ADHD: a hidden comorbidity in adult psychiatric patients

István Bitter, Pavel Mohr, Lívia Balogh, Klára Látalová, Brigitta Kakuszi, Pavla Stopková, Daniela Zmeškalová-Jelenová, Attila Pulay, Pál Czobor

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Adult attention-deficit/hyperactivity disorder (aADHD) has recently been better recognized and treated in many European countries. In spite of this development, aADHD still features as a “hidden” comorbidity, often not diagnosed even in patients under psychiatric treatment for other psychiatric disorders. The aim of this study was to establish the prevalence rates of unrecognized aADHD in academic centers providing regular psychiatric services in the Czech Republic and Hungary. In a population of psychiatric in-and outpatients, Adult ADHD Self-Report Scale was administered. All positively and about half of the negatively screened subjects were clinically interviewed and the DSM diagnosis of ADHD was determined based on the symptom list and Conners’ Adult ADHD Rating Scale. The estimated point prevalence rate of unrecognized comorbid aADHD among psychiatric in-and out patients was 6.99% (95% lower CI: 5.11, 95% upper CI 8.86) according to the DSM-IV-TR criteria and 9.27% (95% lower CI: 7.13, 95% upper CI 11.40) according to the DSM-5 criteria. Current suicide risk was significantly associated with the presence of undiagnosed aADHD; however, life time suicide attempts, depression, dysthymia, alcohol and substance dependence, anxiety and stress related disorders were not. Further educational efforts are needed to improve the recognition and treatment of aADHD in adults

Original languageEnglish
Pages (from-to)83-89
Number of pages7
JournalADHD Attention Deficit and Hyperactivity Disorders
Volume11
Issue number1
DOIs
Publication statusPublished - Mar 4 2019

Keywords

  • ADHD
  • Adult ADHD
  • Comorbidity
  • Epidemiology
  • Prevalence

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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  • Cite this

    Bitter, I., Mohr, P., Balogh, L., Látalová, K., Kakuszi, B., Stopková, P., Zmeškalová-Jelenová, D., Pulay, A., & Czobor, P. (2019). ADHD: a hidden comorbidity in adult psychiatric patients. ADHD Attention Deficit and Hyperactivity Disorders, 11(1), 83-89. https://doi.org/10.1007/s12402-019-00285-9