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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Autores: Mak, Arthur, Lee, Sue, Sampson, Nancy A., Albor, Yesica, Alonso Caballero, Jordi, Auerbach, Randy P., Baumeister, Harald, Benjet, Corina, Bruffaerts, Ronny, Cuijpers, Pim, Ebert, David Daniel, Gutierrez-Garcia, Raúl A., Hasking, Penelope, Lapsley, Coral, Lochner, Christine, Kessler, Ronald C.
Tipo de documento: artigo
Estado:Versión aceptada para publicación
Data de publicação:2022
País:España
Recursos:Universitat Pompeu Fabra
Repositório:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/55510
Acesso em linha:http://hdl.handle.net/10230/55510
http://dx.doi.org/10.1177/10870547211057275
Access Level:Acceso aberto
Palavra-chave:ADHD
College students
Epidemiology
Mental disorder
Role impairment
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spelling ADHD comorbidity structure and impairment: results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS)Mak, ArthurLee, SueSampson, Nancy A.Albor, YesicaAlonso Caballero, JordiAuerbach, Randy P.Baumeister, HaraldBenjet, CorinaBruffaerts, RonnyCuijpers, PimEbert, David DanielGutierrez-Garcia, Raúl A.Hasking, PenelopeLapsley, CoralLochner, ChristineKessler, Ronald C.ADHDCollege studentsEpidemiologyMental disorderRole impairmentObjective: 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.SAGE Publications202320232022info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/55510http://dx.doi.org/10.1177/10870547211057275reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésJ Atten Disord. 2022 Jun;26(8):1078-96Mak ADP, Lee S, Sampson NA, Albor Y, Alonso J, Auerbach RP, Baumeister H, Benjet C, Bruffaerts R, Cuijpers P, Ebert DD, Gutierrez-Garcia RA, Hasking P, Lapsley C, Lochner C, Kessler RC. ADHD comorbidity structure and impairment: results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS). J Atten Disord. 2022 Jun;26(8):1078-96. DOI: 10.1177/10870547211057275. Copyright © The Author(s) 2021. DOI: 10.1177/10870547211057275.info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/555102026-06-12T07:21:37Z
dc.title.none.fl_str_mv 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)
spellingShingle ADHD comorbidity structure and impairment: results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS)
Mak, Arthur
ADHD
College students
Epidemiology
Mental disorder
Role impairment
title_short 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_sort ADHD comorbidity structure and impairment: results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS)
dc.creator.none.fl_str_mv Mak, Arthur
Lee, Sue
Sampson, Nancy A.
Albor, Yesica
Alonso Caballero, Jordi
Auerbach, Randy P.
Baumeister, Harald
Benjet, Corina
Bruffaerts, Ronny
Cuijpers, Pim
Ebert, David Daniel
Gutierrez-Garcia, Raúl A.
Hasking, Penelope
Lapsley, Coral
Lochner, Christine
Kessler, Ronald C.
author Mak, Arthur
author_facet Mak, Arthur
Lee, Sue
Sampson, Nancy A.
Albor, Yesica
Alonso Caballero, Jordi
Auerbach, Randy P.
Baumeister, Harald
Benjet, Corina
Bruffaerts, Ronny
Cuijpers, Pim
Ebert, David Daniel
Gutierrez-Garcia, Raúl A.
Hasking, Penelope
Lapsley, Coral
Lochner, Christine
Kessler, Ronald C.
author_role author
author2 Lee, Sue
Sampson, Nancy A.
Albor, Yesica
Alonso Caballero, Jordi
Auerbach, Randy P.
Baumeister, Harald
Benjet, Corina
Bruffaerts, Ronny
Cuijpers, Pim
Ebert, David Daniel
Gutierrez-Garcia, Raúl A.
Hasking, Penelope
Lapsley, Coral
Lochner, Christine
Kessler, Ronald C.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv ADHD
College students
Epidemiology
Mental disorder
Role impairment
topic ADHD
College students
Epidemiology
Mental disorder
Role impairment
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.
publishDate 2022
dc.date.none.fl_str_mv 2022
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/55510
http://dx.doi.org/10.1177/10870547211057275
url http://hdl.handle.net/10230/55510
http://dx.doi.org/10.1177/10870547211057275
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv J Atten Disord. 2022 Jun;26(8):1078-96
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv SAGE Publications
publisher.none.fl_str_mv SAGE Publications
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869405463680909312
score 15.81155

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