Distribution of ADHD symptoms, and associated comorbidity, exposure to risk factors and disability: Results from a general population study

Vogel, Suzan W.N.; Have, Margreet ten; Bijlenga, Denise; Graaf, Ron de; Beekman, Aartjan; Kooij, J. J. Sandra

doi:10.1016/j.psychres.2018.06.017

Cited by 20 publications

(25 citation statements)

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“…ADHD symptoms decrease with age, although inattention seems more persistent than hyperactivity/impulsivity (Biederman, Mick, & Faraone, 2000; Kessler et al, 2010; Oerbeck et al, 2015). ADHD symptoms can be considered a dimensional trait in the general population (Marcus & Barry, 2011; Vogel et al, 2018), with 5.0–5.3% of adults meeting criteria for a diagnosis (Fayyad et al, 2017; Vogel et al, 2018). Comorbidity is high among adults with ADHD: 70–75% have at least one comorbid diagnosis (Fisher et al, 2014), such as obesity or sleep, mood, anxiety, or substance use disorders (Fayyad et al, 2017; Instanes, Klungsoyr, Halmoy, Fasmer, & Haavik, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…Adult ADHD has been associated with reduced quality of life (QoL), lower productivity, and increased health care use in numerous clinical and population studies (Agarwal, Goldenberg, Perry, & IsHak, 2012; Uneri, Senses-Dinc, & Goker, 2015). Population studies have shown that even subclinical ADHD symptoms were associated with poorer QoL (Das, Cherbuin, Butterworth, Anstey, & Easteal, 2012; Estevez et al, 2014; Gudjonsson, Sigurdsson, Smari, & Young, 2009; Oerbeck et al, 2015; Vogel et al, 2018). Inattention related more strongly to QoL than hyperactivity/impulsivity (Das et al, 2012; Oerbeck et al, 2015) in population samples.…”

Section: Introductionmentioning

confidence: 99%

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Combined impact of ADHD and insomnia symptoms on quality of life, productivity, and health care use in the general population

et al. 2020

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Background Both attention-deficit/hyperactivity disorder (ADHD) and insomnia have been independently related to poorer quality of life (QoL), productivity loss, and increased health care use, although most previous studies did not take the many possible comorbidities into account. Moreover, ADHD and insomnia often co-occur. Symptoms of ADHD and insomnia together may have even stronger negative effects than they do separately. We investigated the combined effects of symptoms of ADHD and insomnia, in addition to their independent effects, on QoL, productivity, and health care use, thereby controlling for a wide range of possible comorbidities and confounders. Methods Data from the third wave of the Netherlands Mental Health Survey and Incidence Study-2 were used, involving N = 4618 from the general population. Both the inattention and the hyperactivity ADHD symptom dimensions were studied, assessed by the ASRS Screener. Results Mental functioning and productivity were negatively associated with the co-occurrence of ADHD and insomnia symptoms, even after adjusting for comorbidity and confounders. The results show no indication of differences between inattention and hyperactivity. Poorer physical functioning and health care use were not directly influenced by the interaction between ADHD and insomnia. Conclusions People with both ADHD and sleep problems have increased risk for poorer mental functioning and productivity loss. These results underscore the importance of screening for sleep problems when ADHD symptoms are present, and vice versa, and to target both disorders during treatment.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Combined impact of ADHD and insomnia symptoms on quality of life, productivity, and health care use in the general population

et al. 2020

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“…Positive disclosure tends to occur more frequently and predict positive feedback and greater social support (29)(30)(31), which can increase feelings of connection (32). Similarly, negative disclosure may hinder others from providing public response (33). That is to say, the negative content of disclosure cannot promote the development of peer relationship and makes it difficult for individuals to respond or even produce resistance, which is not conducive to the development of peer relationships.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Self-Disclosure on Loneliness in Adolescents During COVID-19: The Mediating Role of Peer Relationships

Chen

Cheng

2021

Front. Psychiatry

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Long-term home isolation has had a certain impact on adolescents' enthusiasm for interpersonal communication and desire for self-disclosure during COVID-19. The purpose of this study was to explore the relationship between adolescents' self-disclosure and loneliness during COVID-19, and to analyze the mediating role of peer relationship in it. We conducted a cross-sectional study involving 830 Chinese adolescents (males: 47.5%, Mage14.25 years; females: 52.05%, Mage 14.19 years; Age range 12-15). Participants completed a self-reported survey that included sociodemographic, Jourard Self-Disclosure Scale, UCLA, and Peer Relationship Scale. The results showed that in the period of COVID-19, adolescents' self-disclosure affects loneliness through peer relationship, that is, the level of self-disclosure can significantly predict loneliness through peer relationship, and peer relationship plays a complete mediating role.

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“…There are several reasons why such a focus is warranted. Not only is ADHD prevalent in the adult population (2.5–5%) [18–20], but it has also been associated with negative outcomes across a variety of different domains including worse physical and mental health problems/conditions and socioeconomic outcomes [21, 22], with even a low (subclinical) number of symptoms being relevant in this context [21, 23].…”

Section: Introductionmentioning

confidence: 99%

Attention-deficit/hyperactivity disorder symptoms and perceived mental health discrimination in adults in the general population

et al. 2019

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Background:The experience of discrimination is common in individuals with mental health problems and has been associated with a range of negative outcomes. As yet, however, there has been an absence of research on this phenomenon in adults with attention-deficit/hyperactivity disorder (ADHD). The current study examined the association between ADHD symptoms and mental health discrimination in the general adult population.Methods:The analytic sample comprised 7274 individuals aged 18 and above residing in private households in England that were drawn from the Adult Psychiatric Morbidity Survey, 2007. Information on ADHD was obtained with the Adult ADHD Self-Report Scale (ASRS) Screener. A single-item question was used to assess mental health discrimination experienced in the previous 12 months. Logistic regression analysis was used to examine associations.Results:The prevalence of discrimination increased as ADHD symptoms increased but was especially elevated in those with the most severe ADHD symptoms (ASRS score 18–24). In a multivariable logistic regression analysis that was adjusted for a variety of covariates including common mental disorders, ADHD symptoms (ASRS ≥ 14) were associated with almost 3 times higher odds for experiencing mental health discrimination (odds ratio: 2.81, 95% confidence interval: 1.49–5.31).Conclusion:ADHD symptoms are associated with higher odds for experiencing mental health discrimination and this association is especially elevated in those with the most severe ADHD symptoms. Interventions to inform the general public about ADHD may be important for reducing the stigma and discrimination associated with this disorder in adults.

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Distribution of ADHD symptoms, and associated comorbidity, exposure to risk factors and disability: Results from a general population study

Cited by 20 publications

References 51 publications

Combined impact of ADHD and insomnia symptoms on quality of life, productivity, and health care use in the general population

Combined impact of ADHD and insomnia symptoms on quality of life, productivity, and health care use in the general population

The Effect of Self-Disclosure on Loneliness in Adolescents During COVID-19: The Mediating Role of Peer Relationships

Attention-deficit/hyperactivity disorder symptoms and perceived mental health discrimination in adults in the general population

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