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

Lewczuk, Karol, Marcowski, Przemysław, Wizła, Magdalena, Gola, Mateusz, Nagy, Léna, Koós, Mónika, Kraus, Shane W., Demetrovics, Zsolt, Potenza, Marc N., Ballester-Arnal, Rafael, Batthyány, Dominik, Bergeron, Sophie, Billieux, Joël, Briken, Peer, Burkauskas, Julius, Cárdenas-López, Georgina, Carvalho, Joana, Castro-Calvo, Jesús, Chen, Lijun, Ciocca, Giacomo, Corazza, Ornella, Csako, Rita I., Fernandez, David P., Fujiwara, Hironobu, Fernandez, Elaine F., Fuss, Johannes, Gabrhelík, Roman, Gewirtz-Meydan, Ateret, Gjoneska, Biljana, Grubbs, Joshua B., Hashim, Hashim T., Islam, Md. Saiful, Ismail, Mustafa, Jiménez-Martínez, Martha C., Jurin, Tanja, Kalina, Ondrej, Klein, Verena, Költő, András, Lee, Sang-Kyu, Lin, Chung-Ying, Lin, Yi-Ching, Lochner, Christine, López-Alvarado, Silvia, Lukavská, Kateřina, Mayta-Tristán, Percy, Miller, Daniel, Orosová, Oľga, Orosz, Gábor, Sungkyunkwan University's Research Team, , Ponce, Fernando P., Quintana, Gonzalo R., Quintero Garzola, Gabriel C., Ramos-Diaz, Jano, Rigaud, Kévin, Rousseau, Ann, Tubino Scanavino, Marco De, Schulmeyer, Marion K., Sharan, Pratap, Shibata, Mami, Shoib, Sheikh, Sigre-Leirós, Vera, Sniewski, Luke, Spasovski, Ognen, Steibliene, Vesta, Stein, Dan J., Ünsal, Berk C., Vaillancourt-Morel, Marie-Pier, Claire Van Hout, Marie, and Bőthe, Beáta (2024) Cross-Cultural Adult ADHD Assessment in 42 Countries Using the Adult ADHD Self-Report Scale Screener. Journal of Attention Disorders, 28 (4). pp. 512-530.

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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.

Item ID: 81719
Item Type: Article (Research - C1)
ISSN: 1557-1246
Keywords: attention deficit/hyperactivity disorder, ADHD, adult ADHD, cross-cultural, assessment
Copyright Information: © The Author(s) 2024.
Date Deposited: 03 Apr 2024 05:37
FoR Codes: 42 HEALTH SCIENCES > 4202 Epidemiology > 420299 Epidemiology not elsewhere classified @ 50%
52 PSYCHOLOGY > 5203 Clinical and health psychology > 520302 Clinical psychology @ 50%
SEO Codes: 20 HEALTH > 2004 Public health (excl. specific population health) > 200409 Mental health @ 50%
28 EXPANDING KNOWLEDGE > 2801 Expanding knowledge > 280121 Expanding knowledge in psychology @ 50%
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