소아기 주의력결핍-과잉행동증상이 있는 알코올의존환자의 임상적 특징과 기질

Clinical Characteristics and Temperament of Alcoholics with Childhood Attention-Deficit/Hyperactivity Symptoms

Objectives ： The objective of this study is to explore the differences in temperament and clinical characteristics between alcohol dependent patients with and without a history of ADHD. Methods ： The subjects were patients who were admitted to psychiatric hospitals for alcohol dependence. Wender Utah Rating Scale (WURS) was used to assess the history of ADHD symptoms. Temperament was assessed by the Tridimensional Personality Questionnaire (TPQ) and clinical characteristics associated alcohol dependence assessed by the Severity of Alcohol Dependence Questionnaire (SADQ), and the Children of Alcoholics Screening Test (CAST). Results ： Age at first admission in-patients with a history of ADHD was younger than in patients with-out a history of ADHD. The SADQ score and the proportion of children with alcoholic parents were significantly higher in patients in the group who had a history of ADHD compared to those in the group without a history of ADHD. Novelty seeking and the harm avoidance score were higher in the group with those having a history of ADHD than the group with those not having a history of ADHD, approaching statistical significance. Conclusion ：These results suggest that the history of ADHD in regard to alcohol dependent patients is associated with a poor outcome and a more thorough evaluation regarding ADHD is needed.