Prevalence and Psychosocial Correlates of ADHD Symptoms in Young Adulthood: A French Population-Based Study

Objective: The scientific literature suggests that ADHD in adulthood is associated with a considerable psychosocial burden. However, most knowledge in this area relies on studies conducted in the United States or in North European nations, thereby limiting generalization to other countries. Method: We assessed the psychosocial correlates of ADHD symptoms in a French community-based sample. Data came from 1,214 community-based young adults (18-35 years) and their parents (Trajectoires Epidémiologiques en Population and GAZEL studies). ADHD symptoms and socioeconomic and psychosocial correlates were assessed in a telephone interview. Logistic regression analyses were conducted to assess associations. Results: A total of 7.1% of the sample presented high levels of ADHD symptoms. Parental history of anxiety, dissatisfaction with love life, and consumption of tobacco were associated with the highest odds ratios. Conclusion: This study confirms the high functional impairment associated with adult ADHD symptoms in a French community sample. It extends the existing literature to family risk correlates and individual well-being correlates.

[1]  Yusuf Yasin Gumus,et al.  Temperament and Character Traits of Parents of Children With ADHD , 2018, Journal of attention disorders.

[2]  W. Barbaresi,et al.  Adults With Persistent ADHD: Gender and Psychiatric Comorbidities—A Population-Based Longitudinal Study , 2018, Journal of attention disorders.

[3]  V. Balanzá-Martínez,et al.  Psychiatric Comorbidity at the Time of Diagnosis in Adults With ADHD , 2016, Journal of attention disorders.

[4]  J. Rucklidge,et al.  Psychiatric Comorbidities in a New Zealand Sample of Adults With ADHD , 2016, Journal of attention disorders.

[5]  O. Hjemdal,et al.  Functional Impairment Mediates the Relationship Between Adult ADHD Inattentiveness and Occupational Outcome , 2016, Journal of attention disorders.

[6]  L. Romo,et al.  Gambling and Attention Deficit Hyperactivity Disorders (ADHD) in a Population of French Students , 2015, Journal of Gambling Studies.

[7]  B. Röhrle,et al.  Children of mentally ill parents—a pilot study of a group intervention program , 2015, Front. Psychol..

[8]  E. Fuller-Thomson,et al.  The relationship between early adversities and attention-deficit/hyperactivity disorder. , 2015, Child abuse & neglect.

[9]  D. Belsky,et al.  Is Adult ADHD a Childhood-Onset Neurodevelopmental Disorder? Evidence From a Four-Decade Longitudinal Cohort Study. , 2015, The American journal of psychiatry.

[10]  G. Gmel,et al.  Adult attention-deficit/hyperactivity disorder and its association with substance use and substance use disorders in young men , 2015, Epidemiology and Psychiatric Sciences.

[11]  G. Salum,et al.  Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. , 2015, Journal of child psychology and psychiatry, and allied disciplines.

[12]  C. Galéra,et al.  Unemployment and Substance Use in Young Adults: Does Educational Attainment Modify the Association? , 2014, European Addiction Research.

[13]  Doris G. Bazzini,et al.  Young adult romantic couples' conflict resolution and satisfaction varies with partner's attention-deficit/hyperactivity disorder type. , 2014, Journal of marital and family therapy.

[14]  J. Saint-Aubin,et al.  Attention Deficits and Divorce , 2014, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[15]  A. Agrawal,et al.  Attention-deficit/hyperactivity disorder subtypes and substance use and use disorders in NESARC. , 2014, Addictive Behaviours.

[16]  J. Thome,et al.  Adult ADHD and suicide , 2014, ADHD Attention Deficit and Hyperactivity Disorders.

[17]  H. Caci,et al.  Prevalence and Correlates of Attention Deficit Hyperactivity Disorder in Adults From a French Community Sample , 2014, The Journal of nervous and mental disease.

[18]  Crystal L. Park,et al.  Dimensions of Religiousness and Spirituality as Predictors of Well-Being in Advanced Chronic Heart Failure Patients , 2014, Journal of Religion and Health.

[19]  M. Mohammadi,et al.  “I love you more than I can stand!” – Romantic love, symptoms of depression and anxiety, and sleep complaints are related among young adults , 2014, International journal of psychiatry in clinical practice.

[20]  S. Young,et al.  Alcohol and Substance Use History Among ADHD Adults , 2014, Journal of attention disorders.

[21]  S. Dalsgaard,et al.  Prevalence of smoking, alcohol and substance use among adolescents with attention-deficit/hyperactivity disorder in Denmark compared with the general population , 2014, Nordic journal of psychiatry.

[22]  Mark D. Griffiths,et al.  A brief report on the relationship between self-control, video game addiction and academic achievement in normal and ADHD students , 2013, Journal of behavioral addictions.

[23]  E. Fombonne,et al.  Attention problems in childhood and adult substance use. , 2013, The Journal of pediatrics.

[24]  G. Salum,et al.  ADHD prevalence estimates across three decades: an updated systematic review and meta-regression analysis. , 2013, International journal of epidemiology.

[25]  L. Rohde,et al.  Searching for a Neurobiological Basis for Self-Medication Theory in ADHD Comorbid With Substance Use Disorders: An In Vivo Study of Dopamine Transporters Using 99mTc-TRODAT-1 SPECT , 2013, Clinical nuclear medicine.

[26]  F. Limosin,et al.  Personality and the Risk of Cancer: A 16-Year Follow-Up Study of the GAZEL Cohort , 2013, Psychosomatic medicine.

[27]  F. Castellanos,et al.  Clinical and functional outcome of childhood attention-deficit/hyperactivity disorder 33 years later. , 2012, Archives of general psychiatry.

[28]  Stephanie M. Carlson,et al.  Hot and Cool Executive Function in Childhood and Adolescence: Development and Plasticity , 2012 .

[29]  Tonya S. King,et al.  The Adult ADHD Self-Report Scale for Screening for Adult Attention Deficit–Hyperactivity Disorder (ADHD) , 2012, The Journal of the American Board of Family Medicine.

[30]  J. Lepine,et al.  Idéation et conduites suicidaires en France : prévalence sur la vie et facteurs de risque dans l’étude ESEMeD , 2012 .

[31]  Elizabeth B. Owens,et al.  Prospective follow-up of girls with attention-deficit/hyperactivity disorder into early adulthood: continuing impairment includes elevated risk for suicide attempts and self-injury. , 2012, Journal of consulting and clinical psychology.

[32]  A. Beekman,et al.  Chapter 2 The Prevalence of Attention-Deficit / Hyperactivity Disorder in Older Adults in The Netherlands , 2015 .

[33]  M. Olfson,et al.  Child physical abuse and adult mental health: a national study. , 2012, Journal of traumatic stress.

[34]  S. Faraone,et al.  Adult outcome of attention-deficit/hyperactivity disorder: a controlled 16-year follow-up study. , 2012, The Journal of clinical psychiatry.

[35]  C. Bau,et al.  The burdened life of adults with ADHD: Impairment beyond comorbidity , 2012, European Psychiatry.

[36]  E. Fombonne,et al.  Childhood attention problems and socioeconomic status in adulthood: 18-year follow-up , 2012, British Journal of Psychiatry.

[37]  S. Faraone,et al.  Preliminary examination of the reliability and concurrent validity of the attention-deficit/hyperactivity disorder self-report scale v1.1 symptom checklist to rate symptoms of attention-deficit/hyperactivity disorder in adolescents. , 2012, Journal of child and adolescent psychopharmacology.

[38]  N. Chau,et al.  The influence of socioeconomic status on cannabis use among French adolescents. , 2012, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[39]  F. Prevatt,et al.  Drug and Alcohol Use in College Students With and Without ADHD , 2012, Journal of attention disorders.

[40]  E. Fombonne,et al.  Tobacco, alcohol, cannabis and other illegal drug use among young adults: the socioeconomic context. , 2012, Drug and alcohol dependence.

[41]  K. Anstey,et al.  A Population-Based Study of Attention Deficit/Hyperactivity Disorder Symptoms and Associated Impairment in Middle-Aged Adults , 2012, PloS one.

[42]  C. Ko,et al.  The association between Internet addiction and psychiatric disorder: A review of the literature , 2012, European Psychiatry.

[43]  F. Levin,et al.  Does Attention Deficit Hyperactivity Disorder increase the risk of suicide attempts? , 2011, Journal of affective disorders.

[44]  E. Walker,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[45]  Abraham Weizman,et al.  When Does It End? Attention-Deficit/Hyperactivity Disorder in the Middle Aged and Older Populations , 2011, Clinical neuropharmacology.

[46]  K. Humphreys,et al.  Prospective association of childhood attention-deficit/hyperactivity disorder (ADHD) and substance use and abuse/dependence: a meta-analytic review. , 2011, Clinical psychology review.

[47]  L. Kraus,et al.  Psychometric properties of the Cannabis Abuse Screening Test (CAST) in a French sample of adolescents. , 2011, Drug and alcohol dependence.

[48]  E. Fombonne,et al.  Family income and youths' symptoms of depression and anxiety: a longitudinal study of the French GAZEL Youth cohort , 2010, Depression and anxiety.

[49]  L. Hawk,et al.  Self-regulation in ADHD: the role of error processing. , 2010, Clinical psychology review.

[50]  R. Kessler,et al.  Structure and diagnosis of adult attention-deficit/hyperactivity disorder: analysis of expanded symptom criteria from the Adult ADHD Clinical Diagnostic Scale. , 2010, Archives of general psychiatry.

[51]  S. Faraone,et al.  How persistent is ADHD? A controlled 10-year follow-up study of boys with ADHD , 2010, Psychiatry Research.

[52]  M. Rutter,et al.  X. Conclusions: overview of findings from the era study, inferences, and research implications. , 2010, Monographs of the Society for Research in Child Development.

[53]  Joseph Biederman,et al.  Presenting ADHD symptoms, subtypes, and comorbid disorders in clinically referred adults with ADHD. , 2009, The Journal of clinical psychiatry.

[54]  Jan Frölich,et al.  [Computer games in childhood and adolescence: relations to addictive behavior, ADHD, and aggression]. , 2009, Zeitschrift fur Kinder- und Jugendpsychiatrie und Psychotherapie.

[55]  F Curtis Breslin,et al.  Work injury risk among young people with learning disabilities and attention-deficit/hyperactivity disorder in Canada. , 2009, American journal of public health.

[56]  G. Guernec,et al.  Exposure to interparental violence and psychosocial maladjustment in the adult life course: advocacy for early prevention , 2009, Journal of Epidemiology & Community Health.

[57]  S. Bálint,et al.  Prevalence and correlates of adult attention-deficit hyperactivity disorder: meta-analysis , 2009, British Journal of Psychiatry.

[58]  P. Muglia,et al.  Serotonin transporter gene and adverse life events in adult ADHD , 2008, American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics.

[59]  E. Fombonne,et al.  Hyperactivity‐inattention symptoms in childhood and suicidal behaviors in adolescence: the Youth Gazel Cohort , 2008, Acta psychiatrica Scandinavica.

[60]  M. Bouvard,et al.  Attention deficit/hyperactivity disorder and video games: A comparative study of hyperactive and control children , 2008, European Psychiatry.

[61]  C. Gerstadt,et al.  ADHD and aggression as correlates of suicidal behavior in assaultive prepubertal psychiatric inpatients. , 2008, Suicide & life-threatening behavior.

[62]  T. Wilens The nature of the relationship between attention-deficit/hyperactivity disorder and substance use. , 2007, The Journal of clinical psychiatry.

[63]  B. Horta,et al.  The worldwide prevalence of ADHD: a systematic review and metaregression analysis. , 2007, The American journal of psychiatry.

[64]  R. Kessler,et al.  Cross-national prevalence and correlates of adult attention-deficit hyperactivity disorder. , 2007, The British journal of psychiatry : the journal of mental science.

[65]  J. Lieberman Effectiveness of antipsychotic drugs in patients with chronic schizophrenia: efficacy, safety and cost outcomes of CATIE and other trials. , 2007, The Journal of clinical psychiatry.

[66]  B. Kaplan,et al.  Retrospective Reports of Childhood Trauma in Adults With ADHD , 2006, Journal of attention disorders.

[67]  Joseph Biederman,et al.  Functional impairments in adults with self-reports of diagnosed ADHD: A controlled study of 1001 adults in the community. , 2006, The Journal of clinical psychiatry.

[68]  R. Kessler,et al.  The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. , 2006, The American journal of psychiatry.

[69]  R. Barkley,et al.  Young adult outcome of hyperactive children: adaptive functioning in major life activities. , 2006, Journal of the American Academy of Child and Adolescent Psychiatry.

[70]  C. Stocker,et al.  Family functioning and children's adjustment: associations among parents' depressed mood, marital hostility, parent-child hostility, and children's adjustment. , 2005, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[71]  Olga V. Demler,et al.  The World Health Organization adult ADHD self-report scale (ASRS): a short screening scale for use in the general population , 2005, Psychological Medicine.

[72]  L. Hechtman,et al.  The marital and family functioning of adults with ADHD and their spouses , 2004, Journal of attention disorders.

[73]  R. Kessler,et al.  Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. , 2004, JAMA.

[74]  W. Barbaresi,et al.  How common is attention‐deficit/hyperactivity disorder? Towards resolution of the controversy: results from a population‐based study , 2004, Acta paediatrica (Oslo, Norway : 1992). Supplement.

[75]  Joseph Biederman,et al.  The worldwide prevalence of ADHD: is it an American condition? , 2003, World psychiatry : official journal of the World Psychiatric Association.

[76]  L. Hechtman,et al.  The psychosocial functioning of children and spouses of adults with ADHD. , 2003, Journal of child psychology and psychiatry, and allied disciplines.

[77]  Ricardo A Tejeiro Salguero,et al.  Measuring problem video game playing in adolescents. , 2002, Addiction.

[78]  W. Barbaresi,et al.  How common is attention-deficit/hyperactivity disorder? Incidence in a population-based birth cohort in Rochester, Minn. , 2002, Archives of pediatrics & adolescent medicine.

[79]  L. Weyandt,et al.  Self-Report of ADHD Symptoms in University Students , 2001, Journal of learning disabilities.

[80]  B. Kaplan,et al.  Attributions and perceptions of childhood in women with ADHD symptomatology. Attention-Deficit/Hyperactivity Disorder. , 2000, Journal of clinical psychology.

[81]  M. Biaggio,et al.  Attention-deficit hyperactivity disorder and posttraumatic stress disorder: differential diagnosis in childhood sexual abuse. , 2000, Clinical psychology review.

[82]  Bruce G. Link,et al.  A longitudinal investigation of social causation and social selection processes involved in the association between socioeconomic status and psychiatric disorders. , 1999, Journal of abnormal psychology.

[83]  R. Barkley,et al.  Attention deficit hyperactivity disorder adults: comorbidities and adaptive impairments. , 1996, Comprehensive psychiatry.

[84]  L J Horwood,et al.  Childhood sexual abuse and psychiatric disorder in young adulthood: II. Psychiatric outcomes of childhood sexual abuse. , 1996, Journal of the American Academy of Child and Adolescent Psychiatry.

[85]  Martin H. Teicher,et al.  Relationship between early abuse, posttraumatic stress disorder, and activity levels in prepubertal children. , 1996, Journal of the American Academy of Child and Adolescent Psychiatry.

[86]  R. Findling A Comprehensive Guide to Attention Deficit Disorder in Adults: Research, Diagnosis, and Treatment , 1996 .

[87]  M. Weiss Book Review: A Comprehensive Guide to Attention Deficit Disorder in Adults: Research, Diagnosis, Treatment , 1995 .

[88]  S. Merry,et al.  Psychiatric status of sexually abused children 12 months after disclosure of abuse. , 1994, Journal of the American Academy of Child and Adolescent Psychiatry.

[89]  S. McLeer,et al.  Psychiatric disorders in sexually abused children. , 1994, Journal of the American Academy of Child and Adolescent Psychiatry.

[90]  S. Faraone,et al.  Patterns of psychiatric comorbidity, cognition, and psychosocial functioning in adults with attention deficit hyperactivity disorder. , 1993, The American journal of psychiatry.

[91]  S. Faraone,et al.  Convergence of the Child Behavior Checklist with structured interview-based psychiatric diagnoses of ADHD children with and without comorbidity. , 1993, Journal of child psychology and psychiatry, and allied disciplines.

[92]  D. Cantwell Psychiatric illness in the families of hyperactive children. , 1972, Archives of general psychiatry.

[93]  J. Ramos-Quiroga,et al.  Family Functioning and Parental Bonding During Childhood in Adults Diagnosed With ADHD , 2019, Journal of attention disorders.

[94]  J. Balázs,et al.  Attention-deficit hyperactivity disorder and suicidality in a treatment naïve sample of children and adolescents. , 2014, Journal of affective disorders.

[95]  J. Lépine,et al.  [Prevalence and risk factors for suicide ideation, plans and attempts in the French general population: results from the ESEMeD study]. , 2012, L'Encephale.

[96]  P. Zelazo,et al.  Hot executive function: Emotion and the development of cognitive control. , 2010 .

[97]  P. Gillig,et al.  Attention-Deficit/Hyperactivity Disorder in Adults , 2004 .

[98]  L. Rapport,et al.  Aspects of social and emotional competence in adult attention-deficit/hyperactivity disorder. , 2003, Neuropsychology.

[99]  E. Fombonne,et al.  [Children of the GAZEL Cohort: I--Prevalence of contacts with the medico-educational system for psychological reasons, and associated factors]. , 1997, Revue d'epidemiologie et de sante publique.

[100]  H. Kranzler,et al.  The Alcohol Use Disorders Identification Test (AUDIT): validation of a screening instrument for use in medical settings. , 1995, Journal of studies on alcohol.

[101]  R. Neugebauer,et al.  Differential recall as a source of bias in epidemiologic research. , 1990, Journal of clinical epidemiology.

[102]  M. Stewart,et al.  A family study of the hyperactive child syndrome. , 1971, Biological psychiatry.