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Service Evaluation of Treatment Response in Adult ADHD Patients With Psychiatric Comorbidities

Published online by Cambridge University Press:  07 July 2023

Afiz Ashraf ,
Sini George ,
Venkat Ramaswamy ,
Namilakonda Manaswini  and
Kondapalakala Kiran Kishore
Afiz Ashraf*
Affiliation:
Health Education England North East, Newcastle upon Tyne, United Kingdom
Sini George
Affiliation:
Health Education England North East, Newcastle upon Tyne, United Kingdom
Venkat Ramaswamy
Affiliation:
Tees Esk Wear and Valley NHS Foundation Trust, Durham, United Kingdom
Namilakonda Manaswini
Affiliation:
NHS Fife, Kirkcaldy, United Kingdom
Kondapalakala Kiran Kishore
Affiliation:
NHS Fife, Kirkcaldy, United Kingdom
*
*Corresponding author.
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Abstract

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Aims

To assess whether psychiatric comorbidities affect response to medications in adulthood ADHD.

Methods

This study included 236 subjects diagnosed with ADHD in adulthood between the ages of 18 and 65 years and receiving pharmacological treatment for the same across community treatment teams in Durham and Darlington.

Patients were identified by going through electronic case notes.

Review of SWMWEBS scores and clinic letters were carried out both prior to and following commencing medication for ADHD to assess response to treatment.

Comorbidities were recorded by reviewing clinic letters.

Results

56% of the study subjects had no psychiatric comorbidity while 44% had at least one comorbid psychiatric diagnosis.

Both groups had a higher prevalence of males in the ratio of 1.9:1(with comorbidities) and 3:1 (without comorbidities).

Depression(56%) was noted to be the most common comorbidity followed by Autism(22%), Emotionally Unstable Personality Disorder(11%) and Bipolar Affective Disorder(10%).

94% patients without comorbidities responded favourably to treatment whereas only 56% of patients with comorbidities improved with treatment.

Conclusion

Having a comorbid psychiatric illness is likely to negatively impact both treatment response and recovery in adults with ADHD.

Both groups(with and without comorbidities) had a male predominance (2.5:1).

Higher number of patients amongst the nil comorbidities group responded favourably to treatment.

Most common psychiatric comorbidity was Depression.

Least favourable response to treatment was found among the groups of Emotionally Unstable Personality Disorder and Bipolar Affective Disorder.

No gender bias in response to treatment across both the groups.

Type
Service Evaluation
Information
BJPsych Open , Volume 9 , Supplement S1: Abstracts from the RCPsych International Congress 2023, 10–13 July , July 2023 , pp. S132
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NC
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. This does not need to be placed under each abstract, just each page is fine.
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists

Footnotes

Abstracts were reviewed by the RCPsych Academic Faculty rather than by the standard BJPsych Open peer review process and should not be quoted as peer-reviewed by BJPsych Open in any subsequent publication.

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