Cross-national prevalence and correlates of adult attention-deficit hyperactivity disorder

Background: Little is known about the epidemiology of adult attention-deficit-hyperactivity disorder (ADHD).

Aims: To estimate the prevalence and correlates of DSM-IV adult ADHD in the World Health Organization World Mental Health Survey Initiative.

Method: An ADHD screen was administered to respondents aged 18-44 years in ten countries in the Americas, Europe and the Middle East (n=11422). Masked clinical reappraisal interviews were administered to 154 US respondents to calibrate the screen. Multiple imputation was used to estimate prevalence and correlates based on the assumption of cross-national calibration comparability.

Results: Estimates of ADHD prevalence averaged 3.4% (range 1.2% - 7.3%), with lower prevalence in lower income countries (1.9%) compared with higher-income countries (4.2%). Adult ADHD often co-occurs with other DSM-IV disorders and is associated with considerable role disability. Few ases are treated for ADHD, but in many cases treatment is given for comorbid disorders.

Conclusions: Adult ADHD should be considered more seriously in future epidemiological and clinical studies than is currently the case.


Autor:J. Fayyad, R. De Graaf, R. Kessler, J. Alonso, M. Angermeyer, K. Demyttenaere, G. De Girolamo, J. M.
Quelle:The British Journal of Psychiatry (2007), 190:402-409
Keywords (deutsch):---
Keywords (englisch):ADHD in adulthood, cross-national prevalence, correlates, World Mental Health Survey Initiative