Evidence map›Paper›PMID 34753324›Full record

ArticleJournal of attention disorders2022

ADHD Comorbidity Structure and Impairment: Results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS).

Arthur D P Mak, Sue Lee, Nancy A Sampson, Yesica Albor, Jordi Alonso, Randy P Auerbach, Harald Baumeister, Corina Benjet, Ronny Bruffaerts, Pim Cuijpers and 6 more

Open access · greenAbstract read
In one paragraph

Article in Journal of attention disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. University Students and the Stimulant Shortage: A Survey of Strategies to Obtain Medication, Consequences of Shortages, and Mental Health Correlates.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026
    Article
  5. Review
  6. Invisible disabilities and health among U.S. postsecondary students.Journal of American college health : J of ACH · 2026
    Article
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  19. Annual Research Review: Perspectives on progress in ADHD science - from characterization to cause.Journal of child psychology and psychiatry, and allied disciplines · 2023
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 11 institutions in 9 countries.

Arthur D P MakThe Chinese University of Hong Kong, Tai Po, Hong Kong SAR.ORCID 0000-0003-1627-6434
Sue LeeHarvard Medical School, Boston, MA, USA.
Nancy A SampsonHarvard Medical School, Boston, MA, USA.
Yesica AlborInstituto Nacional de Psiquiatría Ramon de la Fuente Muñiz, Mexico City, Mexico.
Jordi AlonsoIMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain.
Randy P AuerbachColumbia University, New York, NY, USA.
Harald BaumeisterUlm University, Germany.
Corina BenjetInstituto Nacional de Psiquiatría Ramon de la Fuente Muñiz, Mexico City, Mexico.
Ronny BruffaertsUniversitair Psychiatrisch Centrum - Katholieke Universiteit Leuven (UPC-KUL), Campus Gasthuisberg, Belgium.
Pim CuijpersVrije Universiteit Amsterdam, The Netherlands.
David D EbertTechnical University Munich, Germany.
Raúl A Gutierrez-GarciaDe La Salle Bajio University, Salamanca, Guanajuato, Mexico.
Penelope HaskingCurtin University, Perth, WA, Australia.
Coral LapsleyUlster University, Derry, UK.
Christine LochnerStellenbosch University, South Africa.
Ronald C KesslerHarvard Medical School, Boston, MA, USA.
Harvard University · USInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz · MXChinese University of Hong Kong · HKColumbia University · USCurtin University · AUKU Leuven · BEStellenbosch University · ZAUniversidad de La Salle Bajío · MXUniversitat Pompeu Fabra · ESUniversity of Ulster · GBVrije Universiteit Amsterdam · NL

Funding

Predicting Internet-Based Treatment Response for Major Depressive DisorderR56MH109566 · NIMH · MCLEAN HOSPITAL · PI AUERBACH, RANDY PATRICK · 2016 to 2017
$685k
NIMH NIH HHS R56 MH109566
6 · The paper itself

Abstract

objectiveTo examine the prevalence of ADHD and the association of comorbid disorders, and multivariate disorder classes with role impairment in college students.

methodAbout 15,991 freshmen (24 colleges, 9 countries, WMH-ICS) (response rate = 45.6%) completed online WMH-CIDI-SC surveys for 6-month ADHD and six 12-month DSM-IV disorders. We examined multivariate disorder classes using latent class analysis (LCA) and simulated a population attributable risk proportions (PARPs) of ADHD-related impairment.

resultsAbout 15.9% had ADHD, of which 58.4% had comorbidities. LCA classified ADHD respondents to pure (42.9%), internalizing (36.0%), bipolar comorbidities (11.3%), and externalizing disorder classes (9.8%). ADHD, comorbidities, and multivariate disorder classes independently predicted severe impairment. PARPs: eliminating ADHD hypothetically reduced severe impairment by 19.2%, 10.1% adjusted for comorbidities, 9.5% for multivariate disorder classes.

conclusionsADHD and comorbid disorders are common and impairing in college students. Personalized transdiagnostic interventions guided by multivariate disorder classes should be explored.

Indexed as

Attention Deficit Disorder with HyperactivityMental DisordersComorbidityDiagnostic and Statistical Manual of Mental DisordersHealth SurveysHumansStudentsSurveys and QuestionnairesWorld Health OrganizationADHDcollege studentsepidemiologymental disorderrole impairment

Identifiers

PMID34753324
PMCPMC9064996
OpenAlexW3214161228

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.