ADHD Prevalence Among U.S. Children and Adolescents in 2022: Diagnosis, Severity, Co-Occurring Disorders, and Treatment.

IF 4.2 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Journal of Clinical Child and Adolescent Psychology Pub Date : 2024-05-01 Epub Date: 2024-05-22 DOI:10.1080/15374416.2024.2335625
Melissa L Danielson, Angelika H Claussen, Rebecca H Bitsko, Samuel M Katz, Kimberly Newsome, Stephen J Blumberg, Michael D Kogan, Reem Ghandour
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Abstract

Objective: To provide updated national prevalence estimates of diagnosed attention-deficit/hyperactivity disorder (ADHD), ADHD severity, co-occurring disorders, and receipt of ADHD medication and behavioral treatment among U.S. children and adolescents by demographic and clinical subgroups using data from the 2022 National Survey of Children's Health (NSCH).

Method: This study used 2022 NSCH data to estimate the prevalence of ever diagnosed and current ADHD among U.S. children aged 3-17 years. Among children with current ADHD, ADHD severity, presence of current co-occurring disorders, and receipt of medication and behavioral treatment were estimated. Weighted estimates were calculated overall and for demographic and clinical subgroups (n = 45,169).

Results: Approximately 1 in 9 U.S. children have ever received an ADHD diagnosis (11.4%, 7.1 million children) and 10.5% (6.5 million) had current ADHD. Among children with current ADHD, 58.1% had moderate or severe ADHD, 77.9% had at least one co-occurring disorder, approximately half of children with current ADHD (53.6%) received ADHD medication, and 44.4% had received behavioral treatment for ADHD in the past year; nearly one third (30.1%) did not receive any ADHD-specific treatment.

Conclusions: Pediatric ADHD remains an ongoing and expanding public health concern, as approximately 1 million more children had ever received an ADHD diagnosis in 2022 than in 2016. Estimates from the 2022 NSCH provide information on pediatric ADHD during the last full year of the COVID-19 pandemic and can be used by policymakers, government agencies, health care systems, public health practitioners, and other partners to plan for needs of children with ADHD.

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2022 年美国儿童和青少年多动症患病率:诊断、严重程度、并发症和治疗。
目的:利用2022年全国儿童健康调查(NSCH)的数据,按人口统计学和临床亚组对美国儿童和青少年中确诊的注意力缺陷/多动障碍(ADHD)、ADHD严重程度、共患疾病以及接受ADHD药物和行为治疗的情况提供最新的全国患病率估计值:本研究利用 2022 年全国儿童健康调查(NSCH)数据估算了美国 3-17 岁儿童中曾被诊断为多动症和目前患有多动症的患病率。在目前患有多动症的儿童中,对多动症的严重程度、目前是否存在并发症以及接受药物和行为治疗的情况进行了估计。计算了总体以及人口和临床亚组的加权估计值(n = 45,169):大约每 9 名美国儿童中就有 1 人曾接受过多动症诊断(11.4%,710 万名儿童),10.5%(650 万名)的儿童目前患有多动症。在目前患有多动症的儿童中,58.1%患有中度或重度多动症,77.9%患有至少一种并发症,约半数(53.6%)目前患有多动症的儿童接受过多动症药物治疗,44.4%在过去一年中接受过多动症行为治疗;近三分之一(30.1%)的儿童没有接受过任何针对多动症的治疗:2022年接受过ADHD诊断的儿童比2016年多出约100万,因此小儿ADHD仍是一个持续且不断扩大的公共卫生问题。2022 年国家儿童健康中心的估计值提供了 COVID-19 大流行最后一整年的儿科多动症信息,可供政策制定者、政府机构、医疗保健系统、公共卫生从业人员和其他合作伙伴用于规划多动症儿童的需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
9.70
自引率
4.80%
发文量
58
期刊介绍: The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.
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