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

Journal: Journal of attention disorders

Volume: 26

Issue: 8

Year of Publication: 2022

Affiliated Institutions:  The Chinese University of Hong Kong, Tai Po, Hong Kong SAR. Harvard Medical School, Boston, MA, USA. Instituto Nacional de Psiquiatría Ramon de la Fuente Muñiz, Mexico City, Mexico. IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain. Columbia University, New York, NY, USA. Ulm University, Germany. Universitair Psychiatrisch Centrum - Katholieke Universiteit Leuven (UPC-KUL), Campus Gasthuisberg, Belgium. Vrije Universiteit Amsterdam, The Netherlands. Technical University Munich, Germany. De La Salle Bajio University, Salamanca, Guanajuato, Mexico. Curtin University, Perth, WA, Australia. Ulster University, Derry, UK. Stellenbosch University, South Africa.

Abstract summary 

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.

Authors & Co-authors:  Mak Arthur D P ADP Lee Sue S Sampson Nancy A NA Albor Yesica Y Alonso Jordi J Auerbach Randy P RP Baumeister Harald H Benjet Corina C Bruffaerts Ronny R Cuijpers Pim P Ebert David D DD Gutierrez-Garcia Raúl A RA Hasking Penelope P Lapsley Coral C Lochner Christine C Kessler Ronald C RC

Study Outcome 

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Statistics
Citations :  Advokat C, Lane SM, & Luo C (2011). College Students With and Without ADHD:Comparison of Self-Report of Medication Usage, Study Habits, and Academic Achievement. Journal of Attention Disorders, 15(8), 656–666. 10.1177/1087054710371168
Authors :  16
Identifiers
Doi : 10.1177/10870547211057275
SSN : 1557-1246
Study Population
Male,Female
Mesh Terms
Attention Deficit Disorder with Hyperactivity
Other Terms
ADHD;college students;epidemiology;mental disorder;role impairment
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States