The estimated prevalence and correlates of adult ADHD in a German community sample
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Little research on the prevalence and correlates of adult ADHD has been conducted outside the United States. The aim of the present study was to estimate the prevalence and correlates of adult ADHD in a large representative sample of the German population aged 18–64 years (n = 1,655). Two self-rating screening instruments to assess childhood and adult ADHD symptomatology were used to estimate the prevalence of ADHD. A 4-item screening tool was used to assess probable cases of current depression and anxiety (Patient Health Questionnaire). The estimated crude prevalence rate of current ADHD was 4.7%. Adult ADHD was significantly associated with lower age, low educational level, unemployment, marital status (never married and divorced), and rural residency. No association was found with gender. Adult ADHD was strongly associated with positive screening results for depression and anxiety. ADHD is a common disorder of adulthood, is associated with significant social impairment and psychiatric co-morbidity, and should receive further research attention.
KeywordsAdult ADHD Prevalence General population
The study was supported in part by a grant from the German Federal Ministry of Education and Research (BMBF, 01GV0606, Comparison of Methylphenidate and Psychotherapy in Adult ADHD Study, COMPAS).
Conflict of interest
A. Philipsen: Advisory Board Member: Lilly, Janssen-Cilag, Shire.
Research Support: Federal Ministry of Research and Education, DFG, Janssen-Cilag, Medice.
Other (travel grants,..): Lilly, Janssen-Cilag, Novartis, Medice.
- 2.American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders (DSM-IV). 4th rev. ed. American Psychiatric Association, Washington, D.C.Google Scholar
- 4.Bell AS (2010) A critical review of ADHD diagnostic criteria. What to address in the DSM-V. J Atten Disord published online first. doi: 10.1177/1087054710365982
- 5.Biederman J (2004) Impact of comorbidity in adults with attention-deficit/hyperactivity disorder. J Clin Psychiatry 65(Suppl 3):3–7Google Scholar
- 8.Bitter I, Simon V, Bálint S, Mészáros A, Czobor P (2010) How do different diagnostic criteria, age and gender affect the prevalence of attention deficit hyperactivity disorder in adults? An epidemiological study in a Hungarian community sample. Eur Arch Psychiatry Clin Neurosci 260:287–296PubMedCrossRefGoogle Scholar
- 9.Burzan N, Lökenhoff B, Schimank U, Schöneck NM (2008) The audience of society: inclusion ratios and inclusion profiles in Germany. VS Verlag, Wiesbaden, p 125Google Scholar
- 11.Döpfner M, Breuer D, Wille N, Erhart M, Ravens-Sieberer U; BELLA study group (2008) How often do children meet ICD-10/DSM-IV criteria of attention deficit-/hyperactivity disorder and hyperkinetic disorder? Parent-based prevalence rates in a national sample–results of the BELLA study. Eur Child Adolesc Psychiatry 17(Suppl 1):59–70Google Scholar
- 14.Fayyad J, De Graaf R, Kessler R, Alonso J, Angermeyer M, Demyttenaere K, DeGirolamo G, Haro JM, Karam EG, Lara C, Lépine JP, Ormel J, Posada-Villa J, Zaslavsky AM, Jin R (2007) Cross-national prevalence and correlates of adult attention-deficit hyperactivity disorder. Br J Psychiatry 190:402–409PubMedCrossRefGoogle Scholar
- 19.Huss M, Hölling H, Kurth BM, Schlack R (2008) How often are German children and adolescents diagnosed with ADHD? Prevalence based on the judgment of health care professionals: results of the German health and examination survey (KiGGS). Eur Child Adolesc Psychiatry 17(Suppl 1):52–58Google Scholar
- 21.Kessler RC, Adler L, Barkley R, Biederman J, Conners CK, Demler O, Faraone SV, Greenhill LL, Howes MJ, Secnik K, Spencer T, Ustun TB, Walters EE, Zaslavsky AM (2006) The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. Am J Psychiatry 163:716–723PubMedCrossRefGoogle Scholar
- 22.Kessler RC, Adler LA, Barkley R, Biederman J, Conners CK, Faraone SV, Greenhill LL, Jaeger S, Secnik K, Spencer T, Ustün TB, Zaslavsky AM (2005) Patterns and predictors of attention-deficit/hyperactivity disorder persistence into adulthood: results from the national comorbidity survey replication. Biol Psychiatry 57:1442–1451PubMedCrossRefGoogle Scholar
- 32.Medina-Mora ME, Borges G, Lara C, Benjet C, Blanco J, Fleiz C, Villatoro J, Rojas E, Zambrano J (2005) Prevalence, service use, and demographic correlates of 12-month DSM-IV psychiatric disorders in Mexico: results from the Mexican National Comorbidity Survey. Psychol Med 35:1773–1783PubMedCrossRefGoogle Scholar
- 38.Retz-Junginger P, Retz W, Blocher D, Stieglitz RD, Georg T, Supprian T, Wender PH, Rösler M (2003) Reliability and validity of the German short version of the Wender-Utah Rating Scale for the retrospective assessment of attention deficit/hyperactivity disorder. Nervenarzt 74:987–993PubMedCrossRefGoogle Scholar
- 40.Rösler M, Retz W, Retz-Junginger P, Thome J, Supprian T, Nissen T, Stieglitz RD, Blocher D, Hengesch G, Trott GE (2004) Tools for the diagnosis of attention-deficit/hyperactivity disorder in adults. Self-rating behaviour questionnaire and diagnostic checklist. Nervenarzt 75:888–895PubMedGoogle Scholar
- 41.Rösler M, Retz W, Thome J, Schneider M, Stieglitz RD, Falkai P (2006) Psychopathological rating scales for diagnostic use in adults with attention-deficit/hyperactivity disorder (ADHD). Eur Arch Psychiatry Clin Neurosci 256(Suppl 1):3–11Google Scholar
- 42.Rösler M, Retz-Junginger P, Retz W, Stieglitz R (2008) Homburger ADHS-Skalen für Erwachsene (HASE): Untersuchungsverfahren zur syndromalen und kategorialen Diagnostik der Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) im Erwachsenenalter. Hogrefe, GöttingenGoogle Scholar
- 45.Sobanski E, Brüggemann D, Alm B, Kern S, Deschner M, Schubert T, Philipsen A, Rietschel M (2007) Psychiatric comorbidity and functional impairment in a clinically referred sample of adults with attention-deficit/hyperactivity disorder (ADHD). Eur Arch Psychiatry Clin Neurosci 257:371–377PubMedCrossRefGoogle Scholar
- 46.Van Voorhees EE, Hardy KK, Kollins SH (2010) Reliability and validity of self- and other-ratings of symptoms of ADHD in adults. J Atten Disord published online first. doi: 10.1177/1087054709356163