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Prevalence of aDHD in adult Psychiatric Outpatient Clinics in Sligo/leitrim area, Ireland

Published online by Cambridge University Press:  23 March 2020

D. adamis*
Affiliation:
Sligo Mental Health Services, Psychiatry, Sligo, Ireland
D. O’Neill
Affiliation:
Sligo Mental Health Services, Psychiatry, Sligo, Ireland
O. Mulligan
Affiliation:
Sligo Mental Health Services, Psychiatry, Sligo, Ireland
E. O’Mahony
Affiliation:
Sligo Mental Health Services, Psychiatry, Sligo, Ireland
S. Murthy
Affiliation:
Sligo Mental Health Services, Psychiatry, Sligo, Ireland
G. McCarthy
Affiliation:
Sligo Mental Health Services, Psychiatry, Sligo, Ireland
F. McNicholas
Affiliation:
University College Dublin, Child Psychiatry, Dublin, Ireland
*Corresponding
*Corresponding author.
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Abstract

Introduction

The prevalence of aDHD in adult population has been estimated at 2.5%. Higher rates (23.9%) have been reported among adult mental health service ( aMHS) users.

aims

To estimate the prevalence of aDHD among adult MH users in west county Ireland.

Methods

all consecutive patients attending any of 5 Sligo/Leitrim aMHS were invited to participate. Participants completed the adult aDHD Self-Report Scale ( aSRS) and the wender Utah Rating Scale (WURS). Clinical notes were reviewed to identify those with preexisting aDHD diagnosis. Exclusion criteria applied were: age: less 18 or above 65, illiterate, non-English speaking patients.

Results

From 792 attending the clinics, n = 59 (47 aged above 65, 10 severe learning difficulties and 2 non-English speaking) were excluded. Ninety-three (11.7%) decline to participate, giving a total of n = 640 (87% eligible response rate). Mean age was 41.27 (SD: 12.8), and 336 (52.5%) were females. Three had diagnosis of aDHD. Two hundred and thirteen (33.8%) met criteria on the WURS for childhood onset aDHD and 238 (37.5%) participants met caseness on the aSRS. applying more stringent criteria of scoring on both scales, suggested 125 (19.5%) with unrecognised aDHD.

Conclusions

While recall bias (WURS) and the possibility of overlapping symptoms with other major psychiatric disorders in adulthood need to be considered, the use of both screening reduces these confounders and suggests a very high rate of aDHD. Given the low number previously identified, this becomes a clinical priority, both to offset the negative trajectories associated with untreated aDHD, but also to effect optimal treatments in comorbid conditions.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV636
Copyright
Copyright © European Psychiatric Association 2016

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