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ADHD in Tunisian Adolescents: Prevalence and Associated Factors
Ahmed Mhalla1,2, Asma Guedria1,2, Takoua Brahem1,2
11 Fattouma Bourguiba University Hospital, Monastir, Tunisia.
Objective:
The aims of the study were to determine the prevalence of ADHD in a population of high school students and to explore the factors associated with this disorder.
Method:
This was a cross-sectional study that had included 447 high school students. The diagnosis of ADHD was made by the Adult ADHD Self-Report Scale translated in Arabic language. The sociodemographic and clinical characteristics were evaluated by a preestablished questionnaire. The self-esteem was assessed by the Rosenberg Self-Esteem Scale.
Results:
The prevalence of ADHD was 18.1%. The logistic regression analysis showed an association between the diagnosis of ADHD and the bad relationships with parents (odds ratio [OR] = 16.43; p < 10-3), the presence of personal psychiatric antecedents (OR = 12.16; p < 10-3), internet misuse (OR = 2.39; p = .014), and maltreatment antecedents (OR = 3.16; p = .009).
Conclusion:
The prevalence of ADHD in this study was one of the highest prevalence reported. The factors associated with ADHD may have diagnostic and therapeutic implications.