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      Prevalence and Comorbidities of Attention Deficit Hyperactivity Disorder Among Adults and Children/Adolescents in Korea

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          Abstract

          Objective

          This study investigated the prevalence and comorbidities of attention deficit hyperactivity disorder (ADHD) among adults and children/adolescents in Korea.

          Methods

          This study used data from the Korea Health Insurance Review and Assessment Service collected from 2008 to 2018. Study participants comprised patients with at least one diagnosis of ADHD (International Statistical Classification of Diseases and Related Health Provisions, 10th revision code F90.0). Prevalence rates and psychiatric comorbidities were also analyzed.

          Results

          We identified 878,996 patients diagnosed with ADHD between 2008 and 2018. The overall prevalence rate of diagnosed ADHD increased steeply from 127.1/100,000 in 2008 to 192.9/100,000 in 2018; it increased 1.47 times in children/adolescents (≤ 18 years) and 10.1 times in adults (> 18 years) during this period. Among adult and children/adolescent ADHD patients, 61.84% (95% confidence interval [95% CI] 61.74−61.93) and 78.72% (95% CI 78.53− 78.91) had at least one psychiatric comorbidity, respectively.

          Conclusion

          Our results showed that the prevalence rate of diagnosed ADHD has increased in Korea; however, it is lower than the global average. Further studies are required to identify and treat vulnerable populations appropriately.

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          Most cited references44

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          Epidemiology of DSM-5 Alcohol Use Disorder: Results From the National Epidemiologic Survey on Alcohol and Related Conditions III.

          National epidemiologic information from recently collected data on the new DSM-5 classification of alcohol use disorder (AUD) using a reliable, valid, and uniform data source is needed.
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            The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication.

            Despite growing interest in adult attention deficit hyperactivity disorder (ADHD), little is known about its prevalence or correlates. A screen for adult ADHD was included in a probability subsample (N=3,199) of 18-44-year-old respondents in the National Comorbidity Survey Replication, a nationally representative household survey that used a lay-administered diagnostic interview to assess a wide range of DSM-IV disorders. Blinded clinical follow-up interviews of adult ADHD were carried out with 154 respondents, oversampling those with positive screen results. Multiple imputation was used to estimate prevalence and correlates of clinician-assessed adult ADHD. The estimated prevalence of current adult ADHD was 4.4%. Significant correlates included being male, previously married, unemployed, and non-Hispanic white. Adult ADHD was highly comorbid with many other DSM-IV disorders assessed in the survey and was associated with substantial role impairment. The majority of cases were untreated, although many individuals had obtained treatment for other comorbid mental and substance-related disorders. Efforts are needed to increase the detection and treatment of adult ADHD. Research is needed to determine whether effective treatment would reduce the onset, persistence, and severity of disorders that co-occur with adult ADHD.
              • Record: found
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              • Article: not found

              The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder.

              This study examined the persistence of attention-deficit/hyperactivity disorder (ADHD) into young adulthood using hyperactive (N = 147) and community control (N = 71) children evaluated at ages 19-25 years. ADHD was rare in both groups (5% vs. 0%) based on self-report but was substantially higher using parent reports (46% vs. 1.4%). Using a developmentally referenced criterion (+2 SD), prevalence remained low for self-reports (12% vs. 10%) but rose further for parent reports (66% vs. 8%). Parent reports were more strongly associated with major life activities than were self-reports. Recollections of childhood ADHD showed moderate correlations with actual parent ratings collected in childd hood, which suggests some validity for such recollections. The authors conclude that previous follow-up studies that relied on self-reports might have substantially underestimated the persistence of ADHD into adulthood.

                Author and article information

                Journal
                Clin Psychopharmacol Neurosci
                Clin Psychopharmacol Neurosci
                Clinical Psychopharmacology and Neuroscience
                Korean College of Neuropsychopharmacology
                1738-1088
                2093-4327
                28 February 2022
                28 February 2022
                : 20
                : 1
                : 126-134
                Affiliations
                [1 ]Department of Psychiatry, School of Medicine, Konkuk University, Chungju, Korea
                [2 ]Department of Psychiatry, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang, Korea
                [3 ]Department of Psychiatry, Soonchunhyang University Cheonan Hospital, Soonchunhyang University, Cheonan, Korea
                [4 ]Department of Psychiatry, Soonchunhyang University Gumi Hospital, Soonchunhyang University, Gumi, Korea
                [5 ]Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul, Korea
                [6 ]Department of Psychiatry, Iksan Hospital, Iksan, Korea
                [7 ]Department of Psychiatry, Keyo Hospital, Uiwang, Korea
                [8 ]Department of Psychiatry, Chung-Ang University Hospital, College of Medicine, Chung-Ang University, Seoul, Korea
                Author notes
                Address for correspondence: Jeong Seok Seo Department of Psychiatry, Chung-Ang University Hospital, College of Medicine, Chung-Ang University, 102 Heukseok-ro, Dongjak-gu, Seoul 06973, Korea, E-mail: sjs52632@ 123456hanmail.net , ORCID: https://orcid.org/0000-0002-4880-3684, Won-Myong Bahk Department of Psychiatry, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 10 63-ro, Yeongdeungpo-gu, Seoul 07345, Korea, E-mail: wmbahk@ 123456catholic.ac.kr , ORCID: https://orcid.org/0000-0002-0156-2510
                Author information
                https://orcid.org/0000-0003-3239-2689
                https://orcid.org/0000-0002-1565-7940
                https://orcid.org/0000-0002-3137-6591
                https://orcid.org/0000-0002-2396-3358
                https://orcid.org/0000-0002-0961-838X
                https://orcid.org/0000-0003-0458-6750
                https://orcid.org/0000-0002-8685-620X
                https://orcid.org/0000-0002-4880-3684
                https://orcid.org/0000-0002-0156-2510
                Article
                cpn-20-1-126
                10.9758/cpn.2022.20.1.126
                8813326
                35078955
                47e6feb7-e5eb-4d6e-a815-05ea61964b03
                Copyright© 2022, Korean College of Neuropsychopharmacology

                This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 8 December 2020
                : 12 March 2021
                : 26 March 2021
                Categories
                Original Article

                attention deficit hyperactivity disorder,prevalence,comorbidity

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