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    ADHD Comorbidity Structure and Impairment: Results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS)

    Access Status
    Fulltext not available
    Authors
    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.
    Date
    2022
    Type
    Journal Article
    
    Metadata
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    Citation
    Mak, A.D.P. and Lee, S. and Sampson, N.A. and Albor, Y. and Alonso, J. and Auerbach, R.P. and Baumeister, H. et al. 2022. ADHD Comorbidity Structure and Impairment: Results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS). Journal of Attention Disorders. 26 (8): pp. 1078-1096.
    Source Title
    Journal of Attention Disorders
    DOI
    10.1177/10870547211057275
    Additional URLs
    https://research.vu.nl/en/publications/4fe9a11f-a4ee-48c1-b833-e886cd2b13fe
    ISSN
    1087-0547
    Faculty
    Faculty of Health Sciences
    School
    Curtin School of Population Health
    Funding and Sponsorship
    http://purl.org/au-research/grants/nhmrc/1173043
    URI
    http://hdl.handle.net/20.500.11937/93190
    Collection
    • Curtin Research Publications
    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.

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