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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)

Authors

  • Linda M. Kronenberg MSc, MANP, RN,

    Director and Head Tutor of Residency Training MANP Mental Health, Corresponding author
    1. Advanced Nurse Practitioner Dual Diagnosis Department, Dimence, Deventer, The Netherlands
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  • Peter J. J. Goossens PhD, MANP, RN, FEANS,

    Professor, Expertise, Nurse Practitioner/Senior Researcher, Senior Researcher
    1. Mental Health Care, Saxion University of Applied Sciences, The Netherlands
    2. Centre of Health, SocialWork & Technology, Deventer, The Netherlands
    3. SCBS Dimence, Deventer, The Netherlands
    4. Scientific Institute for Quality of Healthcare (IQ Healthcare), Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
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  • Derk M. van Etten MANP, RN,

    Clinical Nurse Specialist in Mental Health
    1. Victas Center for Addiction Care, Utrecht, The Netherlands
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  • Theo van Achterberg PhD, RN, FEANS,

    Professor of Nursing Science
    1. IQ Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
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  • Wim van den Brink MD, PhD

    Professor of Psychiatry and Addiction
    1. Amsterdam Institute for Addiction Research, Academic Medical Center University of Amsterdam, Amsterdam, The Netherlands
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  • Conflict of Interest Statement

    Wim van den Brink has received honoraria from Lundbeck, Merck Serono, Schering-Plough, Reckitt Benckiser, Pfizer, and Eli Lilly; speaker's fees from Lundbeck; investigator-initiated industry grants from Alkermes, Neurosearch, and Eli Lilly; is a consultant to Lundbeck, Merck Serono, Schering-Plough, and Teva; and has performed paid expert testimony for Schering-Plough. Linda Kronenberg has received funding from Dimence regarding a PhD study.

Abstract

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.

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