The global prevalence of attention deficit hyperactivity disorder in children and adolescents: An umbrella review of meta-analyses

作者：Getinet Ayano, Sileshi Demelash, Yitbarek Gizachew, Light Tsegay, Rosa Alati · 发表于：Journal of Affective Disorders · 年份：2023 · DOI：10.1016/j.jad.2023.07.071 · 被引用次数：450 · 研究领域：Attention Deficit Hyperactivity Disorder、Neuroethics, Human Enhancement, Biomedical Innovations、Traumatic Brain Injury Research

BACKGROUND: Emerging epidemiological data suggest that hundreds of primary studies have examined the prevalence of ADHD in children and adolescents and dozens of systematic view and meta-analyses studies have been conducted on the subject. The purpose of this umbrella review is to provide a robust synthesis of evidence from these systematic reviews and meta-analyses. METHODS: We systematically searched PubMed, Web of Science, PsychINFO, and Scopus to find pertinent studies. The study was preregistered with PROSPERO (CRD42023389704). The quality of the studies was assessed using a Measurement Tool to Assess Systematic Reviews (AMSTAR). Prevalence estimates from the included studies were pooled using invariance variance weighted random-effect meta-analysis. RESULTS: Thirteen meta-analytic systematic reviews (588 primary studies) with 3,277,590 participants were included in the final analysis. A random effect meta-analysis of these studies showed that the global prevalence of ADHD in children and adolescents was 8.0 % (95%CI 6.0-10 %). The prevalence estimate was twice higher in boys (10 %) compared to girls (5 %). Of the three subtypes of ADHD, the inattentive type of ADHD (ADHD-I) was found to be the most common type of ADHD followed by the hyperactive (ADHD-HI) and the combined types (ADHD-C). CONCLUSION: Findings from our compressive umbrella review suggest that ADHD is highly prevalent in children and adolescents with boys twice more likely to experience the disorder than g...