش األفيونات المنشطات الكحول موادَأخرى
َالَيوجدَاضطراب َيوجدَاضطراب
27.
28. IN THE LIGHT OF THE OBJECTIVES OF OUR STUDY, WE
CONCLUDED THE FOLLOWING:
1- There is a close relationship between ADHD and
increased rates of drug abuse.
2- THE STUDY SHOWED THAT THE PREVALENCE OF ADULT
ADHD IN SUD PATIENTS WAS ESTIMATED AT 28.5%.
29. 3- We found that about 59.5% of SUD patients had ADHD during
their childhood.
4- The research confirmed the presence of common
characteristics for those suffering from both ADHD & SUD, as:
A. AN EARLIER AGE OF ONSET OF SUBSTANCE USE.
B. SHORTER PERIODS OF REMAINING ABSTINENT, AND
C. MUCH HIGHER RATES OF RELAPSE IN THE FORM OF MORE
FREQUENT HOSPITAL ADMISSIONS FOR SUBSTANCE-USE
PROBLEMS.
CONCLUSION CONT.
31. RECOMMENDATIONS
1- EVALUATION OF SUD PATIENTS SHOULD INCLUDE SCREENING FOR ADHD SYMPTOMS
AND INCLUDING THEM IN TREATMENT PLANS.
2- INCREASING THE COMMUNITY AWARENESS ABOUT ADHD IN CHILDREN AND ADULTS IS
NECESSARY TO PREVENT NEGATIVE EFFECTS THAT MAY OCCUR LATER , INCLUDING
DRUG ABUSE.
3- ACTIVATING THE ROLE OF THE MEDIA TO OVERCOME THE MISCONCEPTIONS ABOUT
ADDICTION, WHICH MAY SOMETIMES PROMOTE DRUG USE AND AROUSE CURIOSITY AND
LOVE FOR EXPERIENCE AMONG THE YOUNGER AGE GROUP IN SOCIETY.
