The descriptive epidemiology of DSM-IV Adult ADHD in the World Health Organization World Mental Health Surveys.
Atten Defic Hyperact Disord
; 9(1): 47-65, 2017 Mar.
Article
em En
| MEDLINE
| ID: mdl-27866355
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.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtorno do Deficit de Atenção com Hiperatividade
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Organização Mundial da Saúde
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Inquéritos Epidemiológicos
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Manual Diagnóstico e Estatístico de Transtornos Mentais
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Transtornos Mentais
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Prevalence_studies
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Risk_factors_studies
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Screening_studies
Limite:
Adolescent
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Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Atten Defic Hyperact Disord
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Líbano
País de publicação:
AT
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AUSTRIA
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ÁUSTRIA