본문 바로가기
KERD
논문KCI 등재

Prevalence and Comorbidities of Adult Attention-deficit/ hyperactivity Disorder in a Community Sample from Korea

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

초록

Objective: Attention-deficit/hyperactivity disorder (ADHD) is prevalent in adults, and psychiatric comorbidities are common in adults with ADHD. We aimed to examine the prevalence of adult ADHD with several common psychiatric conditions in a community sample in Korea and the association between adult ADHD and risk of psychiatric comorbidities. Methods: This study used a cross-sectional survey design. We provided supplementary and optional self-report questionnaires, including the Korean version of the World Health Organization Adult ADHD Self-Report Scale (ASRS) short screening scale, Patient Health Questionnaire-9 for screening for depression, Alcohol Use Disorders Identification Test alcohol consumption questions, and the Korean version of the Mood Disorders Questionnaire, to Korean adults who visited one of six centers of a large private healthcare company for the National General Health Examination. Results: A total of 17,799 subjects included in this study, and 430 (2.4%) were positive on the ASRS screen. ADHD was significantly associated with the 19−30-year-old age group (odds ratio [OR] = 3.938), lower income (OR = 1.298), depression (OR = 11.563), and bipolar disorder (OR = 3.162). Conclusion: Adult ADHD was highly associated with depression and bipolar disorder, suggesting that clinicians should carefully evaluate and treat such psychiatric disorders in adults with ADHD symptoms.

Abstract

Objective: Attention-deficit/hyperactivity disorder (ADHD) is prevalent in adults, and psychiatric comorbidities are common in adults with ADHD. We aimed to examine the prevalence of adult ADHD with several common psychiatric conditions in a community sample in Korea and the association between adult ADHD and risk of psychiatric comorbidities. Methods: This study used a cross-sectional survey design. We provided supplementary and optional self-report questionnaires, including the Korean version of the World Health Organization Adult ADHD Self-Report Scale (ASRS) short screening scale, Patient Health Questionnaire-9 for screening for depression, Alcohol Use Disorders Identification Test alcohol consumption questions, and the Korean version of the Mood Disorders Questionnaire, to Korean adults who visited one of six centers of a large private healthcare company for the National General Health Examination. Results: A total of 17,799 subjects included in this study, and 430 (2.4%) were positive on the ASRS screen. ADHD was significantly associated with the 19−30-year-old age group (odds ratio [OR] = 3.938), lower income (OR = 1.298), depression (OR = 11.563), and bipolar disorder (OR = 3.162). Conclusion: Adult ADHD was highly associated with depression and bipolar disorder, suggesting that clinicians should carefully evaluate and treat such psychiatric disorders in adults with ADHD symptoms.

참고문헌 (49)

  1. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders, 5th edition (DSM-5)" (2013), American Psychiatric Association
  2. "Attention deficit hyperactivity disorder: Diagnosis and management (NICE guideline, No. 87). National institute for health and care excellence:Guidelines" (2019)[URL]
  3. Faraone SV, "The age-dependent decline of attention deficit hyperactivity disorder : A meta-analysis of follow-up studies", Psychol Med, 36, pp.159~165 (2006)
  4. Lara C, "Childhood predictors of adult attention-deficit", hyperactivity disorder : Results from the World Health Organization World Mental Health Survey Initiative, 2009, pp.65, 46~54
  5. Shaw M, "A systematic review and analysis of long-term outcomes in attention deficit hyperactivity disorder : Effects of treatment and non-treatment", BMC Med, 10, pp.99~ (2012)
  6. Sobanski E, "Psychiatric comorbidity and functional impairment in a clinically referred sample of adults with attentiondeficit", hyperactivity disorder(ADHD), 2007, pp.257, 371~377
  7. Jeong-Cheol Seo, "Prevalence and Comorbidities of Attention Deficit Hyperactivity Disorder Among Adults and Children", Adolescents in Korea, 2022, pp.20(1), 126~134[DOI]
  8. Katzman MA, "Adult ADHD and comorbid disorders : Clinical implications of a dimensional approach", BMC Psychiatry, 17, pp.302~ (2017)
  9. Yoshimasu K, "Adults with persistent ADHD : Gender and psychiatric comorbidities-a population-based longitudinal study", J Atten Disord, 22, pp.535~546 (2018)
  10. Yunhye Oh, "Association between Attention Deficit Hyperactivity Disorder Medication and Depression: A 10-year Follow-up Self-controlled Case Study", Clinical Psychopharmacology and Neuroscience, 20(2), pp.320~329 (2022), 대한정신약물학회[DOI]
  11. Kessler RC, "The prevalence and correlates of adult ADHD in the United States : Results from the National Comorbidity Survey Replication", Am J Psychiatry, 163, pp.716~723 (2006)
  12. Asherson P, "Adult attention-deficit hyperactivity disorder : Key conceptual issues", Lancet Psychiatry, 3, pp.568~578 (2016)
  13. Se-Hoon Shim, "Comparison between Atomoxetine and OROS Methylphenidate as an Adjunctive to SSRIs in Attention-deficit", Hyperactivity Disorder Adults with Comorbid Partially Responsive Major Depressive Disorder: A Head-to-head, 12-week, Randomized, Rater-blinded Clinical Trial, 2022, pp.20(1), 143~153[DOI]
  14. Park S, "Prevalence, correlates, and comorbidities of adult ADHD symptoms in Korea : Results of the Korean epidemiologic catchment area study", Psychiatry Res, 186, pp.378~383 (2011)
  15. Yeom CW, "Prevalence and comorbidities of adult adhd in male military conscripts in Korea : Results of an epidemiological survey of mental health in korean military service", Psychiatry Res, 293, pp.113401~ (2020)
  16. 김지혜, "The WHO Adult ADHD Self-Report Scale: Reliability and Validity of the Korean Version", PSYCHIATRY INVESTIGATION, 10(1), pp.41~46 (2013), 대한신경정신의학회[DOI]
  17. Shin DW, "National general health screening program in Korea : History, current status, and future direction", Precis Future Med, 6, pp.9~31 (2022)
  18. Simyang Heo, "Clinical Utility of the Korean Version of the WHO Adult AttentionDeficit", Hyperactivity Disorder Self-Report Scale Screener, 2018, pp.15(3), 325~329[DOI]
  19. Kessler RC, "The World Health Organization adult ADHD self-report scale(ASRS) : A short screening scale for use in the general population", Psychol Med, 35, pp.245~256 (2005)
  20. Anbarasan D, "Screening for adult ADHD", Curr Psychiatry Rep, 22, pp.72~ (2020)
  21. 박승진, "한글판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 신뢰도와 타당도", 대한불안의학회지, 6(2), pp.119~124 (2010), 대한불안의학회
  22. Kroenke K, "The PHQ-9 : Validity of a brief depression severity measure", J Gen Intern Med, 16, pp.606~613 (2001)
  23. Inoue T, "Utility and limitations of PHQ-9 in a clinic specializing in psychiatric care", BMC Psychiatry, 12, pp.73~ (2012)
  24. Kim SS, "Psychometric properties of the alcohol use disorders identification test : A Korean version", Arch Psychiatr Nurs, 22, pp.190~199 (2008)
  25. Saunders JB, "Development of the alcohol use disorders identification test(AUDIT) : WHO collaborative project on early detection of persons with harmful alcohol consumption--II", Addiction, 88, pp.791~804 (1993)
  26. Bush K, "The AUDIT alcohol consumption questions(AUDIT-C) : An effective brief screening test for problem drinking", Arch Intern Med, 158, pp.1789~1795 (1998)
  27. Aertgeerts B, "Screening properties of questionnaires and laboratory tests for the detection of alcohol abuse or dependence in a general practice population", Br J Gen Pract, 51, pp.206~217 (2001)
  28. Gual A, "Audit-3 and audit-4 : Effectiveness of two short forms of the alcohol use disorders identification test", Alcohol Alcohol, 37, pp.591~596 (2002)
  29. Lee KW, "Cut-off points for screening at-risk drinking by AUDIT-C Korean version at emergency department", Turk J Emerg Med, 18, pp.57~61 (2018)
  30. Jon DI, "Validity and reliability of the Korean version of the mood disorder questionnaire", Compr Psychiatry, 50, pp.286~291 (2009)
  31. Hirschfeld RM, "Validity of the mood disorder questionnaire : A general population study", Am J Psychiatry, 160, pp.178~180 (2003)
  32. Simon V, "Prevalence and correlates of adult attention-deficit hyperactivity disorder : Meta-analysis", Br J Psychiatry, 194, pp.204~211 (2009)
  33. Faheem M, "Gender-based differences in prevalence and effects of ADHD in adults : A systematic review", Asian J Psychiatr, 75, pp.103205~ (2022)
  34. "92.9% Surge in Diagnosis of ADHD Leading to Interpersonal Difficulties When Left Untreated Even in Adults, Compared to 2017" (2023)[URL]
  35. Hong JW, "The prevalence of and factors associated with high-risk alcohol consumption in Korean adults : The 2009-2011 Korea national health and nutrition examination survey", PLoS One, 12, pp.e0175299~ (2017)
  36. Hong JW, "The prevalence of and factors associated with depressive symptoms in the Korean adults : The 2014 and 2016 Korea national health and nutrition examination survey", Soc Psychiatry Psychiatr Epidemiol, 56, pp.659~670 (2021)
  37. Kim JH, "Lifetime prevalence, sociodemographic correlates, and diagnostic overlaps of bipolar spectrum disorder in the general population of South Korea", J Affect Disord, 203, pp.248~255 (2016)
  38. Choi WS, "The prevalence of psychiatric comorbidities in adult ADHD compared with non-ADHD populations : A systematic literature review", PLoS One, 17, pp.e0277175~ (2022)
  39. Sandstrom A, "Prevalence of attention-deficit", hyperactivity disorder in people with mood disorders : A systematic review and meta-analysis, 2021, pp.143, 380~391
  40. Bond DJ, "The Canadian Network for Mood and Anxiety Treatments (CANMAT) task force recommendations for the management of patients with mood disorders and comorbid attention-deficit", hyperactivity disorder, 2012, pp.24, 23~37
  41. Paris J, "Is adult attention-deficit hyperactivity disorder being overdiagnosed?", Can J Psychiatry, 60, pp.324~328 (2015)
  42. Moustafa Y, "Attention-deficit", hyperactivity disorder overdiagnosis and overprescriptions : Medicalization of distractions, 2022, pp.97, 1339~1344
  43. Ishizuka K, "Depressive mood changes are associated with self-perceptions of ADHD characteristics in adults", Psychiatry Res, 300, pp.113893~ (2021)
  44. Luderer M, "Alcohol use disorders and ADHD", Neurosci Biobehav Rev, 128, pp.648~660 (2021)
  45. Bozkurt M, "Relationship of attention-deficit", hyperactivity disorder symptom severity with severity of alcohol-related problems in a sample of inpatients with alcohol use disorder, 2016, pp.12, 1661~1667
  46. Tuithof M, "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, pp.115~121 (2012)
  47. Weiss F, "Triple diagnosis of attention-deficit", hyperactivity disorder with coexisting bipolar and alcohol use disorders : Clinical aspects and pharmacological treatments, 2023, pp.21, 1467~1476
  48. Somerville LH, "Developmental neurobiology of cognitive control and motivational systems", Curr Opin Neurobiol, 20, pp.236~241 (2010)
  49. Rolstad S, "Response burden and questionnaire length: Is shorter better? A review and meta-analysis", Value Health, 14, pp.1101~1108 (2011)

관련 논문AI추천

Prevalence and Comorbidities of Attention Deficit Hyperactivity Disorder Among Adults and Children/Adolescents in Korea박원명, 심세훈, 전덕인, Hyung Mo Sung, Jeong-Cheol Seo, Jeong Seok Seo, Jeongwan Hong, Sung‐Yong Park, Young Sup Woo대한정신약물학회 · Clinical Psychopharmacology and Neuroscience2022 · 제20권 제1호Clinical Utility of the Korean Version of the WHO Adult AttentionDeficit/Hyperactivity Disorder Self-Report Scale Screener정유숙, Ji-Hae Kim, Joo-Jin Kim, Seok Han Sohn, Simyang Heo, Soon Ah Chang, Won-Ik Lee대한신경정신의학회 · PSYCHIATRY INVESTIGATION2018 · 제15권 제3호성인 주의력결핍 과잉행동장애 환자에서 임상양상과 우울 증상 간의 연관성에 대한 연구: 한국형 성인 주의력결핍 과잉행동장애 평가척도를 중심으로김가은, 김의정, 박민아대한신경정신의학회 · 신경정신의학2023 · 제62권 제4호The WHO Adult ADHD Self-Report Scale: Reliability and Validity of the Korean Version김지혜, 이은호, 정유숙대한신경정신의학회 · PSYCHIATRY INVESTIGATION2013 · 제10권 제1호Corrigendum: Prevalence and Comorbidities of Attention Deficit Hyperactivity Disorder Among Adults and Children/Adolescents in KoreaDuk-In Jon, Hyung Mo Sung, Jeong-Cheol Seo, Jeong Seok Seo, Jeongwan Hong, Se-Hoon Shim, Sung‐Yong Park, Won-Myong Bahk, Young Sup Woo대한정신약물학회 · Clinical Psychopharmacology and Neuroscience2022 · 제20권 제2호성인 주의력결핍과잉행동장애 증상과 문제성/병적 도박 간의 관련성김문두, 이원석, 정영은대한신경정신의학회 · 신경정신의학2024 · 제63권 제3호

이 간행물의 다른 논문 (18건)