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.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.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.doi http://dx.doi.org/10.1177/10870547211057275
- dc.identifier.issn 1087-0547
- dc.identifier.uri http://hdl.handle.net/10230/55510
- 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.rights.accessRights info:eu-repo/semantics/openAccess
- dc.subject.keyword ADHD
- dc.subject.keyword College students
- dc.subject.keyword Epidemiology
- dc.subject.keyword Mental disorder
- dc.subject.keyword Role impairment
- 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.type.version info:eu-repo/semantics/acceptedVersion