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

Sungkyunkwan University’s research team

doi:10.1177/10870547231215518

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

Sungkyunkwan University’s research team

Health Promotion

Sungkyunkwan University
Cardinal Stefan Wyszynski University in Warsaw
University of California San Diego
Polish Academy of Sciences
Eötvös Loránd University
University of Nevada, Las Vegas
University of Gibraltar
Yale University School of Medicine
Connecticut Council on Problem Gambling
Connecticut Mental Health Center
University Jaume I of Castellón
Sigmund Freud University Vienna
Université de Montréal
Centre de recherche interdisciplinaire sur les problèmes conjugaux et les agressions sexuelles (CRIPCAS)
University of Lausanne
University Medical Center Hamburg-Eppendorf
Lithuanian University of Health Sciences
UNAM
University of Aveiro
University of Valencia
Fuzhou University
Sapienza University of Rome
University of Hertfordshire
University of Trento
Auckland University of Technology
Nottingham Trent University
Kyoto University
RIKEN Center for Advanced Intelligence Project
Osaka University
HELP University
University Duisburg-Essen
Charles University
Charles University and General University Hospital
University of Haifa
Macedonian Academy of Sciences and Arts
University of New Mexico
Baghdad College of Medicine
Jahangirnagar University
Centre for Advanced Research Excellence in Public Health
Universidad Pedagógica y Tecnológica de Colombia
Grupo de Investigación Biomédica y de Patología
University of Zagreb
Pavol Jozef Safárik University in Košice
University of Southampton
Graduate School of Hallym University
Chuncheon Addiction Management Center
National Cheng Kung University
University of Religions and Denominations
National Taipei University of Education
Stellenbosch University
University of Cuenca
Universidad Científica del Sur
James Cook University
Artois University
Universidad de Talca
Universidad de Tarapacá
Florida State University
SENACYT
Universidad Privada del Norte
KU Leuven
University of Western Ontario
Lawson Health Research Institute
University of São Paulo
Universidad Privada de Santa Cruz de la Sierra
All India Institute of Medical Sciences, New Delhi
Sharda University
University of Social Welfare and Rehabilitation Sciences
University of St. Cyril and Methodius in Trnava
University of Cape Town
South African Medical Research Council
University of Quebec at Trois-Rivieres
Liverpool John Moores University

Research output: Contribution to a Journal (Peer & Non Peer) › Article › peer-review

27 Citations (Scopus)

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.

Original language	English
Pages (from-to)	512-530
Number of pages	19
Journal	Journal of Attention Disorders
Volume	28
Issue number	4
DOIs	https://doi.org/10.1177/10870547231215518
Publication status	Published - Feb 2024

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being
SDG 5 Gender Equality

Keywords

ADHD
adult ADHD
assessment
attention deficit/hyperactivity disorder
cross-cultural

Access to Document

10.1177/10870547231215518

Cite this

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title = "Cross-Cultural Adult ADHD Assessment in 42 Countries Using the Adult ADHD Self-Report Scale Screener",

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.",

keywords = "ADHD, adult ADHD, assessment, attention deficit/hyperactivity disorder, cross-cultural",

author = "\{Sungkyunkwan University{\textquoteright}s research team\} and Karol Lewczuk and Przemys{\l}aw Marcowski and Magdalena Wiz{\l}a and Mateusz Gola and L{\'e}na Nagy and M{\'o}nika Ko{\'o}s and Kraus, \{Shane W.\} and Zsolt Demetrovics and Potenza, \{Marc N.\} and Rafael Ballester-Arnal and Dominik Batthy{\'a}ny and Sophie Bergeron and Jo{\"e}l Billieux and Peer Briken and Julius Burkauskas and Georgina C{\'a}rdenas-L{\'o}pez and Joana Carvalho and Jes{\'u}s Castro-Calvo and Lijun Chen and Giacomo Ciocca and Ornella Corazza and Csako, \{Rita I.\} and Fernandez, \{David P.\} and Hironobu Fujiwara and Fernandez, \{Elaine F.\} and Johannes Fuss and Roman Gabrhel{\'i}k and Ateret Gewirtz-Meydan and Biljana Gjoneska and Grubbs, \{Joshua B.\} and Hashim, \{Hashim T.\} and Islam, \{Md Saiful\} and Mustafa Ismail and Jim{\'e}nez-Mart{\'i}nez, \{Martha C.\} and Tanja Jurin and Ondrej Kalina and Verena Klein and Andr{\'a}s K{\"o}lt{\H o} and Lee, \{Sang Kyu\} and Lin, \{Chung Ying\} and Lin, \{Yi Ching\} and Christine Lochner and Silvia L{\'o}pez-Alvarado and Kate{\v r}ina Lukavsk{\'a} and Percy Mayta-Trist{\'a}n and Miller, \{Dan J.\} and O{\v I}ga Orosov{\'a} and G{\'a}bor Orosz and Ponce, \{Fernando P.\} and Quintana, \{Gonzalo R.\} and \{Quintero Garzola\}, \{Gabriel C.\} and Jano Ramos-Diaz and K{\'e}vin Rigaud and Ann Rousseau and \{Tubino Scanavino\}, \{Marco De\} and Schulmeyer, \{Marion K.\} and Pratap Sharan and Mami Shibata and Sheikh Shoib and Vera Sigre-Leir{\'o}s and Luke Sniewski and Ognen Spasovski and Vesta Steibliene and Stein, \{Dan J.\} and {\"U}nsal, \{Berk C.\} and Vaillancourt-Morel, \{Marie Pier\} and \{Claire Van Hout\}, Marie and Be{\'a}ta B{\H o}the",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2024.",

year = "2024",

month = feb,

doi = "10.1177/10870547231215518",

language = "English",

volume = "28",

pages = "512--530",

journal = "Journal of Attention Disorders",

issn = "1087-0547",

publisher = "SAGE Publications Inc.",

number = "4",

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TY - JOUR

T1 - Cross-Cultural Adult ADHD Assessment in 42 Countries Using the Adult ADHD Self-Report Scale Screener

AU - Sungkyunkwan University’s research team

AU - Lewczuk, Karol

AU - Marcowski, Przemysław

AU - Wizła, Magdalena

AU - Gola, Mateusz

AU - Nagy, Léna

AU - Koós, Mónika

AU - Kraus, Shane W.

AU - Demetrovics, Zsolt

AU - Potenza, Marc N.

AU - Ballester-Arnal, Rafael

AU - Batthyány, Dominik

AU - Bergeron, Sophie

AU - Billieux, Joël

AU - Briken, Peer

AU - Burkauskas, Julius

AU - Cárdenas-López, Georgina

AU - Carvalho, Joana

AU - Castro-Calvo, Jesús

AU - Chen, Lijun

AU - Ciocca, Giacomo

AU - Corazza, Ornella

AU - Csako, Rita I.

AU - Fernandez, David P.

AU - Fujiwara, Hironobu

AU - Fernandez, Elaine F.

AU - Fuss, Johannes

AU - Gabrhelík, Roman

AU - Gewirtz-Meydan, Ateret

AU - Gjoneska, Biljana

AU - Grubbs, Joshua B.

AU - Hashim, Hashim T.

AU - Islam, Md Saiful

AU - Ismail, Mustafa

AU - Jiménez-Martínez, Martha C.

AU - Jurin, Tanja

AU - Kalina, Ondrej

AU - Klein, Verena

AU - Költő, András

AU - Lee, Sang Kyu

AU - Lin, Chung Ying

AU - Lin, Yi Ching

AU - Lochner, Christine

AU - López-Alvarado, Silvia

AU - Lukavská, Kateřina

AU - Mayta-Tristán, Percy

AU - Miller, Dan J.

AU - Orosová, Oľga

AU - Orosz, Gábor

AU - Ponce, Fernando P.

AU - Quintana, Gonzalo R.

AU - Quintero Garzola, Gabriel C.

AU - Ramos-Diaz, Jano

AU - Rigaud, Kévin

AU - Rousseau, Ann

AU - Tubino Scanavino, Marco De

AU - Schulmeyer, Marion K.

AU - Sharan, Pratap

AU - Shibata, Mami

AU - Shoib, Sheikh

AU - Sigre-Leirós, Vera

AU - Sniewski, Luke

AU - Spasovski, Ognen

AU - Steibliene, Vesta

AU - Stein, Dan J.

AU - Ünsal, Berk C.

AU - Vaillancourt-Morel, Marie Pier

AU - Claire Van Hout, Marie

AU - Bőthe, Beáta

PY - 2024/2

Y1 - 2024/2

N2 - 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.

AB - 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.

KW - ADHD

KW - adult ADHD

KW - assessment

KW - attention deficit/hyperactivity disorder

KW - cross-cultural

UR - https://www.scopus.com/pages/publications/85181975161

U2 - 10.1177/10870547231215518

DO - 10.1177/10870547231215518

M3 - Article

SN - 1087-0547

VL - 28

SP - 512

EP - 530

JO - Journal of Attention Disorders

JF - Journal of Attention Disorders

IS - 4

ER -

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

Abstract

UN SDGs

Keywords

Access to Document

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