ResumoOs critérios mais utilizados para o diagnóstico de transtorno do déficit de atenção/hiperatividade (TDAH) são aqueles listados pela quarta edição do Diagnostic and Statistical Manual (DSM-IV) da Associação Americana de Psiquiatria, baseados em estudos de campo com crianças e adolescentes. A Adult Self-Report Scale (ASRS, versão 1.1) foi desenvolvida para adaptar os sintomas listados no DSM-IV para o contexto da vida adulta. O presente estudo consistiu em uma adaptação transcultural do instrumento original em inglês para uma versão final para uso corrente no Brasil. Os resultados indicaram uma equivalência satisfatória entre as versões, tendo sido realizadas alterações após o debriefing, ressaltando a importância dessa etapa em estudos desta natureza.Palavras-chave: Transtorno do déficit de atenção/hiperatividade, questionários, adaptação transcultural, validação, ASRS.

OBJECTIVE:To build students' profi le regarding alcohol consumption and risk behavior. METHODS:A total of 1,990 students were included in the study, aged 11 to 21 years old, from both genders, enrolled in public and private schools, in Southeastern Brazil, in 2004. A self-administered questionnaire was answered in the classroom without the presence of the teacher. The questionnaire also assessed the perception of how easy it was to get alcoholic beverages, the contexts where they drunk, and the consequences of drinking. RESULTS:Prevalence of lifetime alcohol use was 62.2%. Regarding consumption in the last 30 days, 17.3% of students reported at least one episode of binge drinking (fi ve or more drinks). Adolescents reported that they had gotten alcoholic drinks very easily from shops, and also in social contexts with relatives and friends. Only 1% of underaged reported that they had tried and could not buy alcoholic beverages. As negative consequences of alcohol use in the last 12 months, students reported feeling sick due to drinking (17.9%), regret for doing something under the infl uence of alcohol (11%), blackouts (9.8%), and getting involved in a fi ght after drinking (5%). Over half of the students (55%) reported knowing someone who had been involved in a car accident because of a drunk driver. CONCLUSIONS:Data showed high prevalence of alcohol use among adolescents studied and how easy access to alcoholic beverages is, including to underaged people. Youngsters put themselves at risk and presented negative consequences of alcohol consumption. Prompt actions regarding public alcohol policies in Brazil are needed.

we found a higher risk of DLB in patients with preceding adult ADHD symptoms. To date, there is no clear explanation for the association found; however, further investigation will widen our understanding about both disorders.

A b s t r a c tRecently, several studies have focused on comorbity psychiatric disorders with alcohol and other substance dependence. The Brazilian Association of Studies on Alcohol and Other Drugs proposed the Brazilian Guidelines project. This study review diagnostic and therapeutic criteria to the most prevalent psychiatric comorbidities. Randomized clinical trials, epidemiological, animal studies and other forms of research are reviewed. The main psychiatric comorbidities are studied based on guidelines adopted by other countries and the literature data resumed. Epidemiological aspects, diagnoses, integrated treatment and service organization, as well as specific psychotherapic and pharmacological treatment are discussed. The Brazilian Association of Studies on Alcohol and Other Drugs Guidelines reassures the importance of adequate diagnoses and treatment regarding alcoholic and drug dependent patients suffering of comorbid psychiatric disorders.

Considerando-se as dificuldades atuais do diagnóstico do transtorno do déficit de atenção/hiperatividade em adultos, foram reunidos especialistas brasileiros que fazem pesquisas nesta área, de modo a produzir diretrizes de consenso para uso no país. Foi realizada uma revisão não-sistemática preliminar e concebido um texto inicial, que foi repetidamente avaliado e editado pelos autores, com acréscimos e correções ao longo de 6 meses, através de correio eletrônico e de uma reunião posterior, patrocinada pela Associação Brasileira do Déficit de Atenção. A versão preliminar foi apresentada publicamente durante o congresso anual da Associação Brasileira de Psiquiatria, com comentários e sugestões dos participantes, para a redação da versão final.