PMID- 35654762
OWN - NLM
STAT- MEDLINE
DCOM- 20230206
LR  - 20230511
IS  - 1541-3527 (Electronic)
IS  - 0091-2174 (Linking)
VI  - 58
IP  - 2
DP  - 2023 Mar
TI  - Prevalence of attention deficit hyperactivity disorder in an adult mental health 
      service in the Republic of Ireland.
PG  - 130-144
LID - 10.1177/00912174221106826 [doi]
AB  - OBJECTIVE: Attention Deficit Hyperactivity Disorder (ADHD) is well recognised in 
      childhood. However, recognition that it commonly persists into adulthood is 
      relatively recent. This study is the 2nd phase of a two-phase epidemiological 
      investigation of the prevalence of adult ADHD in outpatients in Ireland. METHOD: 
      In phase-1, 634 participants were screened with Adult ADHD Self-Report Scale 
      (ASRS) and Wender Utah Rating Scale (WURS). Those scoring positive in both scales 
      have been invited to participate in the 2nd phase where the scales Conners' Adult 
      ADHD Diagnostic Interview (CAADID), Mini International Neuropsychiatric Interview 
      (MINI), and Global Assessment of Functioning (GAF) were administered, plus 
      clinical evaluation based in DSM-5. RESULTS: 131 were eligible, 110 participated 
      (84.0%). Using the CAADID (DSM-IV criteria) 71 were diagnosed with ADHD. 
      Projecting to the total sample (N = 634) the prevalence was 13.25%, 
      CI:95%:10.71-16.14. Converting the DSM-IV criteria to DSM-5, 89 had ADHD 
      (prevalence:16.72%, CI: 13.9-19.86). Using clinical evaluation, 86 were diagnosed 
      with ADHD (prevalence:16.09%, CI:13.31-19.18). Only 3 cases were diagnosed before 
      with ADHD. Comorbidity was higher in those with ADHD, with the median number of 
      additional diagnoses 2 (min 0 max 8, IQR 3) Also, they had significantly higher 
      rates of depression and recurred depression. Agreement between DSM-IV and DSM-5 
      was high (rho = 0.90, p < .0001). CONCLUSIONS: High rates of undiagnosed ADHD 
      were found to be present among AMHS attendees. Clinicians in AMHS need to be 
      knowledgeable and alert to possible ADHD among their caseloads, and offer 
      appropriate intervention. Interventions are urgently required to increase the 
      detection and treatment of adult ADHD.
FAU - Adamis, Dimitrios
AU  - Adamis D
AUID- ORCID: 0000-0003-1315-1695
AD  - School of Medicine and Medical Science, University College Dublin, Belfield, 
      Dublin, Ireland.
AD  - 603698Sligo Mental Health Services, Sligo, Ireland.
AD  - Research and Academic Institute of Athens, Greece.
FAU - Fox, Naoimh
AU  - Fox N
AD  - 603698Sligo Mental Health Services, Sligo, Ireland.
AD  - Adult mental health in Newcastle upon Tyne, Newcastle, UK.
FAU - de M de Camargo, Ana Paula P
AU  - de M de Camargo APP
AD  - 603698Sligo Mental Health Services, Sligo, Ireland.
AD  - Professor in Psychology Dublin Business School, Dublin, Ireland.
FAU - Saleem, Faisal
AU  - Saleem F
AD  - 603698Sligo Mental Health Services, Sligo, Ireland.
FAU - Gavin, Blanaid
AU  - Gavin B
AD  - School of Medicine and Medical Science, University College Dublin, Belfield, 
      Dublin, Ireland.
FAU - McNicholas, Fiona
AU  - McNicholas F
AD  - School of Medicine and Medical Science, University College Dublin, Belfield, 
      Dublin, Ireland.
AD  - CHI, Crumlin, Lucena SJOG, Dublin, Ireland.
LA  - eng
PT  - Journal Article
DEP - 20220602
PL  - United States
TA  - Int J Psychiatry Med
JT  - International journal of psychiatry in medicine
JID - 0365646
SB  - IM
MH  - Humans
MH  - Adult
MH  - *Attention Deficit Disorder with Hyperactivity/diagnosis/epidemiology/psychology
MH  - Prevalence
MH  - Ireland/epidemiology
MH  - Comorbidity
MH  - Psychiatric Status Rating Scales
MH  - *Mental Health Services
OTO - NOTNLM
OT  - Adults
OT  - Attention Deficit Hyperactivity Disorder
OT  - Attention Deficit-Hyperactivity Disorder
OT  - Epidemiology
OT  - psychiatric population
EDAT- 2022/06/03 06:00
MHDA- 2023/02/07 06:00
CRDT- 2022/06/02 23:02
PHST- 2022/06/03 06:00 [pubmed]
PHST- 2023/02/07 06:00 [medline]
PHST- 2022/06/02 23:02 [entrez]
AID - 10.1177/00912174221106826 [doi]
PST - ppublish
SO  - Int J Psychiatry Med. 2023 Mar;58(2):130-144. doi: 10.1177/00912174221106826. 
      Epub 2022 Jun 2.