The Prevalence of Attention Deficit Hyperactivity Disorder in Psychotic Disorders: Systematic Review and Meta-analysis
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Le résumé fourni par la source
BACKGROUND: Although attention deficit hyperactivity disorder (ADHD) is known to be common in psychotic disorders, reported prevalence rates vary widely, with limited understanding of how different factors (eg, assessment methods, geographical region) may be associated with this variation. The aim was to conduct a systematic review and meta-analysis to determine the prevalence of ADHD in psychotic disorders and factors associated with the variability in reported rates. STUDY DESIGN: Searches were conducted in MEDLINE, Embase, PsycINFO, CINAHL, and Scopus in May 2023. Studies were eligible if the frequency of ADHD was reported in psychotic disorder samples. Pooled prevalence meta-analyses were performed. Subgroup analyses and meta-regressions explored whether demographic and study characteristics were associated with reported rates. STUDY RESULTS: Thirty-six studies were included, involving 30 726 individuals. The pooled lifetime prevalence of ADHD in psychotic disorders was 18.49% (95% CI 11.78%, 27.83%). The between-study heterogeneity was high (I2 = 98.4% [95% CI 98.2%, 98.6%]). Subgroup analyses revealed higher prevalence rates when using ADHD DSM-IV criteria compared to International Classification of Diseases (ICD)-10. Rates in childhood-onset psychotic disorders were higher than adolescent- and adult-onset psychotic disorder samples. Rates were higher in North America compared to other regions. Meta-regressions indicated a decrease in prevalence rates with publication year. CONCLUSIONS: The prevalence of ADHD in psychotic disorders appears higher than in the general population, highlighting the need for clinical attention and further research into this comorbidity. Reported rates, however, vary significantly. Reasons may include diagnostic criteria, age of psychosis onset, region, study design, and publication year. Future research should investigate these factors using rigorous ADHD assessment protocols.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- The Prevalence of Attention Deficit Hyperactivity Disorder in Psychotic Disorders: Systematic Review and Meta-analysis
- Date Crossref
- 13/01/2025
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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The University of Melbourne Centre for Youth Mental Health pays non établi dans la noticeUniversité ou école supérieure
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Orygen pays non établi dans la noticeInstitution
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Monash University Turner Institute for Brain and Mental Health pays non établi dans la noticeUniversité ou école supérieure
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Alfred Health pays non établi dans la noticeÉtablissement de santé
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Murdoch Children's Research Institute pays non établi dans la noticeOrganisation à but non lucratif
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Deakin University pays non établi dans la noticeUniversité ou école supérieure
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University of Birmingham pays non établi dans la noticeUniversité ou école supérieure
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Alfred Mental and Addiction Health pays non établi dans la noticeInstitution
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School of Psychological Sciences pays non établi dans la noticeUniversité ou école supérieure
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School of Psychology pays non établi dans la noticeUniversité ou école supérieure
Centre for Youth Mental Health — The University of Melbourne, Orygen et Turner Institute for Brain and Mental Health — Monash University, avec 7 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.