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The prevalence of Attention Deficit Hyperactivity Disorder in Iran: A systematic review
Mitra Hakim Shooshtary1, Narges Chimeh, Mostafa Najafi
1Department of Psychiatry, Iran University of Medical Sciences, Institute of psychiatry, Mental Health Research Center.
Insights
This study examined attention-deficit/hyperactivity disorder (ADHD) prevalence in Iran, finding subtype differences between genders. Understanding ADHD epidemiology is crucial for improving child mental health services.
Area of Science:
- Child and Adolescent Psychiatry
- Neurodevelopmental Disorders
- Public Health Epidemiology
Background:
- Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurobehavioral disorder in childhood, often leading to functional impairments.
- Accurate epidemiological data on ADHD and its subtypes in Iran is essential for effective public health planning.
Purpose of the Study:
- To investigate the prevalence of Attention-deficit/hyperactivity disorder (ADHD) and its subtypes within the Iranian population.
- To inform mental health service allocation and planning through epidemiological insights.
Main Methods:
- A systematic literature search was conducted across major international (PubMed, Web of Science, PsycINFO) and Iranian (IranMedex, Irandoc, IranPsych) databases.
- Studies were included if they employed random sampling, utilized validated instruments for ADHD assessment, and reported prevalence rates.
Main Results:
- Sixteen studies met the inclusion criteria, revealing variability in ADHD prevalence estimates due to differing assessment scales.
- The hyperactive subtype of ADHD was found to be more prevalent in boys, while the inattentive subtype was more common in girls.
Conclusions:
- Epidemiological awareness of ADHD in Iran is vital for optimizing mental health resource allocation.
- Standardizing assessment instruments in future prevalence studies could yield more precise ADHD estimations.
Objective:
Attention-deficit/hyperactivity disorder (ADHD) is the most common neurobehavioral disorder of childhood. Children with ADHD may experience significant functional problems. Our objective was to examine the prevalence of ADHD and its subtypes in Iran.
Methods:
Pubmed, ISI web of science, psychinfo, Iranpsych, Iranmedex, Irandoc were searched. Irandoc, Iranmedex and Iranpsych are Iranian databases of which the last one is especially for psychiatry and psychology literature. INCLUSION CRITERIA WERE: conducting studies by random sampling, using valid instruments to assess ADHD diagnosis or symptoms,and presenting a prevalence of ADHD or attention deficit and / or hyperactivity symptoms.
Results:
After quality assessment, 16 studies were accepted. Their estimation of prevalence was different as different scales were used. Hyperactive type was more prevalent in boys, and inattentive type was more prevalent in girls.
Conclusion:
Being aware of the epidemiology of ADHD in Iran helps us to make improvements in planning the allocation of funds for mental health services. Using one instrument in studying the prevalence of ADHD in a population may lead to more precise estimations.
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Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Conduct Disorder