Evidence map›Paper›PMID 38958762›Full record

ArticleEuropean child & adolescent psychiatry2025

Attention-deficit/hyperactivity disorder and subsequent diagnoses of major psychiatric disorders: a nationwide population-based study.

Sujin Kim, Mi-Sook Kim, Jinhee Kim, Jae Sung Kim, Soon-Beom Hong

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Article in European child & adolescent psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Sujin KimDepartment of Psychiatry, Seoul National University Hospital, Seoul, Korea.
Mi-Sook KimMedical Research Collaborating Center, Biomedical Research Institution, Seoul National University Hospital, Seoul, Korea.
Jinhee KimMedical Research Collaborating Center, Biomedical Research Institution, Seoul National University Hospital, Seoul, Korea.
Jae Sung KimDepartment of Psychiatry, Seoul National University Hospital, Seoul, Korea.
Soon-Beom HongDepartment of Psychiatry, Seoul National University Hospital, Seoul, Korea. hsbmdmore@hanmail.net.ORCID http://orcid.org/0000-0003-1030-0763

Funding

Seoul National University 800-20200557
6 · The paper itself

Abstract

We evaluated the risk of being diagnosed with various psychiatric disorders after an attention-deficit/hyperactivity disorder (ADHD) diagnosis using data from South Korea's National Health Insurance Service from 2002 to 2019, which covers approximately 97% of the country's population. ADHD and control groups were selected after propensity score matching was performed for individuals diagnosed with ADHD and their age- and sex-matched counterparts from the general population. Comorbid psychiatric disorders included depressive disorder, bipolar disorder, tic disorder, and schizophrenia. The incidence of newly diagnosed psychiatric disorders was compared between the groups. Hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated and adjusted for ADHD medication prescription. After matching, 353,898 individuals were assigned to each of the two groups. Compared to the control group, the ADHD group showed a significantly higher risk of being subsequently diagnosed with depressive disorder, bipolar disorder, schizophrenia, and tic disorder. The onset age of depressive disorder, bipolar disorder, and schizophrenia in the ADHD group was 16-17 years, approximately 5 years earlier than that in the control group. The risk for depression was the highest in individuals with high income levels, and that for schizophrenia was the highest among rural patients. The median length of the follow-up time until the diagnosis of each comorbid psychiatric disorder was 7.53, 8.43, 8.53, and 8.34 years for depressive disorder, bipolar disorder, schizophrenia, and tic disorder, respectively. Individuals with ADHD had an overall higher risk of being diagnosed with subsequent psychiatric disorders than did the controls. Hence, they should be carefully screened for other psychiatric symptoms from an early age and followed up for an extended duration, along with appropriate interventions for ADHD symptoms, including psychosocial treatments and educational approaches.

Indexed as

Attention Deficit Disorder with HyperactivityBipolar DisorderMental DisordersSchizophreniaTic DisordersAdolescentAdultChildComorbidityFemaleHumansIncidenceMaleMiddle AgedRepublic of KoreaRisk FactorsADHDComorbidityIncidenceNational health insurance

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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.