ADHD Comorbidity Structure and Impairment: Results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS)

被引：31

作者：

Mak, Arthur D. P. ^{[1
]}

Lee, Sue ^{[2
]}

Sampson, Nancy A. ^{[3
]}

Albor, Yesica ^{[5
]}

Alonso, Jordi ^{[6
,7
,8
]}

Auerbach, Randy P. ^{[9
]}

Baumeister, Harald ^{[10
]}

Benjet, Corina ^{[5
]}

Bruffaerts, Ronny ^{[11
]}

Cuijpers, Pim ^{[12
]}

Ebert, David D. ^{[13
]}

Gutierrez-Garcia, Raul A. ^{[14
]}

Hasking, Penelope ^{[15
]}

Lapsley, Coral ^{[16
]}

Lochner, Christine ^{[17
,18
]}

Kessler, Ronald C. ^{[4
]}

机构：

[1] Chinese Univ Hong Kong, Tai Po, Hong Kong, Peoples R China

[2] Harvard Med Sch, Dept Hlth Care Policy, Boston, MA 02115 USA

[3] Harvard Med Sch, World Mental Hlth Surveys & Int Coll Student Init, Dept Hlth Care Policy, Boston, MA 02115 USA

[4] Harvard Med Sch, Hlth Care Policy, Boston, MA 02115 USA

[5] Inst Nacl Psiquiatria Ramon de la Fuente Muniz, Mexico City, DF, Mexico

[6] IMIM Hosp del Mar Med Res Inst, Barcelona, Spain

[7] CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain

[8] Pompeu Fabra Univ UPF, Dept Expt & Hlth Sci, Barcelona, Spain

[9] Columbia Univ, Dept Psychiat, New York, NY USA

[10] Ulm Univ, Dept Clin Psychol & Psychotherapy, Ulm, Germany

[11] Katholieke Univ Leuven, Univ Psychiat Ctr, Campus Gasthuisberg, Leuven, Belgium

[12] Vrije Univ Amsterdam, Clin Psychol, Amsterdam, Netherlands

[13] Tech Univ Munich, Psychol & Digital Mental Hlth Care, Munich, Germany

[14] Salle Bajio Univ, Guanajuato, Mexico

[15] Curtin Univ, Curtin Sch Populat Hlth, Perth, WA, Australia

[16] Ulster Univ, Derry, North Ireland

[17] Stellenbosch Univ, Psychiat, Stellenbosch, South Africa

[18] Stellenbosch Univ, SA MRC Unit Risk & Resilience Mental Disorders, Stellenbosch, South Africa

来源：

JOURNAL OF ATTENTION DISORDERS | 2022年 / 26卷 / 08期

基金：

英国医学研究理事会;

关键词：

ADHD; epidemiology; college students; mental disorder; role impairment; DEFICIT HYPERACTIVITY DISORDER; REPORT SCALE ASRS; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; INTERVIEW SCREENING SCALES; IDENTIFICATION TEST AUDIT; SELF-REPORT; ADULT ADHD; ESTIMATED PREVALENCE; SUICIDAL THOUGHTS; SYMPTOMS;

D O I：

10.1177/10870547211057275

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Objective To examine the prevalence of ADHD and the association of comorbid disorders, and multivariate disorder classes with role impairment in college students. Method About 15,991 freshmen (24 colleges, 9 countries, WMH-ICS) (response rate = 45.6%) completed online WMH-CIDI-SC surveys for 6-month ADHD and six 12-month DSM-IV disorders. We examined multivariate disorder classes using latent class analysis (LCA) and simulated a population attributable risk proportions (PARPs) of ADHD-related impairment. Results About 15.9% had ADHD, of which 58.4% had comorbidities. LCA classified ADHD respondents to pure (42.9%), internalizing (36.0%), bipolar comorbidities (11.3%), and externalizing disorder classes (9.8%). ADHD, comorbidities, and multivariate disorder classes independently predicted severe impairment. PARPs: eliminating ADHD hypothetically reduced severe impairment by 19.2%, 10.1% adjusted for comorbidities, 9.5% for multivariate disorder classes. Conclusions ADHD and comorbid disorders are common and impairing in college students. Personalized transdiagnostic interventions guided by multivariate disorder classes should be explored.

引用

页码：1078 / 1096

页数：19

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