Objective: Increasing number of studies show an association between adult ADHD (a-ADHD) and posttraumatic stress disorder (PTSD). We explored this association in alcohol use disorder (AUD) inpatients. Method: In total, 551 inpatients cross-sectionally completed self-administered questionnaires regarding sociodemographics, lifetime trauma exposure, PTSD Checklist for DSM-5, Adult ADHD Self-Report Scale (ASRS), and Wender Utah Rating Scale (WURS). We considered self-reported a-ADHD when ASRS and WURS had significant scores. Results: Prevalence for a-ADHD was 20%. PTSD prevalence was higher in a-ADHD patients (84% vs. 40%; p < .001). They also were younger (p < .001) and women (p = .015). Adult ADHD was associated with more traumatic events, and symptoms were correlated with PTSD severity. After adjusting for age, gender and marital status, PTSD severity was associated with a-ADHD. Conclusion: Our study confirms that a-ADHD is associated with PTSD in AUD inpatients, and thus, may represent a specific subpopulation. Future studies should explore implication of this dual diagnosis on AUD and treatment outcome.

中文翻译：

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在酒精使用障碍住院患者中，创伤后应激障碍与成人多动症高度共存。

目的：越来越多的研究表明成人 ADHD (a-ADHD) 与创伤后应激障碍 (PTSD) 之间存在关联。我们在酒精使用障碍 (AUD) 住院患者中探索了这种关联。方法：总共有 551 名住院患者横断面完成了关于社会人口统计学、终生创伤暴露、DSM-5 PTSD 检查表、成人 ADHD 自我报告量表 (ASRS) 和 Wender 犹他评定量表 (WURS) 的自我管理问卷。当 ASRS 和 WIRS 得分显着时，我们考虑了自我报告的 a-ADHD。结果：a-ADHD 的患病率为 20%。a-ADHD 患者的 PTSD 患病率更高（84% 对 40%；p < .001）。他们也更年轻 (p < .001) 和女性 (p = .015)。成人 ADHD 与更多的创伤事件相关，症状与 PTSD 的严重程度相关。在调整年龄、性别和婚姻状况后，PTSD 严重程度与 a-ADHD 相关。结论：我们的研究证实，a-ADHD 与 AUD 住院患者的 PTSD 相关，因此可能代表特定的亚群。未来的研究应该探索这种双重诊断对 AUD 和治疗结果的影响。