Abstract

Attention deficit hyperactive disorder is one of the common childhood disorders characterised by inattentiveness and hyperactivity. ADHD can persist through adulthood if untreated. Literature depicts a strong correlation between substance use and inattentiveness. Present study aims at estimating the prevalence of the co-occurrence of both the conditions, their evaluation and treatment. Aim: To estimate the Prevalence of Adult Attention Deficit Hyperactivity Disorder amongst patients with substance use disorders. Settings and Design: This was an observational study conducted among patients attending the Psychiatric OPD/IPD at a tertiary care hospital in Pune. 200 patients above the age of 18 years, with a diagnosis of substance use disorders as per ICD-10 were included. Patients having pre-existing psychiatric illnesses and other co-existing medical or surgical illnesses were excluded. Ethical clearance from institutional ethics committee was obtained before commencing the study and consent was taken. Methods and Material: Adult ADHD Quality of Life Questionnaire (AAQoL); The Drug Abuse Screening Test (DAST-10); The Alcohol Use Disorders Identification Test (AUDIT) were used. Chi-Square test, t-test /ANOVA - were used. Results: The prevalence of ADHD among patients with SUD was 35.5%. The patients screened positive for ADHD had worse life productivity, psychological health, relationships, life outlook and overall Quality of Life than who screened negative with statistical significant difference. Conclusions: The prevalence of Adult ADHD with SUDs were more in younger age group with male predominance. The quality of life among Adult ADHD patients who screened positive was worse compared to other patients.

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