Cross-Cultural Adult ADHD Assessment in 42 Countries Using the Adult ADHD Self-Report Scale Screener
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 invo...
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Published in | Journal of attention disorders Vol. 28; no. 4; pp. 512 - 530 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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Los Angeles, CA
SAGE Publications
01.02.2024
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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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AbstractList | 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. 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. Our analysis is based on a large-scale research project involving 42 countries =72,627, 57% =32.84; =12.57). 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. 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. OBJECTIVEWe 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.METHODOur 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).RESULTSThe 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.CONCLUSIONSPresent 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. |
Author | Ramos-Diaz, Jano Corazza, Ornella Claire Van Hout, Marie Klein, Verena Shibata, Mami Lochner, Christine Orosz, Gábor Rigaud, Kévin Potenza, Marc N. Marcowski, Przemysław Jiménez-Martínez, Martha C. Bőthe, Beáta Lin, Yi-Ching Lewczuk, Karol Kraus, Shane W. Steibliene, Vesta Lin, Chung-Ying Stein, Dan J. Fernandez, David P. Carvalho, Joana Demetrovics, Zsolt Ciocca, Giacomo Gewirtz-Meydan, Ateret Quintero Garzola, Gabriel C. Billieux, Joël Castro-Calvo, Jesús Mayta-Tristán, Percy Gabrhelík, Roman Sharan, Pratap Shoib, Sheikh Lukavská, Kateřina Fujiwara, Hironobu Sniewski, Luke Sigre-Leirós, Vera Ponce, Fernando P. Schulmeyer, Marion K. Burkauskas, Julius Költő, András Quintana, Gonzalo R. Briken, Peer Csako, Rita I. Ismail, Mustafa Grubbs, Joshua B. Vaillancourt-Morel, Marie-Pier Jurin, Tanja Rousseau, Ann Gjoneska, Biljana Tubino Scanavino, Marco De Spasovski, Ognen Chen, Lijun Hashim, Hashim T. Fuss, Johannes Ünsal, Berk C. Gola, Mateusz Bergeron, Sophie Kalina, Ondrej Miller, Dan J. Koós, Mónika Orosová, Oľga Wizła, Magdalena López-Alvarado, S |
AuthorAffiliation | Sungkyunkwan University, South Korea |
AuthorAffiliation_xml | – name: Sungkyunkwan University, South Korea |
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Saiful surname: Islam fullname: Islam, Md. Saiful – sequence: 33 givenname: Mustafa surname: Ismail fullname: Ismail, Mustafa – sequence: 34 givenname: Martha C. surname: Jiménez-Martínez fullname: Jiménez-Martínez, Martha C. – sequence: 35 givenname: Tanja surname: Jurin fullname: Jurin, Tanja – sequence: 36 givenname: Ondrej surname: Kalina fullname: Kalina, Ondrej – sequence: 37 givenname: Verena surname: Klein fullname: Klein, Verena – sequence: 38 givenname: András orcidid: 0000-0002-5509-2809 surname: Költő fullname: Költő, András – sequence: 39 givenname: Sang-Kyu surname: Lee fullname: Lee, Sang-Kyu – sequence: 40 givenname: Chung-Ying orcidid: 0000-0002-2129-4242 surname: Lin fullname: Lin, Chung-Ying – sequence: 41 givenname: Yi-Ching surname: Lin fullname: Lin, Yi-Ching – sequence: 42 givenname: Christine surname: Lochner fullname: Lochner, Christine – sequence: 43 givenname: Silvia surname: López-Alvarado fullname: López-Alvarado, Silvia – sequence: 44 givenname: Kateřina surname: Lukavská fullname: Lukavská, Kateřina – sequence: 45 givenname: Percy surname: Mayta-Tristán fullname: Mayta-Tristán, Percy – sequence: 46 givenname: Dan J. surname: Miller fullname: Miller, Dan J. – sequence: 47 givenname: Oľga orcidid: 0000-0003-3758-3273 surname: Orosová fullname: Orosová, Oľga – sequence: 48 givenname: Gábor surname: Orosz fullname: Orosz, Gábor – sequence: 50 givenname: Fernando P. surname: Ponce fullname: Ponce, Fernando P. – sequence: 51 givenname: Gonzalo R. surname: Quintana fullname: Quintana, Gonzalo R. – sequence: 52 givenname: Gabriel C. surname: Quintero Garzola fullname: Quintero Garzola, Gabriel C. – sequence: 53 givenname: Jano surname: Ramos-Diaz fullname: Ramos-Diaz, Jano – sequence: 54 givenname: Kévin surname: Rigaud fullname: Rigaud, Kévin – sequence: 55 givenname: Ann surname: Rousseau fullname: Rousseau, Ann – sequence: 56 givenname: Marco De surname: Tubino Scanavino fullname: Tubino Scanavino, Marco De – sequence: 57 givenname: Marion K. orcidid: 0000-0002-0707-0656 surname: Schulmeyer fullname: Schulmeyer, Marion K. – sequence: 58 givenname: Pratap surname: Sharan fullname: Sharan, Pratap – sequence: 59 givenname: Mami surname: Shibata fullname: Shibata, Mami – sequence: 60 givenname: Sheikh surname: Shoib fullname: Shoib, Sheikh – sequence: 61 givenname: Vera surname: Sigre-Leirós fullname: Sigre-Leirós, Vera – sequence: 62 givenname: Luke surname: Sniewski fullname: Sniewski, Luke – sequence: 63 givenname: Ognen surname: Spasovski fullname: Spasovski, Ognen – sequence: 64 givenname: Vesta surname: Steibliene fullname: Steibliene, Vesta – sequence: 65 givenname: Dan J. surname: Stein fullname: Stein, Dan J. – sequence: 66 givenname: Berk C. surname: Ünsal fullname: Ünsal, Berk C. – sequence: 67 givenname: Marie-Pier surname: Vaillancourt-Morel fullname: Vaillancourt-Morel, Marie-Pier – sequence: 68 givenname: Marie surname: Claire Van Hout fullname: Claire Van Hout, Marie – sequence: 69 givenname: Beáta surname: Bőthe fullname: Bőthe, Beáta |
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Snippet | Objective:
We analyzed adult ADHD symptoms in a cross-cultural context, including investigating the occurrence and potential correlates of adult ADHD and... We analyzed adult ADHD symptoms in a cross-cultural context, including investigating the occurrence and potential correlates of adult ADHD and psychometric... OBJECTIVEWe analyzed adult ADHD symptoms in a cross-cultural context, including investigating the occurrence and potential correlates of adult ADHD and... |
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SubjectTerms | Adult Attention Deficit Disorder with Hyperactivity - diagnosis Attention Deficit Disorder with Hyperactivity - epidemiology Cross-Cultural Comparison Female Humans Male Reproducibility of Results Self Report Surveys and Questionnaires |
Title | Cross-Cultural Adult ADHD Assessment in 42 Countries Using the Adult ADHD Self-Report Scale Screener |
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