ADHD Comorbidity Structure and Impairment: Results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS).
ADHD
college students
epidemiology
mental disorder
role impairment
Journal
Journal of attention disorders
ISSN: 1557-1246
Titre abrégé: J Atten Disord
Pays: United States
ID NLM: 9615686
Informations de publication
Date de publication:
06 2022
06 2022
Historique:
pubmed:
11
11
2021
medline:
6
5
2022
entrez:
10
11
2021
Statut:
ppublish
Résumé
To examine the prevalence of ADHD and the association of comorbid disorders, and multivariate disorder classes with role impairment in college students. 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. 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. ADHD and comorbid disorders are common and impairing in college students. Personalized transdiagnostic interventions guided by multivariate disorder classes should be explored.
Identifiants
pubmed: 34753324
doi: 10.1177/10870547211057275
pmc: PMC9064996
mid: NIHMS1785839
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
1078-1096Subventions
Organisme : NIMH NIH HHS
ID : R56 MH109566
Pays : United States
Organisme : NIMH NIH HHS
ID : R56 MH109566
Pays : United States
Références
Int J Methods Psychiatr Res. 2019 Jun;28(2):e1761
pubmed: 30614123
Mol Psychiatry. 2016 May;21(5):717-21
pubmed: 26303662
Atten Defic Hyperact Disord. 2017 Mar;9(1):47-65
pubmed: 27866355
Soc Psychiatry Psychiatr Epidemiol. 2018 Mar;53(3):279-288
pubmed: 29340781
Int J Methods Psychiatr Res. 2019 Jun;28(2):e1750
pubmed: 30402985
Ann Clin Psychiatry. 2012 Feb;24(1):23-37
pubmed: 22303520
Psychol Med. 1998 Jan;28(1):109-26
pubmed: 9483687
Addiction. 1993 Jun;88(6):791-804
pubmed: 8329970
J Atten Disord. 2019 Dec;23(14):1736-1745
pubmed: 28992747
J Atten Disord. 2011 Nov;15(8):656-66
pubmed: 20679154
BMC Psychiatry. 2020 Apr 22;20(1):180
pubmed: 32321462
Int J Methods Psychiatr Res. 2008;17(1):45-54
pubmed: 18286465
Psychol Med. 2013 Aug;43(8):1625-37
pubmed: 23075829
J Atten Disord. 2006 Aug;10(1):9-19
pubmed: 16840588
J Clin Psychiatry. 2016 Apr;77(4):e421-8
pubmed: 27137426
World Psychiatry. 2021 Feb;20(1):57-63
pubmed: 33432749
Br J Psychiatry. 2008 May;192(5):368-75
pubmed: 18450663
BMC Psychiatry. 2017 Aug 22;17(1):302
pubmed: 28830387
Biometrics. 1993 Sep;49(3):865-72
pubmed: 8241375
Depress Anxiety. 2018 Sep;35(9):802-814
pubmed: 29847006
Int J Methods Psychiatr Res. 2019 Jun;28(2):e1764
pubmed: 30663193
BJPsych Bull. 2015 Jun;39(3):140-3
pubmed: 26191454
Psychol Med. 2013 Sep;43(9):1973-84
pubmed: 23298428
Appl Neuropsychol. 2007;14(3):189-207
pubmed: 17848130
Am J Psychiatry. 2007 Jun;164(6):942-8
pubmed: 17541055
J Learn Disabil. 2008 Jul-Aug;41(4):371-84
pubmed: 18560023
J Abnorm Psychol. 2018 Oct;127(7):623-638
pubmed: 30211576
Psychol Med. 2005 Feb;35(2):245-56
pubmed: 15841682
Lancet. 2020 Feb 8;395(10222):450-462
pubmed: 31982036
Int J Methods Psychiatr Res. 2007;16(2):52-65
pubmed: 17623385
J Atten Disord. 2008 Mar;11(5):558-67
pubmed: 18025248
J Clin Child Adolesc Psychol. 2018 Mar-Apr;47(2):236-247
pubmed: 26852645
Int J Methods Psychiatr Res. 2019 Jun;28(2):e1752
pubmed: 30450753
Int J Psychiatry Clin Pract. 2019 Nov;23(4):238-244
pubmed: 31232613
Stat Methods Med Res. 1996 Sep;5(3):283-310
pubmed: 8931197
Psychol Med. 2006 Feb;36(2):159-65
pubmed: 16420712
Int J Methods Psychiatr Res. 2004;13(2):93-121
pubmed: 15297906
J Atten Disord. 2009 Nov;13(3):234-50
pubmed: 19620623
J Clin Child Adolesc Psychol. 2021 Nov-Dec;50(6):828-843
pubmed: 33529049
Alcohol Clin Exp Res. 2002 Feb;26(2):272-9
pubmed: 11964568
Br J Psychiatry. 2016 Jun;208(6):548-55
pubmed: 26250744
J Psychiatr Res. 2012 Jun;46(6):782-9
pubmed: 22480749
J Atten Disord. 2020 Jan;24(1):126-135
pubmed: 30259782
Mol Psychiatry. 2019 Apr;24(4):562-575
pubmed: 29892054
Drug Alcohol Depend. 2013 Oct 1;132(3):587-96
pubmed: 23660242
J Atten Disord. 2008 May;11(6):677-88
pubmed: 18079307
Psychol Med. 2018 Mar;48(4):554-565
pubmed: 28805169
J Child Psychol Psychiatry. 2001 Oct;42(7):933-42
pubmed: 11693588
J Atten Disord. 2009 Nov;13(3):271-6
pubmed: 19429881
Eur Psychiatry. 2012 Jul;27(5):314-20
pubmed: 22112307
Int J Psychiatry Med. 1997;27(2):93-105
pubmed: 9565717
Lancet Psychiatry. 2016 Jun;3(6):568-78
pubmed: 27183901
Int J Methods Psychiatr Res. 2013 Dec;22(4):303-21
pubmed: 24318219
J Affect Disord. 2021 Jan 15;279:572-577
pubmed: 33152561
Depress Anxiety. 2017 Jul;34(7):596-602
pubmed: 28471479
J Atten Disord. 2019 Dec;23(14):1766-1779
pubmed: 26744315
J Learn Disabil. 2001 Jul-Aug;34(4):370-9
pubmed: 15503581
J Atten Disord. 2009 Nov;13(3):297-309
pubmed: 19474463
J Med Internet Res. 2019 Nov 1;21(11):e13478
pubmed: 31682573
J Child Psychol Psychiatry. 2020 Sep;61(9):1009-1018
pubmed: 31957030
Int J Methods Psychiatr Res. 2019 Jun;28(2):e1782
pubmed: 31069905
J Affect Disord. 2018 Dec 1;241:291-296
pubmed: 30142587
Suicide Life Threat Behav. 2009 Oct;39(5):548-57
pubmed: 19929154
Neurotherapeutics. 2012 Jul;9(3):559-68
pubmed: 22678459