P-346 - Attention defecit hypetactivity disorder in adults: one year follow up study from india

Abstract

Introduction Information about the stability of the diagnosis of the Adult ADHD, when made using standardized tools and diagnostic criteria remains unavailable from India. Objective To follow-up adults with ADHD after one year of diagnosis. Aim To study the stability of diagnosis and comorbidities at one year follow up of Adult ADHD. Method 20 subjects with adult ADHD (DSM-IV-TR 2000) were attempted to follow up after 1 year of the diagnosis. The diagnostic assessment was done using DSM-IV-TR and Wender Utah criteria wherever applicable. The symptoms were assessed on clinician rated ADHD-RS. The comorbidities and global functioning were also assessed at follow up. Results 19 (95%) of 20 subjects could be followed up. The diagnosis was stable in all the 19 (100%) subjects at the follow up according to DSM-IV-TR criteria. However, the symptoms declined over a period of one year. Diagnosis of 2(10.52%) subjects of ADHD - CT was changed to ADHD - IA. 2(10.52%) subjects went into partial remission. Of the original 13 subjects diagnosed as adult ADHD as per Wender Utah criteria, 12 (92.30%) retained the diagnosis at follow up while 1 (7.7%) did not. Substance abuse was increased at the follow up from 26.32% to 47.37%. The rates of the rest of the comorbidities didn’t change over a period of one year. Conclusion Results suggest that the diagnosis of adult ADHD, when made using standardized tools and diagnostic criteria remains stable at 1 year follow-up. The rates of comorbidities increased at the follow up.