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ADHD

Updated 12 November 2019

How ADHD rates doubled among US adults over 10 years

There is increased public awareness of ADHD, and the condition is increasingly being diagnosed in the adult populations by doctors and medical service providers.

If the latest statistics are any indication, attention-deficit/hyperactivity disorder (ADHD) is no longer an issue for children only.

Over a 10-year period, ADHD rates more than doubled among American adults, new research shows. However, the rate among children remains much higher than in adults.

Increased public awareness

"While we can't pinpoint the source of the increase in ADHD rates in adults, we can surmise that it has to do with growing recognition of ADHD in the adult populations by doctors and service providers, as well as increased public awareness of ADHD overall," said study co-author Dr Michael Milham. He is vice president of research at the Child Mind Institute, in New York City.

For the study, researchers analysed data from more than five million Kaiser Permanente Northern California patients, and found that the percentage of adults with a diagnosis of ADHD rose from 0.43% in 2007 to 0.96% in 2016.

White adults showed a larger increase – 0.67% to 1.42% – than those in other racial/ethnic groups.

Adults with other mental health conditions – such as depression, and bipolar, anxiety or eating disorders – were more likely to have ADHD. The researchers also found that adults with ADHD had higher rates of health care use and sexually transmitted infections.

Meanwhile, ADHD diagnoses among children aged five to 11 rose from 2.96% in 2007 to 3.74% in 2016, a 26% increase.

The study was published online in JAMA Network Open.

No definitive answers

"More work needs to be done to better understand why rates are higher in white adults, particularly whether there are deficiencies in detection and diagnoses among non-white adults," Milham said in a journal news release.

"And," he added, "we must develop more effective diagnostic tools and standards for adults, who, in general, remain more challenging to diagnose than children."

Study lead author Dr Winston Chung, a psychiatrist with Kaiser Permanente in San Francisco, noted that people in some cultures are less likely to regard certain behaviours as a disorder or to seek help for them.

"It's always been just understood that different cultures and races might vary in meaningful ways in how they cope with stress or expressing emotions," Chung said.

However, "this is something we don't actually have definitive answers to," and more research is needed, he added.

Image credit: iStock

 

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ADHD Expert

Dr Renata Schoeman has been in full-time private practice as a general psychiatrist (child, adolescent and adult psychiatry) since 2008, currently based in Oude Westhof (Bellville). Renata also holds appointments as senior lecturer in Leadership (USB) and as a virtual faculty member of USB Executive Development’s Neuroleadership programme. She serves on the advisory boards of various pharmaceutical companies, as a director of the Psychiatric Management Group (PsychMG) and is the co-convenor of the South African Society of Psychiatrist (SASOP) special interest group for adult ADHD, and co-founder of the Goldilocks and The Bear Foundation (www.gb4adhd.co.za) She is passionate about corporate mental health awareness and uses her neuroscience background to assist leaders in equipping them to become balanced, healthy and dynamic leaders that take their own and their team’s emotional, intellectual, social health and physical needs into account. Renata is academically active and enjoys research and collaborative work, has published in many peer-reviewed journals, and has presented at local and international congresses. She is regularly invited to present at conferences and to engage with the media. During her post-graduate studies, she trained at Harvard, Boston in neurocognition and neuroimaging. Her awards include, amongst others, the Young Minds in Psychiatry award from the American Psychiatric Association, the Discovery Foundation Fellowship award, a Thuthuka award from the NRF, and a MRC Fellowship. She also received the Top MBA student award and the Director’s award from USB for 2015. She was a finalist for the Businesswomen’s Association of South Africa’s Businesswoman of the Year Award for 2016, and received the Excellence in Media Work award from SASOP during 2016.

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