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

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

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-mon...

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Bibliographic Details
Main Authors: Mak, A.D.P., Lee, S., Sampson, N.A., Albor, Y., Alonso, J., Auerbach, R.P., Baumeister, H., Benjet, C., Bruffaerts, R., Cuijpers, P., Ebert, D.D., Gutierrez-Garcia, R.A., Hasking, Penelope, Lapsley, C., Lochner, C., Kessler, R.C.
Format: Journal Article
Language:English
Published: SAGE PUBLICATIONS INC 2022
Subjects:
Social Sciences
Science & Technology
Life Sciences & Biomedicine
Psychology, Developmental
Psychiatry
Psychology
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
Attention Deficit Disorder with Hyperactivity
Comorbidity
Diagnostic and Statistical Manual of Mental Disorders
Health Surveys
Humans
Mental Disorders
Students
Surveys and Questionnaires
World Health Organization
Online Access:https://research.vu.nl/en/publications/4fe9a11f-a4ee-48c1-b833-e886cd2b13fe
http://hdl.handle.net/20.500.11937/93190
Description
Summary: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.

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