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ADHD Attention Deficit and Hyperactivity Disorders
Article . 2016 . Peer-reviewed
License: Springer TDM
Data sources: Crossref
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The descriptive epidemiology of DSM-IV Adult ADHD in the World Health Organization World Mental Health Surveys

Authors: Fayyad, John; Sampson, Nancy A.; Hwang, Irving; Adamowski, Tomasz; Aguilar-Gaxiola, Sergio; Al-Hamzawi, Ali; Andrade, Laura H. S. G.; +118 Authors

The descriptive epidemiology of DSM-IV Adult ADHD in the World Health Organization World Mental Health Surveys

Abstract

We previously reported on the cross-national epidemiology of ADHD from the first 10 countries in the WHO World Mental Health (WMH) Surveys. The current report expands those previous findings to the 20 nationally or regionally representative WMH surveys that have now collected data on adult ADHD. The Composite International Diagnostic Interview (CIDI) was administered to 26,744 respondents in these surveys in high-, upper-middle-, and low-/lower-middle-income countries (68.5% mean response rate). Current DSM-IV/CIDI adult ADHD prevalence averaged 2.8% across surveys and was higher in high (3.6%)- and upper-middle (3.0%)- than low-/lower-middle (1.4%)-income countries. Conditional prevalence of current ADHD averaged 57.0% among childhood cases and 41.1% among childhood subthreshold cases. Adult ADHD was significantly related to being male, previously married, and low education. Adult ADHD was highly comorbid with DSM-IV/CIDI anxiety, mood, behavior, and substance disorders and significantly associated with role impairments (days out of role, impaired cognition, and social interactions) when controlling for comorbidities. Treatment seeking was low in all countries and targeted largely to comorbid conditions rather than to ADHD. These results show that adult ADHD is prevalent, seriously impairing, and highly comorbid but vastly under-recognized and undertreated across countries and cultures.

Keywords

Adult, Male, Adolescent, Patient Acceptance of Health Care/statistics & numerical data, 150, ADHD; Attention-deficit/hyperactivity disorder; Comorbidity; Disability epidemiology; Impairment; Prevalence; Treatment, Comorbidity, World Health Organization, Young Adult, Risk Factors, 2738 Psychiatry and Mental health, Prevalence, ADHD, Humans, Attention Deficit Disorder with Hyperactivity/epidemiology, https://purl.org/pe-repo/ocde/ford#3.02.24, Developing Countries, Developed Countries/statistics & numerical data, Developing Countries/statistics & numerical data, Salut mundial, Developed Countries, Mental Disorders, 3203 Clinical Psychology, Patient Acceptance of Health Care, Health Surveys, https://purl.org/pe-repo/ocde/ford#5.01.00, Treatment, Diagnostic and Statistical Manual of Mental Disorders, Attention-deficit/hyperactivity disorder, Trastorn per dèficit d'atenció amb hiperactivitat, Impairment, Attention Deficit Disorder with Hyperactivity, Income, Female, ADHD; Attention-deficit/hyperactivity disorder; Comorbidity; Disability epidemiology; Impairment; Prevalence; Treatment; Adolescent; Adult; Attention Deficit Disorder with Hyperactivity; Comorbidity; Developed Countries; Developing Countries; Female; Humans; Income; Male; Mental Disorders; Patient Acceptance of Health Care; Prevalence; Risk Factors; Young Adult; Diagnostic and Statistical Manual of Mental Disorders; Health Surveys; World Health Organization; Clinical Psychology; Psychiatry and Mental Health, Malalties mentals, Mental Disorders/epidemiology, Disability epidemiology

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
views
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634
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