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The descriptive epidemiology of DSM-IV Adult ADHD in the World Health Organization World Mental Health Surveys

  • John Fayyad
  • Nancy A. Sampson
  • Irving Hwang
  • Tomasz Adamowski
  • Sergio Aguilar-Gaxiola
  • Ali Al-Hamzawi
  • Laura H. S. G. Andrade
  • Guilherme Borges
  • Giovanni de Girolamo
  • Silvia Florescu
  • Oye Gureje
  • Josep Maria Haro
  • Chiyi Hu
  • Elie G. Karam
  • Sing Lee
  • Fernando Navarro-Mateu
  • Siobhan O’Neill
  • Beth-Ellen Pennell
  • Marina Piazza
  • José Posada-Villa
  • Margreet ten Have
  • Yolanda Torres
  • Miguel Xavier
  • Alan M. Zaslavsky
  • Ronald C. Kessler
  • on behalf of the WHO World Mental Health Survey Collaborators
Original Article

Abstract

We previously reported on the cross-national epidemiology of ADHD from the first 10 countries in the WHO World Mental Health (WMH) Surveys. The current report expands those previous findings to the 20 nationally or regionally representative WMH surveys that have now collected data on adult ADHD. The Composite International Diagnostic Interview (CIDI) was administered to 26,744 respondents in these surveys in high-, upper-middle-, and low-/lower-middle-income countries (68.5% mean response rate). Current DSM-IV/CIDI adult ADHD prevalence averaged 2.8% across surveys and was higher in high (3.6%)- and upper-middle (3.0%)- than low-/lower-middle (1.4%)-income countries. Conditional prevalence of current ADHD averaged 57.0% among childhood cases and 41.1% among childhood subthreshold cases. Adult ADHD was significantly related to being male, previously married, and low education. Adult ADHD was highly comorbid with DSM-IV/CIDI anxiety, mood, behavior, and substance disorders and significantly associated with role impairments (days out of role, impaired cognition, and social interactions) when controlling for comorbidities. Treatment seeking was low in all countries and targeted largely to comorbid conditions rather than to ADHD. These results show that adult ADHD is prevalent, seriously impairing, and highly comorbid but vastly under-recognized and undertreated across countries and cultures.

Keywords

ADHD Attention-deficit/hyperactivity disorder Comorbidity Disability epidemiology Impairment Prevalence Treatment 

Notes

Author contributions

JF and RCK jointly conceived of the analyses and wrote the first draft of the manuscript. AZ and RCK designed the statistical analysis plan. NS directed the statistical analysis. IH carried out the analyses. All coauthors participated in interpretation of results and revisions.

The World Health Organization World Mental Health Survey collaborators

Tomasz Adamowski, PhD, MD, Sergio Aguilar-Gaxiola, MD, PhD, Ali Al-Hamzawi, MD, Mohammad Al-Kaisy, MD, Abdullah Al Subaie, MBBS, FRCP, Jordi Alonso, MD, PhD, Yasmin Altwaijri, MS, PhD, Laura Helena Andrade, MD, PhD, Lukoye Atwoli, MD, Randy P. Auerbach, PhD, William G. Axinn, PhD, Corina Benjet, PhD, Guilherme Borges, ScD, Robert M. Bossarte, PhD, Evelyn J. Bromet, PhD, Ronny Bruffaerts, PhD, Brendan Bunting, PhD, Ernesto Caffo, MD, Jose Miguel Caldas de Almeida, MD, PhD, Graca Cardoso, MD, PhD, Alfredo H. Cia, MD, Stephanie Chardoul, Somnath Chatterji, MD, Alexandre Chiavegatto Filho, PhD, Pim Cuijpers, PhD, Louisa Degenhardt, PhD, Giovanni de Girolamo, MD, Ron de Graaf, MS, PhD, Peter de Jonge, PhD, Koen Demyttenaere, MD, PhD, David D. Ebert, PhD, Sara Evans-Lacko, PhD, John Fayyad, MD, Fabian Fiestas, MD, PhD, Silvia Florescu, MD, PhD, Barbara Forresi, PhD, Sandro Galea, DrPH, MD, MPH, Laura Germine, PhD, Stephen E. Gilman, ScD, Dirgha J. Ghimire, PhD, Meyer D. Glantz, PhD, Oye Gureje, PhD, DSc, FRCPsych, Josep Maria Haro, MD, MPH, PhD, Yanling He, MD, Hristo Hinkov, MD, Chi-yi Hu, PhD, MD, Yueqin Huang, MD, MPH, PhD, Aimee Nasser Karam, PhD, Elie G. Karam, MD, Norito Kawakami, MD, DMSc, Ronald C. Kessler, PhD, Andrzej Kiejna, MD, PhD, Karestan C. Koenen, PhD, Viviane Kovess-Masfety, MSc, MD, PhD, Luise Lago, PhD, Carmen Lara, MD, PhD, Sing Lee, PhD, Jean-Pierre Lepine, MD, Itzhak Levav, MD, Daphna Levinson, PhD, Zhaorui Liu, MD, MPH, Silvia S. Martins, MD, PhD, Herbert Matschinger, PhD, John J. McGrath, PhD, Katie A. McLaughlin, PhD, Maria Elena Medina-Mora, PhD, Zeina Mneimneh, PhD, MPH, Jacek Moskalewicz, DrPH, Samuel D. Murphy, DrPH, Fernando Navarro-Mateu, MD, PhD, Matthew K. Nock, PhD, Siobhan O’Neill, PhD, Mark Oakley-Browne, MB, ChB, PhD, J. Hans Ormel, PhD, Beth-Ellen Pennell, MA, Marina Piazza, MPH, ScD, Stephanie Pinder-Amaker, PhD, Patryk Piotrowski, MD, PhD, Jose Posada-Villa, MD, Ayelet M. Ruscio, PhD, Kate M. Scott, PhD, Vicki Shahly, PhD, Derrick Silove, PhD, Tim Slade, PhD, Jordan W. Smoller, ScD, MD, Juan Carlos Stagnaro, MD, PhD, Dan J. Stein, MBA, MSc, PhD, Amy E. Street, PhD, Hisateru Tachimori, PhD, Nezar Taib, MS, Margreet ten Have, PhD, Graham Thornicroft, PhD, Yolanda Torres, MPH, Maria Carmen Viana, MD, PhD, Gemma Vilagut, MS, Elisabeth Wells, PhD, David R. Williams, MPH, PhD, Michelle A. Williams, ScD, Bogdan Wojtyniak, ScD, Alan M. Zaslavsky, PhD.

Funding

This work was carried out in conjunction with the World Health Organization World Mental Health (WMH) Survey Initiative which is supported by the National Institute of Mental Health (NIMH; R01 MH070884), the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the US Public Health Service (R13-MH066849, R01-MH069864, and R01 DA016558), the Fogarty International Center (FIRCA R03-TW006481), the Pan American Health Organization, Eli Lilly and Company, Ortho-McNeil Pharmaceutical, GlaxoSmithKline, and Bristol-Myers Squibb. We thank the staff of the WMH Data Collection and Data Analysis Coordination Centres for assistance with instrumentation, fieldwork, and consultation on data analysis. None of the funders had any role in the design, analysis, interpretation of results, or preparation of this paper. A complete list of all within-country and cross-national WMH publications can be found at http://www.hcp.med.harvard.edu/wmh/. The Colombian National Study of Mental Health (NSMH) is supported by the Ministry of Social Protection. The Mental Health Study Medellín–Colombia was carried out and supported jointly by the Center for Excellence on Research in Mental Health (CES University) and the Secretary of Health of Medellín. The ESEMeD project is funded by the European Commission (Contracts QLG5-1999-01042; SANCO 2004123, and EAHC 20081308), the Piedmont Region (Italy)), Fondo de Investigación Sanitaria, Instituto de Salud Carlos III, Spain (FIS 00/0028), Ministerio de Ciencia y Tecnología, Spain (SAF 2000-158-CE), Departament de Salut, Generalitat de Catalunya, Spain, Instituto de Salud Carlos III (CIBER CB06/02/0046, RETICS RD06/0011 REM-TAP), and other local agencies and by an unrestricted educational grant from GlaxoSmithKline. Implementation of the Iraq Mental Health Survey (IMHS) and data entry were carried out by the staff of the Iraqi MOH and MOP with direct support from the Iraqi IMHS team with funding from both the Japanese and European Funds through United Nations Development Group Iraq Trust Fund (UNDG ITF). The Lebanese National Mental Health Survey (LEBANON) is supported by the Lebanese Ministry of Public Health, the WHO (Lebanon), National Institute of Health / Fogarty International Center (R03 TW006481-01), Sheikh Hamdan Bin Rashid Al Maktoum Award for Medical Sciences, anonymous private donations to IDRAAC, Lebanon, and unrestricted grants from AstraZeneca, Eli Lilly, GlaxoSmithKline, Hikma Pharmaceuticals, Janssen-Cilag, Lundbeck, Novartis, and Servier. The Mexican National Comorbidity Survey (MNCS) is supported by The National Institute of Psychiatry Ramon de la Fuente (INPRFMDIES 4280) and by the National Council on Science and Technology (CONACyT-G30544-H), with supplemental support from the Pan American Health Organization (PAHO). The Northern Ireland Study of Mental Health was funded by the Health & Social Care Research & Development Division of the Public Health Agency. The Peruvian World Mental Health Study was funded by the National Institute of Health of the Ministry of Health of Peru. The Polish project Epidemiology of Mental Health and Access to Care – EZOP Project (PL 0256) was supported by Iceland, Liechtenstein and Norway through funding from the EEA Financial Mechanism and the Norwegian Financial Mechanism. EZOP project was co-financed by the Polish Ministry of Health. The Portuguese Mental Health Study was carried out by the Department of Mental Health, Faculty of Medical Sciences, NOVA University of Lisbon, with collaboration of the Portuguese Catholic University, and was funded by Champalimaud Foundation, Gulbenkian Foundation, Foundation for Science and Technology (FCT) and Ministry of Health. The Romania WMH study projects “Policies in Mental Health Area” and “National Study regarding Mental Health and Services Use” were carried out by National School of Public Health & Health Services Management (former National Institute for Research & Development in Health, present National School of Public Health, Management & Professional Development, Bucharest), with technical support of Metro Media Transilvania, the National Institute of Statistics – National Centre for Training in Statistics, SC. Cheyenne Services SRL, Statistics Netherlands and were funded by Ministry of Public Health (former and present Ministry of Health) with supplemental support of Eli Lilly Romania SRL. The Psychiatric Enquiry to General Population in Southeast Spain–Murcia (PEGASUS-Murcia) Project has been financed by the Regional Health Authorities of Murcia (Servicio Murciano de Salud and Consejería de Sanidad y Política Social) and Fundación para la Formación e Investigación Sanitarias (FFIS) of Murcia. The Chinese World Mental Health Survey Initiative is supported by the Pfizer Foundation. The Shenzhen Mental Health Survey is supported by the Shenzhen Bureau of Health and the Shenzhen Bureau of Science, Technology, and Information. The São Paulo Megacity Mental Health Survey is supported by the State of São Paulo Research Foundation (FAPESP) Thematic Project Grant 03/00204-3. The US National Comorbidity Survey Replication (NCS-R) is supported by the National Institute of Mental Health (NIMH; U01-MH60220) with supplemental support from the National Institute of Drug Abuse (NIDA), the Substance Abuse and Mental Health Services Administration (SAMHSA), the Robert Wood Johnson Foundation (RWJF; Grant 044708), and the John W. Alden Trust.

Compliance with ethical standards

Conflict of interest

Dr. Kessler received support for his epidemiological studies from Sanofi Aventis, was a consultant for Johnson & Johnson Wellness and Prevention, and served on an advisory board for the Johnson & Johnson Services Inc. Lake Nona Life Project. Kessler is a co-owner of DataStat, Inc., a market research firm that carries out healthcare research. The other authors report no conflicts of interest.

References

  1. Adler L, Cohen J (2004) Diagnosis and evaluation of adults with attention-deficit/hyperactivity disorder. Psychiatr Clin North Am 27(2):187–201. doi: 10.1016/j.psc.2003.12.003 CrossRefPubMedGoogle Scholar
  2. Adler L, Spencer T (2004) The Adult ADHD Clinical Diagnostic Scale (ACDS), version 1.2. New York University School of Medicine, New YorkGoogle Scholar
  3. Agnew-Blais JC, Polanczyk GV, Danese A, Wertz J, Moffitt TE, Arseneault L (2016) Evaluation of the persistence, remission, and emergence of attention-deficit/hyperactivity disorder in young adulthood. JAMA Psychiatry 73(7):713–720. doi: 10.1001/jamapsychiatry.2016.0465 CrossRefPubMedGoogle Scholar
  4. Alhraiwil NJ, Ali A, Househ MS, Al-Shehri AM, El-Metwally AA (2015) Systematic review of the epidemiology of attention deficit hyperactivity disorder in Arab countries. Neurosciences (Riyadh) 20(2):137–144. doi: 10.17712/nsj.2015.2.20140678 CrossRefGoogle Scholar
  5. Andrade LH et al (2014) Barriers to mental health treatment: results from the WHO World Mental Health (WMH) surveys. Psychol Med 44(6):1303–1317. doi: 10.1017/s0033291713001943 CrossRefPubMedGoogle Scholar
  6. Asherson P et al (2012) Under diagnosis of adult ADHD: cultural influences and societal burden. J Atten Disord 16(5 Suppl):20S–38S. doi: 10.1177/1087054711435360 CrossRefPubMedGoogle Scholar
  7. Babcock T, Ornstein CS (2009) Comorbidity and its impact in adult patients with attention-deficit/hyperactivity disorder: a primary care perspective. Postgrad Med 121(3):73–82. doi: 10.3810/pgm.2009.05.2005 CrossRefPubMedGoogle Scholar
  8. Biederman J et al (2012) The effects of lisdexamfetamine dimesylate on the driving performance of young adults with ADHD: a randomized, double-blind, placebo-controlled study using a validated driving simulator paradigm. J Psychiatr Res 46(4):484–491. doi: 10.1016/j.jpsychires.2012.01.007 CrossRefPubMedGoogle Scholar
  9. Bitter I, Simon V, Balint S, Meszaros 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(4):287–296. doi: 10.1007/s00406-009-0076-3 CrossRefPubMedGoogle Scholar
  10. Bouchard G, Saint-Aubin J (2014) Attention deficits and divorce. Can J Psychiatry 59(9):480–486. doi: 10.1177/070674371405900904 CrossRefPubMedPubMedCentralGoogle Scholar
  11. Caci HM, Morin AJ, Tran A (2014) Prevalence and correlates of attention deficit hyperactivity disorder in adults from a French community sample. J Nerv Ment Dis 202(4):324–332. doi: 10.1097/nmd.0000000000000126 CrossRefPubMedGoogle Scholar
  12. Caye A et al (2016a) Attention-deficit/hyperactivity disorder trajectories from childhood to young adulthood: evidence from a birth cohort supporting a late-onset syndrome. JAMA Psychiatry 73(7):705–712. doi: 10.1001/jamapsychiatry.2016.0383 CrossRefPubMedGoogle Scholar
  13. Caye A et al (2016b) Predictors of persistence of ADHD into adulthood: a systematic review of the literature and meta-analysis. Eur Child Adolesc Psychiatry 25(11):1151–1159. doi: 10.1007/s00787-016-0831-8 CrossRefPubMedGoogle Scholar
  14. de Graaf R et al (2008) The prevalence and effects of adult attention-deficit/hyperactivity disorder (ADHD) on the performance of workers: results from the WHO World Mental Health Survey Initiative. Occup Environ Med 65(12):835–842. doi: 10.1136/oem.2007.038448 CrossRefPubMedPubMedCentralGoogle Scholar
  15. de Zwaan M et al (2012) The estimated prevalence and correlates of adult ADHD in a German community sample. Eur Arch Psychiatry Clin Neurosci 262(1):79–86. doi: 10.1007/s00406-011-0211-9 CrossRefPubMedGoogle Scholar
  16. Dehili VM, Prevatt F, Coffman TP (2013) An analysis of the Barkley Deficits in Executive Functioning Scale in a college population: does it predict symptoms of ADHD better than a visual-search task? J Atten Disord. doi: 10.1177/1087054713498932 PubMedGoogle Scholar
  17. Derks EM, Hudziak JJ, Boomsma DI (2007) Why more boys than girls with ADHD receive treatment: a study of Dutch twins. Twin Res Hum Genet 10(5):765–770. doi: 10.1375/twin.10.5.765 CrossRefPubMedGoogle Scholar
  18. Faraone SV, Biederman J, Mick E (2006) The age-dependent decline of attention deficit hyperactivity disorder: a meta-analysis of follow-up studies. Psychol Med 36(2):159–165. doi: 10.1017/s003329170500471x CrossRefPubMedGoogle Scholar
  19. Fayyad J et al (2007) Cross-national prevalence and correlates of adult attention-deficit hyperactivity disorder. Br J Psychiatry 190(5):402–409. doi: 10.1192/bjp.bp.106.034389 CrossRefPubMedGoogle Scholar
  20. First M, Spitzer R, Gibbon M, Williams J (2002) Structured clinical interview for DSM-IV Axis I Disorders, Research Version, Non-patient Edition (SCID-I/NP). Biometrics Research, New York State Psychiatric Institute, New YorkGoogle Scholar
  21. Green JG et al (2010) Attention deficit hyperactivity disorder: concordance of the adolescent version of the Composite International Diagnostic Interview Version 3.0 (CIDI) with the K-SADS in the US National Comorbidity Survey Replication Adolescent (NCS-A) supplement. Int J Method Psych 19(1):34–49. doi: 10.1002/mpr.303 CrossRefGoogle Scholar
  22. Harkness J, Pennell B-P, Villar A, Gebler N, Aguilar-Gaxiola SIB (2008) Translation procedures and translation assessment in the World Mental Health Survey Initiative. In: Kessler R, Ustun TB (eds) The WHO World Mental Health Surveys: global perspectives on the epidemiology of mental disorders. Cambridge University Press, New York, pp 91–113Google Scholar
  23. Haro JM et al (2006) Concordance of the Composite International Diagnostic Interview Version 3.0 (CIDI 3.0) with standardized clinical assessments in the WHO World Mental Health surveys. Int J Methods Psychiatr Res 15(4):167–180. doi: 10.1002/mpr.196 CrossRefPubMedGoogle Scholar
  24. Heeringa SG, Wells EJ, Hubbard F, Mneimneh ZN, Chiu WT, Sampson NA, Berglund PA (2008) Sample designs and sampling procedures. In: Kessler R, Ustun TB (eds) The WHO World Mental Health Surveys: Global perspectives on the epidemiology of mental disorders. Cambridge University Press, New York, pp 14–32Google Scholar
  25. Hill JC, Schoener EP (1996) Age-dependent decline of attention deficit hyperactivity disorder. Am J Psychiatry 153(9):1143–1146. doi: 10.1176/ajp.153.9.1143 CrossRefPubMedGoogle Scholar
  26. Ivanchak N, Fletcher K, Jicha GA (2012) Attention-deficit/hyperactivity disorder in older adults: prevalence and possible connections to mild cognitive impairment. Curr Psychiatry Rep 14(5):552–560. doi: 10.1007/s11920-012-0305-8 CrossRefPubMedPubMedCentralGoogle Scholar
  27. Karlsdotter K et al (2016) Burden of illness and health care resource utilization in adult psychiatric outpatients with attention-deficit/hyperactivity disorder in Europe. Curr Med Res Opin 32(9):1547–1556. doi: 10.1080/03007995.2016.1189892 CrossRefPubMedGoogle Scholar
  28. Kessler RC, Ustun TB (2008) The WHO World Mental Health Surveys: global perspectives on the epidemiology of mental disorders. Cambridge University Press, New YorkGoogle Scholar
  29. Kessler RC, Üstün TB (2004) The World Mental Health (WMH) survey initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res 13(2):93–121. doi: 10.1002/mpr.168 CrossRefPubMedGoogle Scholar
  30. Kessler RC et al (2005) The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychol Med 35(2):245–256. doi: 10.1017/S0033291704002892 CrossRefPubMedGoogle Scholar
  31. Kessler RC et al (2006) The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. Am J Psychiatry 163(4):716–723. doi: 10.1176/appi.ajp.163.4.716 CrossRefPubMedPubMedCentralGoogle Scholar
  32. Kessler RC et al (2011) Development of lifetime comorbidity in the World Health Organization World Mental Health Surveys. Arch Gen Psychiatry 68(1):90–100. doi: 10.1001/archgenpsychiatry.2010.180 CrossRefPubMedPubMedCentralGoogle Scholar
  33. Knäuper B, Cannell CF, Schwarz N, Bruce ML, Kessler RC (1999) Improving accuracy of major depression age-of-onset reports in the US National Comorbidity Survey. Int J Methods Psychiatr Res 8(1):39–48. doi: 10.1002/mpr.55 CrossRefGoogle Scholar
  34. Kupper T, Haavik J, Drexler H, Ramos-Quiroga JA, Wermelskirchen D, Prutz C, Schauble B (2012) The negative impact of attention-deficit/hyperactivity disorder on occupational health in adults and adolescents. Int Arch Occup Environ Health 85(8):837–847. doi: 10.1007/s00420-012-0794-0 CrossRefPubMedGoogle Scholar
  35. Lara C et al (2009) Childhood predictors of adult attention-deficit/hyperactivity disorder: results from the World Health Organization World Mental Health Survey Initiative. Biol Psychiatry 65(1):46–54. doi: 10.1016/j.biopsych.2008.10.005 CrossRefPubMedGoogle Scholar
  36. Lozano OM et al (2016) Adult ADHD Self-Report Scale: comprehensive psychometric study in a Spanish SUD sample. J Atten Disord. doi: 10.1177/1087054716664410 PubMedGoogle Scholar
  37. Mannuzza S, Klein RG, Moulton JL (2003) Persistence of attention-deficit/hyperactivity disorder into adulthood: What have we learned from the prospective follow-up studies? J Atten Disord 7(2):93–100. doi: 10.1177/108705470300700203 CrossRefPubMedGoogle Scholar
  38. Mao AR, Findling RL (2014) Comorbidities in adult attention-deficit/hyperactivity disorder: a practical guide to diagnosis in primary care. Postgrad Med 126(5):42–51. doi: 10.3810/pgm.2014.09.2799 CrossRefPubMedGoogle Scholar
  39. Martel MM (2013) Individual differences in attention deficit hyperactivity disorder symptoms and associated executive dysfunction and traits: sex, ethnicity, and family income. Am J Orthopsychiatry 83(2 Pt 3):165–175. doi: 10.1111/ajop.12034 CrossRefPubMedPubMedCentralGoogle Scholar
  40. Micoulaud-Franchi JA et al (2016) Sensory gating capacity and attentional function in adults with ADHD: a preliminary neurophysiological and neuropsychological study. J Atten Disord. doi: 10.1177/1087054716629716 Google Scholar
  41. Moffitt TE et al (2015) Is adult ADHD a childhood-onset neurodevelopmental disorder? Evidence from a four-decade longitudinal cohort study. Am J Psychiatry 172(10):967–977. doi: 10.1176/appi.ajp.2015.14101266 CrossRefPubMedPubMedCentralGoogle Scholar
  42. Molina BS, Pelham WE Jr (2014) Attention-deficit/hyperactivity disorder and risk of substance use disorder: developmental considerations, potential pathways, and opportunities for research. Annu Rev Clin Psychol 10:607–639. doi: 10.1146/annurev-clinpsy-032813-153722 CrossRefPubMedPubMedCentralGoogle Scholar
  43. Morin AJ, Tran A, Caci H (2016) Factorial validity of the ADHD Adult Symptom Rating Scale in a French community sample: results from the ChiP-ARD study. J Atten Disord 20(6):530–541. doi: 10.1177/1087054713488825 CrossRefPubMedGoogle Scholar
  44. Park S et al (2011) Prevalence, correlates, and comorbidities of adult ADHD symptoms in Korea: results of the Korean epidemiologic catchment area study. Psychiatry Res 186(2–3):378–383. doi: 10.1016/j.psychres.2010.07.047 CrossRefPubMedGoogle Scholar
  45. Pennell B-E et al (2008) Implementation of the World Mental Health Surveys. In: Kessler RC, Üstün TB (eds) The WHO World Mental Health Surveys: global perspectives on the epidemiology of mental disorders. Cambridge University Press, New York, pp 33–57Google Scholar
  46. Polanczyk G, Jensen P (2008) Epidemiologic considerations in attention deficit hyperactivity disorder: a review and update. Child Adolesc Psychiatr Clin N Am 17(2):245–260. doi: 10.1016/j.chc.2007.11.006 CrossRefPubMedGoogle Scholar
  47. Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA (2007) The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry 164(6):942–948. doi: 10.1176/ajp.2007.164.6.942 CrossRefPubMedGoogle Scholar
  48. Polanczyk G, Laranjeira R, Zaleski M, Pinsky I, Caetano R, Rohde LA (2010) ADHD in a representative sample of the Brazilian population: estimated prevalence and comparative adequacy of criteria between adolescents and adults according to the item response theory. Int J Methods Psychiatr Res 19(3):177–184. doi: 10.1002/mpr.319 CrossRefPubMedGoogle Scholar
  49. Polanczyk GV, Willcutt EG, Salum GA, Kieling C, Rohde LA (2014) ADHD prevalence estimates across three decades: an updated systematic review and meta-regression analysis. Int J Epidemiol 43(2):434–442. http://ije.oxfordjournals.org/content/43/2/434.long
  50. Polderman TJ, Boomsma DI, Bartels M, Verhulst FC, Huizink AC (2010) A systematic review of prospective studies on attention problems and academic achievement. Acta Psychiatr Scand 122(4):271–284. doi: 10.1111/j.1600-0447.2010.01568.x CrossRefPubMedGoogle Scholar
  51. Posthuma D, Polderman TJ (2013) What have we learned from recent twin studies about the etiology of neurodevelopmental disorders? Curr Opin Neurol 26(2):111–121. doi: 10.1097/WCO.0b013e32835f19c3 CrossRefPubMedGoogle Scholar
  52. Robins L, Helzer J (1985) Diagnostic Interview Schedule (DIS Version III-A). Washington University, Department of Psychiatry, St. LouisGoogle Scholar
  53. Rubin D (1987) Multiple imputation for nonresponse in surveys. Wiley, New YorkCrossRefGoogle Scholar
  54. Rucklidge JJ (2010) Gender differences in attention-deficit/hyperactivity disorder. Psychiatr Clin North Am 33(2):357–373. doi: 10.1016/j.psc.2010.01.006 CrossRefPubMedGoogle Scholar
  55. Russell AE, Ford T, Williams R, Russell G (2016) The association between socioeconomic disadvantage and Attention deficit/hyperactivity disorder (ADHD): a systematic review. Child Psychiatry Hum Dev 47(3):440–458. doi: 10.1007/s10578-015-0578-3 CrossRefPubMedGoogle Scholar
  56. SAS Institute Inc (2008) SAS Software Version 9.2. SAS Institute Inc., CaryGoogle Scholar
  57. Sawilowsky S, Musial JL (1988) Modeling ADHD exponential decay. The ADHD Report 1988. 6(1):10–11Google Scholar
  58. Simon V, Czobor P, Balint S, Meszaros A, Bitter I (2009) Prevalence and correlates of adult attention-deficit hyperactivity disorder: meta-analysis. Br J Psychiatry 194(3):204–211. doi: 10.1192/bjp.bp.107.048827 CrossRefPubMedGoogle Scholar
  59. Singer JD, Willett JB (1993) It’s about time: using discrete-time survival analysis to study duration and the timing of events. J Educ Behav Stat 18(2):155–195. doi: 10.3102/10769986018002155 CrossRefGoogle Scholar
  60. Sjolander L, Vadlin S, Olofsdotter S, Sonnby K (2016) Validation of the parent version of the World Health Organization Adult ADHD Self-Report Scale for adolescents. Nord J Psychiatry 70(4):255–261. doi: 10.3109/08039488.2015.1085092 CrossRefPubMedGoogle Scholar
  61. Surman CB, Biederman J, Spencer T, Miller CA, Petty CR, Faraone SV (2015) Neuropsychological deficits are not predictive of deficient emotional self-regulation in adults with ADHD. J Atten Disord 19(12):1046–1053. doi: 10.1177/1087054713476548 CrossRefPubMedGoogle Scholar
  62. ten Have M, de Graaf R, van Dorsselaer S, Beekman A (2013) Lifetime treatment contact and delay in treatment seeking after first onset of a mental disorder. Psychiatr Serv 64(10):981–989. doi: 10.1176/appi.ps.201200454 CrossRefPubMedGoogle Scholar
  63. Thomas R, Sanders S, Doust J, Beller E, Glasziou P (2015) Prevalence of attention-deficit/hyperactivity disorder: a systematic review and meta-analysis. Pediatrics 135(4):e994–e1001. doi: 10.1542/peds.2014-3482 CrossRefPubMedGoogle Scholar
  64. Tuithof M, ten Have M, van den Brink W, Vollebergh W, de Graaf R (2012) The role of conduct disorder in the association between ADHD and alcohol use (disorder). Results from the Netherlands Mental Health Survey and Incidence Study-2. Drug Alcohol Depend 123(1–3):115–121. doi: 10.1016/j.drugalcdep.2011.10.030 CrossRefPubMedGoogle Scholar
  65. Üstün TB et al (2010) Developing the World Health Organization disability assessment schedule 2.0. Bull World Health Organ 88(11):815–823. doi: 10.2471/BLT.09.067231 CrossRefPubMedPubMedCentralGoogle Scholar
  66. Wang PS et al (2007) Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet 370(9590):841–850. doi: 10.1016/s0140-6736(07)61414-7 CrossRefPubMedPubMedCentralGoogle Scholar
  67. Wolter K (1985) Introduction to variance estimation. Springer, New YorkGoogle Scholar
  68. World Bank (2012) Data: countries and economies. http://data.worldbank.org/country. Accessed 12 May 2012

Copyright information

© Springer-Verlag Wien 2016

Authors and Affiliations

  • John Fayyad
    • 1
  • Nancy A. Sampson
    • 2
  • Irving Hwang
    • 2
  • Tomasz Adamowski
    • 3
  • Sergio Aguilar-Gaxiola
    • 4
  • Ali Al-Hamzawi
    • 5
  • Laura H. S. G. Andrade
    • 6
  • Guilherme Borges
    • 7
  • Giovanni de Girolamo
    • 8
  • Silvia Florescu
    • 9
  • Oye Gureje
    • 10
  • Josep Maria Haro
    • 11
  • Chiyi Hu
    • 12
    • 13
  • Elie G. Karam
    • 1
    • 14
    • 15
  • Sing Lee
    • 16
  • Fernando Navarro-Mateu
    • 17
  • Siobhan O’Neill
    • 18
  • Beth-Ellen Pennell
    • 19
  • Marina Piazza
    • 20
    • 21
  • José Posada-Villa
    • 22
  • Margreet ten Have
    • 23
  • Yolanda Torres
    • 24
  • Miguel Xavier
    • 25
  • Alan M. Zaslavsky
    • 2
  • Ronald C. Kessler
    • 2
  • on behalf of the WHO World Mental Health Survey Collaborators
  1. 1.Institute for Development, Research, Advocacy and Applied Care (IDRAAC)BeirutLebanon
  2. 2.Department of Health Care PolicyHarvard Medical SchoolBostonUSA
  3. 3.Department of Nervous System Diseases, Faculty of Health ScienceMedical University of WroclawWroclawPoland
  4. 4.Center for Reducing Health DisparitiesUC Davis Health SystemSacramentoUSA
  5. 5.College of MedicineAl-Qadisiya UniversityDiwaniya GovernorateIraq
  6. 6.Section of Psychiatric Epidemiology-LIM 23, Institute of PsychiatryUniversity of São Paulo Medical SchoolSão PauloBrazil
  7. 7.Instituto Nacional de Psiquiatria Ramon de la Fuente MuñizMexicoMexico
  8. 8.IRCCS St John of God Clinical Research Centre/IRCCS Centro S. Giovanni di Dio FatebenefratelliBresciaItaly
  9. 9.National School of Public Health, Management and Professional DevelopmentBucharestRomania
  10. 10.Department of PsychiatryUniversity College HospitalIbadanNigeria
  11. 11.Parc Sanitari Sant Joan de Déu, CIBERSAMUniversitat de BarcelonaBarcelonaSpain
  12. 12.Shenzhen Institute of Mental HealthShenzhenChina
  13. 13.Shenzhen Kangning HospitalShenzhenChina
  14. 14.Department of Psychiatry and Clinical Psychology, Faculty of MedicineBalamand UniversityBeirutLebanon
  15. 15.Department of Psychiatry and Clinical PsychologySt George Hospital University Medical CenterBeirutLebanon
  16. 16.Department of PsychiatryChinese University of Hong KongTai PoHong Kong
  17. 17.IMIB-Arrixaca, CIBERESP-Murcia, Subdirección General de Salud Mental y Asistencia PsiquiátricaServicio Murciano de SaludMurciaSpain
  18. 18.School of PsychologyUniversity of UlsterLondonderryUK
  19. 19.Institute for Social ResearchUniversity of MichiganAnn ArborUSA
  20. 20.National Institute of HealthLimaPeru
  21. 21.Universidad Peruana Cayetano HerediaLimaPeru
  22. 22.El Bosque UniversityBogotaColombia
  23. 23.Trimbos-Instituut, Netherlands Institute of Mental Health and AddictionUtrechtNetherlands
  24. 24.Center for Excellence on Research in Mental HealthCES UniversityMedellinColombia
  25. 25.Chronic Diseases Research Center (CEDOC) and Department of Mental Health, Faculdade de Ciências MédicasUniversidade Nova de LisboaLisbonPortugal

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