European Journal of Pediatrics

, Volume 166, Issue 2, pp 117–123 | Cite as

Variations in prevalence of attention deficit hyperactivity disorder worldwide

  • Maria Skounti
  • Anastas Philalithis
  • Emmanouil Galanakis
Review

Abstract

Attention deficit hyperactivity disorder (ADHD) is among the most common, intensely investigated, and yet diagnostically controversial neurobehavioral conditions of childhood. The prevalence of ADHD has been reported with great variations among different studies, ranging from 2.2% to 17.8%. The aim of this review was to investigate the variables that influence the prevalence of ADHD and to derive a best estimate for the prevalence of the disorder. We reviewed all the 39 studies on ADHD prevalence appearing in the Pubmed and published since 1992. These studies indicate that ADHD is more common in boys than girls, in younger than older children and adolescents, in one-setting rather than two-setting screening studies, in studies based on DSM-IV rather than DSM-III-R criteria. Additional factors that may well influence prevalence rates include source of information and assessment of clinical impairment. In conclusion, our findings suggest that population characteristics, methodology features, ethnic and cultural differences and diagnostic criteria involved in studies affect the prevalence of ADHD. Standardized designs may lead to firm conclusions on the true prevalence of ADHD, the estimation of which seems impossible to be achieved by reviewing the already existing literature.

Keywords

Attention deficit hyperactivity disorder Prevalence DSM-IV Population screening 

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Maria Skounti
    • 1
  • Anastas Philalithis
    • 2
  • Emmanouil Galanakis
    • 1
  1. 1.Department of PaediatricsUniversity of CreteHeraklionGreece
  2. 2.Department of Social MedicineUniversity of CreteHeraklionGreece

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