ADHD and Alcohol Use Disorder: Optimizing Screening and Treatment in Co-occurring Conditions.

IF 7.4 2区 医学 Q1 CLINICAL NEUROLOGY CNS drugs Pub Date : 2025-05-01 Epub Date: 2025-02-20 DOI:10.1007/s40263-025-01168-6
Mariely Hernández, Frances R Levin, Aimee N C Campbell
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Abstract

Attention deficit hyperactivity disorder (ADHD) is notably overrepresented in substance use treatment centers, with an estimated prevalence of 21-23% when screening practices are implemented. Many adults in these settings receive an ADHD diagnosis for the first time, highlighting the frequent underdiagnosis of ADHD among individuals seeking treatment for alcohol and substance use issues. Additionally, those entering treatment programs represent only a small fraction of the broader population with problematic alcohol use. This review explores the research on the prevalence and treatment of co-occurring ADHD and substance use disorders (SUD), with a particular emphasis on alcohol use disorders (AUD) as the most common SUD. It also provides clinical guidelines for the screening and diagnosis of ADHD in patients with active alcohol and substance use and offers recommendations to enhance screening practices and improve access to treatment for individuals with co-occurring ADHD and AUD.

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注意缺陷多动障碍和酒精使用障碍:优化筛查和治疗共同发生的条件。
注意缺陷多动障碍(ADHD)在药物使用治疗中心的比例明显过高,在实施筛查措施时,估计患病率为21-23%。在这些环境中,许多成年人第一次被诊断为多动症,这突出了在寻求酒精和物质使用问题治疗的个体中,多动症经常被误诊。此外,那些进入治疗方案的人只代表了有问题饮酒的更广泛人口的一小部分。本综述探讨了ADHD和物质使用障碍(SUD)共发的患病率和治疗研究,特别强调酒精使用障碍(AUD)是最常见的SUD。它还为活动性酒精和物质使用患者的ADHD筛查和诊断提供了临床指南,并提供了加强筛查实践和改善ADHD和AUD同时发生的个体治疗的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CNS drugs
CNS drugs 医学-精神病学
CiteScore
12.00
自引率
3.30%
发文量
82
审稿时长
6-12 weeks
期刊介绍: CNS Drugs promotes rational pharmacotherapy within the disciplines of clinical psychiatry and neurology. The Journal includes: - Overviews of contentious or emerging issues. - Comprehensive narrative reviews that provide an authoritative source of information on pharmacological approaches to managing neurological and psychiatric illnesses. - Systematic reviews that collate empirical evidence to answer a specific research question, using explicit, systematic methods as outlined by the PRISMA statement. - Adis Drug Reviews of the properties and place in therapy of both newer and established drugs in neurology and psychiatry. - Original research articles reporting the results of well-designed studies with a strong link to clinical practice, such as clinical pharmacodynamic and pharmacokinetic studies, clinical trials, meta-analyses, outcomes research, and pharmacoeconomic and pharmacoepidemiological studies. Additional digital features (including animated abstracts, video abstracts, slide decks, audio slides, instructional videos, infographics, podcasts and animations) can be published with articles; these are designed to increase the visibility, readership and educational value of the journal’s content. In addition, articles published in CNS Drugs may be accompanied by plain language summaries to assist readers who have some knowledge of, but not in-depth expertise in, the area to understand important medical advances.
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