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ADHD comorbidity structure and impairment: results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS)

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dc.contributor.author Mak, Arthur
dc.contributor.author Lee, Sue
dc.contributor.author Sampson, Nancy A.
dc.contributor.author Albor, Yesica
dc.contributor.author Alonso Caballero, Jordi
dc.contributor.author Auerbach, Randy P.
dc.contributor.author Baumeister, Harald
dc.contributor.author Benjet, Corina
dc.contributor.author Bruffaerts, Ronny
dc.contributor.author Cuijpers, Pim
dc.contributor.author Ebert, David Daniel
dc.contributor.author Gutierrez-Garcia, Raúl A.
dc.contributor.author Hasking, Penelope
dc.contributor.author Lapsley, Coral
dc.contributor.author Lochner, Christine
dc.contributor.author Kessler, Ronald C.
dc.date.accessioned 2023-02-01T07:39:27Z
dc.date.available 2023-02-01T07:39:27Z
dc.date.issued 2022
dc.identifier.citation Mak 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
dc.identifier.issn 1087-0547
dc.identifier.uri http://hdl.handle.net/10230/55510
dc.description.abstract 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.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher SAGE Publications
dc.relation.ispartof J Atten Disord. 2022 Jun;26(8):1078-96
dc.rights Mak 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.
dc.title ADHD comorbidity structure and impairment: results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS)
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1177/10870547211057275
dc.subject.keyword ADHD
dc.subject.keyword College students
dc.subject.keyword Epidemiology
dc.subject.keyword Mental disorder
dc.subject.keyword Role impairment
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/acceptedVersion

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