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http://dx.doi.org/10.5765/jkacap.2014.25.4.209

Clinical and Neuropsychological Characteristics of Adult Alcohol Use Disorder Patients with or without Attention-Deficit Hyperactivity Symptom  

Jo, Jung Min (Department of Psychiatry, Keyo Hospital, Keyo Medical Foundation)
Lee, Dong Jun (Department of Psychiatry, Hanyang University College of Medicine)
Jung, Kyung Hi (Department of Psychiatry, Keyo Hospital, Keyo Medical Foundation)
Oh, Song In (Department of Psychiatry, Keyo Hospital, Keyo Medical Foundation)
Ahn, Dong Hyun (Department of Psychiatry, Hanyang University College of Medicine)
Publication Information
Journal of the Korean Academy of Child and Adolescent Psychiatry / v.25, no.4, 2014 , pp. 209-216 More about this Journal
Abstract
Objectives : Alcohol use disorder (AUD) is often comorbid with adult attention-deficit hyperactivity disorder (ADHD) and other psychiatric illnesses. When associated with other mental problems, the prognosis of the AUD can be more serious. This study shows research on the clinical and neuropsychological characteristics according to whether or not ADHD symptoms and AUD were comorbid. Methods : A total of 64 adult inpatients who completed AUD scales about adult ADHD, alcohol dependence, depression, anxiety, and impulsiveness. They also completed neuropsychological tests about attention and executive function. According to the Adult ADHD Self-Report Scale score, patients were categorized into two groups (ADHD symptom positive/negative group). Results : Fourteen among the 64 subjects were part of the ADHD symptom positive group (21.9%). They had statistically significant shorter abstinence periods and a higher rate of history of 'rule violation during school' and 'physical damage in childhood' compared to the ADHD symptom negative group. Conclusion : The comorbidity rate with ADHD symptom in adult AUD is higher than the general population. The ADHD symptom positive group suffered from more severe and refractory AUD. Considering the more frequent history of rule violation during school in the ADHD symptom positive group, the association between ADHD and AUD may be mediated by conduct disorder. Therefore we suggest the necessity of careful evaluation and intervention in children and adolescents with ADHD and conduct disorder.
Keywords
ADHD; Alcohol Use Disorder; Impulsivity; Neuropsychological Tests; Executive Function;
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