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...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Journal Article |
| Language: | English |
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SAGE PUBLICATIONS INC
2022
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| Subjects: | |
| Online Access: | https://research.vu.nl/en/publications/4fe9a11f-a4ee-48c1-b833-e886cd2b13fe http://hdl.handle.net/20.500.11937/93190 |
| _version_ | 1848765707275206656 |
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| author | 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. |
| author_facet | 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. |
| author_sort | Mak, A.D.P. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T11:39:32Z |
| format | Journal Article |
| id | curtin-20.500.11937-93190 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:39:32Z |
| publishDate | 2022 |
| publisher | SAGE PUBLICATIONS INC |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-931902023-10-03T05:53:48Z ADHD Comorbidity Structure and Impairment: Results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS) 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. 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 ADHD college students epidemiology mental disorder role impairment 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 Humans Health Surveys Mental Disorders Attention Deficit Disorder with Hyperactivity Comorbidity Students Diagnostic and Statistical Manual of Mental Disorders World Health Organization Surveys and Questionnaires 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. 2022 Journal Article http://hdl.handle.net/20.500.11937/93190 10.1177/10870547211057275 English https://research.vu.nl/en/publications/4fe9a11f-a4ee-48c1-b833-e886cd2b13fe http://purl.org/au-research/grants/nhmrc/1173043 SAGE PUBLICATIONS INC restricted |
| spellingShingle | 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 ADHD college students epidemiology mental disorder role impairment 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 Humans Health Surveys Mental Disorders Attention Deficit Disorder with Hyperactivity Comorbidity Students Diagnostic and Statistical Manual of Mental Disorders World Health Organization Surveys and Questionnaires 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. ADHD Comorbidity Structure and Impairment: Results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS) |
| title | ADHD Comorbidity Structure and Impairment: Results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS) |
| title_full | ADHD Comorbidity Structure and Impairment: Results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS) |
| title_fullStr | ADHD Comorbidity Structure and Impairment: Results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS) |
| title_full_unstemmed | ADHD Comorbidity Structure and Impairment: Results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS) |
| title_short | ADHD Comorbidity Structure and Impairment: Results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS) |
| title_sort | adhd comorbidity structure and impairment: results of the who world mental health surveys international college student project (wmh-ics) |
| topic | 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 ADHD college students epidemiology mental disorder role impairment 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 Humans Health Surveys Mental Disorders Attention Deficit Disorder with Hyperactivity Comorbidity Students Diagnostic and Statistical Manual of Mental Disorders World Health Organization Surveys and Questionnaires |
| url | https://research.vu.nl/en/publications/4fe9a11f-a4ee-48c1-b833-e886cd2b13fe https://research.vu.nl/en/publications/4fe9a11f-a4ee-48c1-b833-e886cd2b13fe http://hdl.handle.net/20.500.11937/93190 |