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Attention deficit hyperactivity disorder and dual disorders. Educational needs for an underdiagnosed condition

  • Jose Martinez-Raga EMAIL logo , Nestor Szerman , Carlos Knecht und Raquel de Alvaro
Veröffentlicht/Copyright: 12. Juli 2013

Abstract

A wide range of comorbid psychiatric disorders overlap with attention-deficit hyperactivity disorder (ADHD) across the life span. There is a robust and complex link between ADHD and substance use disorders (SUD). The aim of this report was to review the neurobiological and other vulnerability factors explaining the comorbidity of ADHD and an addictive disorder, as well as the key aspects of the assessment and diagnosis of dually diagnosed ADHD patients. A comprehensive and systematic search of relevant databases (PubMed, Embase, and PsychINFO) was conducted to identify studies published in peer-reviewed journals until July 31, 2012, with the aim of exploring the association of ADHD and SUD with postgraduate training and residency education. Across the life span, ADHD is associated with significant impairment and comorbidity. Data from epidemiological, clinical and epidemiological studies show a very solid link between ADHD and SUD. Therefore, it is very important to carefully and systematically assess for any substance use in patients with suspected ADHD coming to initial assessment, and vice versa. While there are various valid and reliable rating and screening scales, diagnosis cannot solely rely on any of the instruments available for both SUD and ADHD in adult patients with dual pathology. The most important and effective tool in the assessment of dually diagnosed patients with ADHD and SUD is a full and comprehensive clinical and psychosocial assessment. Hence, it is essential to actively incorporate training opportunities on the assessment, diagnosis, and management of adult ADHD and dually diagnosed ADHD patients during postgraduate education residency or specialist training.


Corresponding author: Jose Martinez-Raga, MD, PhD, Servicio de Psiquiatría, Hospital Universitario Dr Peset, Avda Gaspar Aguilar 90, 46017 Valencia, Spain

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Received: 2012-8-5
Accepted: 2012-9-19
Published Online: 2013-07-12
Published in Print: 2013-09-01

©2013 by Walter de Gruyter Berlin Boston

Artikel in diesem Heft

  1. Masthead
  2. Masthead
  3. Editorial
  4. Education of health professionals about adolescent psychiatry
  5. Review Articles
  6. Educating medical professionals about suicide prevention among military veterans
  7. Ecstasy use and serotonin syndrome: a neglected danger to adolescents and young adults prescribed selective serotonin reuptake inhibitors
  8. Child sexual abuse and the pathophysiology of suicide in adolescents and adults
  9. Suicidal behavior in Indian adolescents
  10. Use of antidepressants for major depressive disorder in children and adolescents: clinical considerations
  11. Educating health care trainees and professionals about suicide prevention in depressed adolescents
  12. Attention deficit hyperactivity disorder and dual disorders. Educational needs for an underdiagnosed condition
  13. Brain structural and functional changes in adolescents with psychiatric disorders
  14. Dating violence and suicidal behavior in adolescents
  15. Low testosterone levels may be associated with suicidal behavior in older men while high testosterone levels may be related to suicidal behavior in adolescents and young adults: a hypothesis
  16. Military sexual trauma as a determinant in the development of mental and physical illness in male and female veterans
  17. American juvenile justice system: history in the making
  18. The underexamined association between posttraumatic stress disorder, medical illness and suicidal behavior
  19. Prevention of suicidal behavior in adolescents with post-traumatic stress disorder
  20. Bullying, psychiatric pathology and suicidal behavior
  21. Original Articles
  22. Educating medical students about adolescent maltreatment
  23. Cannabis use, addiction risk and functional impairment in youth seeking treatment for primary mood or anxiety concerns
  24. Does the physician density affect suicide rates among adolescents and young adults?
  25. Case Report
  26. Buprenorphine in the treatment of non-suicidal self-injury: a case series and discussion of the literature
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