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Attention Deficit Hyperactivity Disorder: A Risk Factor for Premature Discontinuation of Inpatient Opioid Withdrawal
Nikolas Gaspar1, Laura Luisa Kilarski1, Helena Rosen1
1Department of Psychiatry and Psychotherapy, Faculty of Medicine, University of Bonn, 53111 Bonn, Germany.
Journal of Clinical Medicine
|June 19, 2024
Summary
Patients with Attention Deficit Hyperactivity Disorder (ADHD) are more likely to prematurely discontinue inpatient opioid withdrawal treatment. Early ADHD screening can improve treatment outcomes for opioid use disorders (OUDs).
Area of Science:
- Psychiatry
- Addiction Medicine
- Clinical Psychology
Background:
- Substance use disorders, particularly opioid use disorders (OUDs), pose significant challenges to healthcare.
- Premature discontinuation of inpatient opioid withdrawal treatment is a common issue.
- Comorbid Attention Deficit Hyperactivity Disorder (ADHD) may impact treatment adherence.
Purpose of the Study:
- To determine the prevalence of premature termination of inpatient opioid withdrawal treatment in patients with comorbid ADHD.
- To investigate the association between ADHD and treatment discontinuation in this population.
Main Methods:
- A cohort undergoing inpatient opioid withdrawal treatment was assessed.
- ADHD symptoms were screened using the ADHD Self-Report Scale (ADHD-SR) and Wender Utah Rating Scale (WURS-k).
- Diagnostic confirmation of ADHD was performed using the Diagnostic Interview for ADHD in Adults (DIVA-2.0).
Main Results:
- The prevalence of ADHD in the studied cohort was 29.3%.
- Individuals with ADHD were significantly more likely to prematurely discontinue treatment (54.5%) compared to those without ADHD (28.3%).
Conclusions:
- Comorbid ADHD is associated with a higher rate of premature treatment termination in patients undergoing inpatient opioid withdrawal.
- Proactive screening for ADHD is crucial for optimizing treatment strategies and improving outcomes for individuals with OUDs.
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