Hostname: page-component-7479d7b7d-pfhbr Total loading time: 0 Render date: 2024-07-13T15:43:02.395Z Has data issue: false hasContentIssue false

Estimating the prevalence of adult ADHD in the psychiatric clinic: a cross-sectional study using the adult ADHD self-report scale (ASRS)

Published online by Cambridge University Press:  13 June 2014

Hussain Syed
Affiliation:
St Ita's Psychiatric Hospital, Portrane, Co Dublin, Ireland
Tawfik M Masaud
Affiliation:
St Ita's Psychiatric Hospital, Portrane, Co Dublin, Ireland
Nmandi Nkire
Affiliation:
St Ita's Psychiatric Hospital, Portrane, Co Dublin, Ireland
Chinedu Iro
Affiliation:
St Ita's Psychiatric Hospital, Portrane, Co Dublin, Ireland
Malcolm R Garland
Affiliation:
St Ita's Psychiatric Hospital, Portrane, Co Dublin, Ireland

Abstract

Objectives: We sought to determine the point prevalence of adult attention deficit/hyperactivity disorder (ADHD) in an out-patient psychiatric population.

Methods: Patients (n=243) attending five different outpatient clinics in a largely urban adult psychiatric service completed the Adult ADHD Self-Report Scale, a recently developed instrument by the World Health Organisation. Clinical and demographic data were recorded.

Results: There was a high apparent rate of adult ADHD detected (23.9%). Such patients were significantly more likely to have lower educational attainment, ADHD as children, a forensic history and the diagnosis of personality disorder as well as a higher rate of benzodiazepine use. They were no more likely to be dissatisfied with the service, nor to be heavier users of the service.

Conclusions: We report a high apparent rate of adult ADHD. Correlates of this high rate indicate individuals with less positive lifestyles than other patients. Screening for this disorder appears warranted, particularly in the light of the emergence of new non-amphetamine-based therapies.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Biederman, J, Faraone, SV.Attention-deficit hyperactivity disorder. Lancet 2005; 07 (9481):237248.Google Scholar
2.Ross, DM, Ross, SA.Hyperactivity: Research Theory and Action. John Wiley, New York: 1976Google Scholar
3.Davidson, MA.ADHD in adults: a review of the literature. J Atten Disord. 2008; 11(6):628641.CrossRefGoogle ScholarPubMed
4.Rasmussen, P, Gillberg, C.Natural outcome of ADHD with developmental coordination disorder at age 22 years: a controlled, longitudinal, community-based study. J Am Acad Child Adolesc Psychiatry. 2000; 39(11):14241431.CrossRefGoogle Scholar
5.Barkley, RA, Fischer, M, Smallish, L, Fletcher, K.The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder. J Abnorm Psychol. 2002; 111 (2):279289.CrossRefGoogle ScholarPubMed
6.Kessler, RC, Adler, L, Barkley, R, et al.The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. Am J Psychiatry 2006; 163(4):716723.CrossRefGoogle ScholarPubMed
7.Montes, LGA, Garcia, AOH, Ricardo-Garcell, J, ADHD prevalence in adult out-patients with non-psychotic psychiatric illness. J Attention Disorders 2007; 11(2): 150156.CrossRefGoogle Scholar
8.Kessler, RC, Adler, L, Ames, M, et al. The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychol Med 2005; 35(2):245256.CrossRefGoogle Scholar
9.SPSS for Windows, Rel. 15. 2006 Chicago: SPSS IncGoogle Scholar
10.Maidment, ID.The use of antidepressants to treat attention deficit hyperactivity disorder in adults. J Psychopharmacol 2003;17(3):332336.CrossRefGoogle ScholarPubMed
11.Rostain, AL, Ramsay, JR.A combined treatment approach for adults with ADHD-results of an open study of 43 patients. J Atten Disord 2006; 10(2):150159.CrossRefGoogle ScholarPubMed
12.Rösler, M, Retz, W, Thome, J, Schneider, M, Stieglitz, RD, Falkai, P.Psychopathological rating scales for diagnostic use in adults with attention-deficit/hyperactivity disorder (ADHD). Eur Arch Psychiatry Clin Neurosci. 2006; 256 Suppl 1:13–11.CrossRefGoogle ScholarPubMed
13. Diagnostic and Statistical Manual of Mental Disorders-Text Revision (DSM – IV TR). American Psychiatric Association, 2000)Google Scholar