Cross-national prevalence and correlates of adult attention-deficit hyperactivity disorder
Cross-national prevalence and correlates of adult attention-deficit hyperactivity disorder
复制标题
DOI：
10.1192/bjp.bp.106.034389
复制
发表时间：
2007-05-01
影响因子：
10.5
通讯作者：
Jin, R.
中科院分区：
文献类型：
--
作者：
Fayyad, J.;De Graaf, R.;Jin, R.
背景很少有人知道成人注意力缺陷多动障碍（ADHD）的流行病学，目的是估计的患病率和相关的DSM-IV成人ADHD在世界卫生组织世界精神卫生调查Initiative.Method ADHD屏幕管理的受访者年龄在18-44岁，在美洲，欧洲和中东的10个国家（n=11422）。对154名美国受访者进行了掩蔽临床再评价访谈，以校准屏幕。多重插补被用来估计患病率和相关性的基础上假设的跨国校准comparativity.Results估计的ADHD患病率平均为3.4%（范围1.2-7.3%），与低收入国家（1.9%）的患病率较低，与高收入国家（4.2%）。成人ADHD经常与其他DSM-IV疾病共同发生，并与相当大的角色障碍有关。少数情况下，ADHD的治疗，但在许多情况下，治疗共病disorders.Conclusions成人ADHD应考虑更严重的是在未来的流行病学和临床研究比目前的情况。
Background Little is known about the epidemiology of adult attention-deficit hyperactivity disorder (ADHD).Aims To estimate the prevalence and correlates of DSM-IV adult ADHD in the World Health Organization World Mental Health Survey Initiative.Method An ADHD screen was administered to respondents aged 18-44 years in ten countries in the Americas, Europe and the Middle East (n=11422). Masked clinical reappraisal interviews were administered to 154 US respondents to calibrate the screen. Multiple imputation was used to estimate prevalence and correlates based on the assumption of cross-national calibration comparability.Results Estimates of ADHD prevalence averaged 3.4% (range 1.2-7.3%), with lower prevalence in lower-income countries (1.9%) compared with higher-income countries (4.2%). Adult ADHD often co-occurs with other DSM-IV disorders and is associated with considerable role disability. Few cases are treated for ADHD, but in many cases treatment is given for comorbid disorders.Conclusions Adult ADHD should be considered more seriously in future epidemiological and clinical studies than is currently the case.