Need for Care and Life Satisfaction in Adult Substance Use Disorder Patients With and Without Attention Deficit Hyperactivity Disorder (ADHD) or Autism Spectrum Disorder (ASD)

Perspect Psychiatr Care. 2015 Jan;51(1):4-15. doi: 10.1111/ppc.12056. Epub 2014 Jan 10.


Purpose: To identify care needs of adult substance use disorder (SUD) patients with and without co-occurring attention deficit hyperactivity disorder (ADHD) or autism spectrum disorder (ASD).

Design and methods: An exploratory study using the European Addiction Severity Index, the Camberwell Assessment of Needs, and the Manchester Short Assessment of Quality of Life to assess and compare care needs and perceived quality of life.

Findings: All patients are dissatisfied with parts of their existence. SUD patients have fewer care needs than SUD patients with co-occurring ADHD or ASD. The SUD and SUD + ADHD groups report needs in similar domains. The SUD + ASD group shows a greater number of and more extensive care needs.

Practice implications: Differences in the care needs of adult SUD patients with and without ADHD or ASD should be taken into account when developing evidence-based nursing care interventions.

Keywords: Attention deficit hyperactivity disorder; autism spectrum disorder; care need; quality of life; substance use disorder.

MeSH terms

  • Adult
  • Attention Deficit Disorder with Hyperactivity / epidemiology
  • Attention Deficit Disorder with Hyperactivity / therapy*
  • Autism Spectrum Disorder / epidemiology
  • Autism Spectrum Disorder / therapy*
  • Comorbidity
  • Diagnosis, Dual (Psychiatry)
  • Female
  • Health Services Needs and Demand*
  • Humans
  • Male
  • Middle Aged
  • Needs Assessment*
  • Personal Satisfaction*
  • Substance-Related Disorders / epidemiology
  • Substance-Related Disorders / therapy*