Cross-Cultural Adult ADHD Assessment in 42 Countries Using the Adult ADHD Self-Report Scale Screener.

IF 2.2 3区医学 Q2 PSYCHIATRY

Journal of Attention Disorders Pub Date : 2024-02-01 Epub Date: 2024-01-05 DOI:10.1177/10870547231215518

Karol Lewczuk, Przemysław Marcowski, Magdalena Wizła, Mateusz Gola, Léna Nagy, Mónika Koós, Shane W Kraus, Zsolt Demetrovics, Marc N Potenza, Rafael Ballester-Arnal, Dominik Batthyány, Sophie Bergeron, Joël Billieux, Peer Briken, Julius Burkauskas, Georgina Cárdenas-López, Joana Carvalho, Jesús Castro-Calvo, Lijun Chen, Giacomo Ciocca, Ornella Corazza, Rita I Csako, David P Fernandez, Hironobu Fujiwara, Elaine F Fernandez, Johannes Fuss, Roman Gabrhelík, Ateret Gewirtz-Meydan, Biljana Gjoneska, Joshua B Grubbs, Hashim T Hashim, Md Saiful Islam, Mustafa Ismail, Martha C Jiménez-Martínez, Tanja Jurin, Ondrej Kalina, Verena Klein, András Költő, Sang-Kyu Lee, Chung-Ying Lin, Yi-Ching Lin, Christine Lochner, Silvia López-Alvarado, Kateřina Lukavská, Percy Mayta-Tristán, Dan J Miller, Oľga Orosová, Gábor Orosz, Fernando P Ponce, Gonzalo R Quintana, Gabriel C Quintero Garzola, Jano Ramos-Diaz, Kévin Rigaud, Ann Rousseau, Marco De Tubino Scanavino, Marion K Schulmeyer, Pratap Sharan, Mami Shibata, Sheikh Shoib, Vera Sigre-Leirós, Luke Sniewski, Ognen Spasovski, Vesta Steibliene, Dan J Stein, Berk C Ünsal, Marie-Pier Vaillancourt-Morel, Marie Claire Van Hout, Beáta Bőthe

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引用次数: 0

Abstract

Objective: We analyzed adult ADHD symptoms in a cross-cultural context, including investigating the occurrence and potential correlates of adult ADHD and psychometric examination of the Adult ADHD Self-Report Scale (ASRS) Screener.

Method: Our analysis is based on a large-scale research project involving 42 countries (International Sex Survey, N=72,627, 57% women, Mage=32.84; SDage=12.57).

Results: The ASRS Screener demonstrated good reliability and validity, along with partial invariance across different languages, countries, and genders. The occurrence of being at risk for adult ADHD was relatively high (21.4% for women, 18.1% for men). The highest scores were obtained in the US, Canada, and other English-speaking Western countries, with significantly lower scores among East Asian and non-English-speaking European countries. Moreover, ADHD symptom severity and occurrence were especially high among gender-diverse individuals. Significant associations between adult ADHD symptoms and age, mental and sexual health, and socioeconomic status were observed.

Conclusions: Present results show significant cross-cultural variability in adult ADHD occurrence as well as highlight important factors related to adult ADHD. Moreover, the importance of further research on adult ADHD in previously understudied populations (non-Western countries) and minority groups (gender-diverse individuals) is stressed. Lastly, the present analysis is consistent with previous evidence showing low specificity of adult ADHD screening instruments and contributes to the current discussion on accurate adult ADHD screening and diagnosis.

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使用成人多动症自我报告量表筛查器在 42 个国家进行成人多动症跨文化评估。

目的：我们分析了跨文化背景下的成人多动症症状，包括调查成人多动症的发生和潜在相关性，以及成人多动症自我报告量表（ASRS）筛查的心理测量学检查：我们分析了跨文化背景下的成人多动症症状，包括调查成人多动症的发生和潜在相关因素，以及成人多动症自我报告量表（ASRS）筛选器的心理测量：我们的分析基于一项涉及 42 个国家的大型研究项目（国际性别调查，N=72,627，57% 为女性，Mage=32.84；SDage=12.57）：结果：ASRS 筛选器显示出良好的信度和效度，并且在不同语言、国家和性别之间具有部分不变性。成人多动症风险发生率相对较高（女性为 21.4%，男性为 18.1%）。美国、加拿大和其他西方英语国家的得分最高，东亚和非英语欧洲国家的得分明显较低。此外，多动症症状的严重程度和发生率在不同性别的人群中特别高。成人多动症症状与年龄、心理和性健康以及社会经济地位之间存在显著关联：目前的研究结果表明，成人多动症的发生在不同文化间存在明显的差异，并强调了与成人多动症相关的重要因素。此外，本研究还强调了对以往研究不足的人群（非西方国家）和少数群体（性别多元化个体）进行成人注意力缺失症进一步研究的重要性。最后，本分析与之前显示成人多动症筛查工具特异性低的证据一致，有助于当前关于成人多动症准确筛查和诊断的讨论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Attention Disorders PSYCHIATRY-

CiteScore

7.60

自引率

6.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Attention Disorders (JAD) focuses on basic and applied science concerning attention and related functions in children, adolescents, and adults. JAD publishes articles on diagnosis, comorbidity, neuropsychological functioning, psychopharmacology, and psychosocial issues. The journal also addresses practice, policy, and theory, as well as review articles, commentaries, in-depth analyses, empirical research articles, and case presentations or program evaluations.