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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 12/2012

01.12.2012 | Original Paper

Prevalence, incidence, and stimulant use of attention-deficit hyperactivity disorder in Taiwan, 1996–2005: a national population-based study

verfasst von: I-Chia Chien, Ching-Heng Lin, Yiing-Jenq Chou, Pesus Chou

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 12/2012

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Abstract

Purpose

We used National Health Insurance (NHI) database to examine the prevalence, incidence, and stimulant use of attention-deficit hyperactivity disorder (ADHD) diagnosis in Taiwan.

Methods

The National Health Research Institute provided a database of 10,00,000 random subjects for study. A population-based random sample of 372,642 patients aged younger than 18 was obtained as a dynamic cohort. Those study subjects who had at least one service claim from 1996 to 2005, with a principal diagnosis of ADHD, were identified.

Results

The cumulative prevalence of ADHD diagnosis increased from 0.06 to 1.64 % from 1996 to 2005. The annual incidence of ADHD diagnosis increased from 0.02 to 0.34 % from 1997 to 2005. The highest incidence rates of ADHD diagnosis for both males and females were in the 6- to 11-year age group. Higher incidence was detected in males (HR 3.76, 95 % CI 3.48–4.07), those who lived in northern region (HR 1.35, 95 % CI 1.07–1.71) and urban area (HR 1.53, 95 % CI 1.40–1.66). The percentage of stimulant use in children with ADHD diagnosis increased from 39.6 to 54.0 % from 1997 to 2005.

Conclusions

Our findings suggest increases in the prevalence and incidence rates of ADHD diagnosis in Taiwan, which was in line with those studies of Western countries. However, the prevalence of ADHD diagnosis in the NHI program was still much lower than in the community studies. The percentage of stimulant use in children with ADHD diagnosis also has an increasing trend, which warrants further study.
Literatur
1.
Zurück zum Zitat Shaywitz SE, Shaywitz BA (1987) Attention deficit disorder: current perspectives. Pediatr Neurol 3:129–135PubMedCrossRef Shaywitz SE, Shaywitz BA (1987) Attention deficit disorder: current perspectives. Pediatr Neurol 3:129–135PubMedCrossRef
2.
Zurück zum Zitat Pelham WE, Foster EM, Robb JA (2007) The economic impact of attention-deficit/hyperactivity disorder in children and adolescents. Ambul Pediatr 7:121–131PubMedCrossRef Pelham WE, Foster EM, Robb JA (2007) The economic impact of attention-deficit/hyperactivity disorder in children and adolescents. Ambul Pediatr 7:121–131PubMedCrossRef
3.
Zurück zum Zitat Wolraich ML, Hannah JN, Pinnock TY, Baumgaertel A, Brown J (1996) Comparison of diagnostic criteria for attention-deficit hyperactivity disorder in a county-wide sample. J Am Acad Child Adolesc Psychiatry 35:319–324PubMedCrossRef Wolraich ML, Hannah JN, Pinnock TY, Baumgaertel A, Brown J (1996) Comparison of diagnostic criteria for attention-deficit hyperactivity disorder in a county-wide sample. J Am Acad Child Adolesc Psychiatry 35:319–324PubMedCrossRef
4.
Zurück zum Zitat Goldman LS, Genel M, Bezman RJ, Slanetz PJ (1998) Diagnosis and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Council on Scientific Affairs American Medical Association. JAMA 279:1100–1107PubMedCrossRef Goldman LS, Genel M, Bezman RJ, Slanetz PJ (1998) Diagnosis and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Council on Scientific Affairs American Medical Association. JAMA 279:1100–1107PubMedCrossRef
5.
Zurück zum Zitat Faraone SV, Sergeant J, Gillberg C, Biederman J (2003) The worldwide prevalence of ADHD: is it an American condition? World Psychiatry pp 104–113 Faraone SV, Sergeant J, Gillberg C, Biederman J (2003) The worldwide prevalence of ADHD: is it an American condition? World Psychiatry pp 104–113
6.
Zurück zum Zitat Scahill L, Schwab-Stone M (2000) Epidemiology of ADHD in school-age children. Child Adolesc Psychiatr Clin N Am 9:541–555PubMed Scahill L, Schwab-Stone M (2000) Epidemiology of ADHD in school-age children. Child Adolesc Psychiatr Clin N Am 9:541–555PubMed
7.
Zurück zum Zitat Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA (2007) The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry 164:942–948PubMedCrossRef Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA (2007) The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatry 164:942–948PubMedCrossRef
8.
Zurück zum Zitat Merikangas KR, He JP, Brody D et al (2010) Prevalence and treatment of mental disorders among US children in the 2001–2004 NHANES. Pediatrics 125:75–81PubMedCrossRef Merikangas KR, He JP, Brody D et al (2010) Prevalence and treatment of mental disorders among US children in the 2001–2004 NHANES. Pediatrics 125:75–81PubMedCrossRef
9.
Zurück zum Zitat Barbaresi WJ, Katusic SK, Colligan RC et al (2002) How common is attention-deficit/hyperactivity disorder? Incidence in a population-based birth cohort in Rochester Minn. Arch Pediatr Adolesc Med 156:217–224PubMed Barbaresi WJ, Katusic SK, Colligan RC et al (2002) How common is attention-deficit/hyperactivity disorder? Incidence in a population-based birth cohort in Rochester Minn. Arch Pediatr Adolesc Med 156:217–224PubMed
10.
Zurück zum Zitat Froehlich TE, Lanphear BP, Epstein JN et al (2007) Prevalence, recognition, and treatment of attention-deficit/hyperactivity disorder in a national sample of US children. Arch Pediatr Adolesc Med 161:857–864PubMedCrossRef Froehlich TE, Lanphear BP, Epstein JN et al (2007) Prevalence, recognition, and treatment of attention-deficit/hyperactivity disorder in a national sample of US children. Arch Pediatr Adolesc Med 161:857–864PubMedCrossRef
11.
Zurück zum Zitat Gau SS, Chong MY, Chen TH, Cheng AT (2005) A 3-year panel study of mental disorders among adolescents in Taiwan. Am J Psychiatry 162:1344–1350PubMedCrossRef Gau SS, Chong MY, Chen TH, Cheng AT (2005) A 3-year panel study of mental disorders among adolescents in Taiwan. Am J Psychiatry 162:1344–1350PubMedCrossRef
12.
Zurück zum Zitat Safer DJ, Zito JM, Fine EM (1996) Increased methylphenidate usage for attention deficit disorder in the 1990s. Pediatrics 98:1084–1088PubMed Safer DJ, Zito JM, Fine EM (1996) Increased methylphenidate usage for attention deficit disorder in the 1990s. Pediatrics 98:1084–1088PubMed
13.
Zurück zum Zitat Castle L, Aubert RE, Verbrugge RR, Khalid M, Epstein RS (2007) Trends in medication treatment for ADHD. J Atten Disord 10:335–342PubMedCrossRef Castle L, Aubert RE, Verbrugge RR, Khalid M, Epstein RS (2007) Trends in medication treatment for ADHD. J Atten Disord 10:335–342PubMedCrossRef
14.
Zurück zum Zitat Leibson CL, Katusic SK, Barbaresi WJ, Ransom J, O’Brien PC (2001) Use and costs of medical care for children and adolescents with and without attention-deficit/hyperactivity disorder. JAMA 285:60–66PubMedCrossRef Leibson CL, Katusic SK, Barbaresi WJ, Ransom J, O’Brien PC (2001) Use and costs of medical care for children and adolescents with and without attention-deficit/hyperactivity disorder. JAMA 285:60–66PubMedCrossRef
15.
Zurück zum Zitat Chien IC, Chou YJ, Lin CH, Bih SH, Chou P (2004) Prevalence of psychiatric disorders among national health insurance enrollees in Taiwan. Psychiatr Serv 55:691–697PubMedCrossRef Chien IC, Chou YJ, Lin CH, Bih SH, Chou P (2004) Prevalence of psychiatric disorders among national health insurance enrollees in Taiwan. Psychiatr Serv 55:691–697PubMedCrossRef
16.
Zurück zum Zitat Chien IC, Chou YJ, Lin CH et al (2004) Prevalence and incidence of schizophrenia among national health insurance enrollees in Taiwan, 1996–2001. Psychiatry Clin Neurosci 58:611–618PubMedCrossRef Chien IC, Chou YJ, Lin CH et al (2004) Prevalence and incidence of schizophrenia among national health insurance enrollees in Taiwan, 1996–2001. Psychiatry Clin Neurosci 58:611–618PubMedCrossRef
17.
Zurück zum Zitat Chinese Hospital Association (2000) ICD-9: CM English–Chinese Dictionary. Chinese Hospital Association Press, Taipei Chinese Hospital Association (2000) ICD-9: CM English–Chinese Dictionary. Chinese Hospital Association Press, Taipei
18.
Zurück zum Zitat Chien IC, Lin CH, Chou YJ, Chou P (2011) Prevalence and incidence of autism spectrum disorders among National Health Insurance enrollees in Taiwan from 1996 to 2005. J Child Neurol 26:830–834PubMedCrossRef Chien IC, Lin CH, Chou YJ, Chou P (2011) Prevalence and incidence of autism spectrum disorders among National Health Insurance enrollees in Taiwan from 1996 to 2005. J Child Neurol 26:830–834PubMedCrossRef
19.
Zurück zum Zitat Kaplan HI, Sadock BJ (2007) Synopsis of psychiatry, 10th edn. Williams & Wilkins, New York Kaplan HI, Sadock BJ (2007) Synopsis of psychiatry, 10th edn. Williams & Wilkins, New York
20.
Zurück zum Zitat Kleinbaum DG, Kupper LL, Morgensten H (1982) Epidemiologic research. Wiley, New York Kleinbaum DG, Kupper LL, Morgensten H (1982) Epidemiologic research. Wiley, New York
21.
Zurück zum Zitat Zuvekas SH, Vitiello B, Norquist GS (2006) Recent trends in stimulant medication use among US children. Am J Psychiatry 163:579–585PubMedCrossRef Zuvekas SH, Vitiello B, Norquist GS (2006) Recent trends in stimulant medication use among US children. Am J Psychiatry 163:579–585PubMedCrossRef
22.
Zurück zum Zitat Sayal K, Hornsey H, Warren S, MacDiarmid F, Taylor E (2006) Identification of children at risk of attention deficit/hyperactivity disorder: a school-based intervention. Soc Psychiatry Psychiatr Epidemiol 41:806–813PubMedCrossRef Sayal K, Hornsey H, Warren S, MacDiarmid F, Taylor E (2006) Identification of children at risk of attention deficit/hyperactivity disorder: a school-based intervention. Soc Psychiatry Psychiatr Epidemiol 41:806–813PubMedCrossRef
23.
Zurück zum Zitat Ullebø AK, Posserud MB, Heiervang E, Obel C, Gillberg C (2011) Prevalence of the ADHD phenotype in 7- to 9-year-old children: effects of informant, gender and non-participation. Soc Psychiatry Psychiatr Epidemiol (Epub ahead of print) Ullebø AK, Posserud MB, Heiervang E, Obel C, Gillberg C (2011) Prevalence of the ADHD phenotype in 7- to 9-year-old children: effects of informant, gender and non-participation. Soc Psychiatry Psychiatr Epidemiol (Epub ahead of print)
24.
Zurück zum Zitat Hoagwood K, Kelleher KJ, Feil M, Comer DM (2000) Treatment services for children with ADHD: a national perspective. J Am Acad Child Adolesc Psychiatry 39:198–206PubMedCrossRef Hoagwood K, Kelleher KJ, Feil M, Comer DM (2000) Treatment services for children with ADHD: a national perspective. J Am Acad Child Adolesc Psychiatry 39:198–206PubMedCrossRef
25.
Zurück zum Zitat Rowland AS, Umbach DM, Stallone L et al (2002) Prevalence of medication treatment for attention deficit-hyperactivity disorder among elementary school children in Johnston County, North Carolina. Am J Public Health 92:231–234PubMedCrossRef Rowland AS, Umbach DM, Stallone L et al (2002) Prevalence of medication treatment for attention deficit-hyperactivity disorder among elementary school children in Johnston County, North Carolina. Am J Public Health 92:231–234PubMedCrossRef
26.
Zurück zum Zitat Hoagwood K, Jensen PS, Feil M, Vitiello B, Bhatara VS (2000) Medication management of stimulants in pediatric practice settings: a national perspective. J Dev Behav Pediatr 21:322–331PubMedCrossRef Hoagwood K, Jensen PS, Feil M, Vitiello B, Bhatara VS (2000) Medication management of stimulants in pediatric practice settings: a national perspective. J Dev Behav Pediatr 21:322–331PubMedCrossRef
27.
Zurück zum Zitat Merikangas KR, He JP, Burstein M et al (2011) Service utilization for lifetime mental disorders in US adolescents: results of the national comorbidity survey-adolescent supplement (NCS-A). J Am Acad Child Adolesc Psychiatry 50:32–45PubMedCrossRef Merikangas KR, He JP, Burstein M et al (2011) Service utilization for lifetime mental disorders in US adolescents: results of the national comorbidity survey-adolescent supplement (NCS-A). J Am Acad Child Adolesc Psychiatry 50:32–45PubMedCrossRef
28.
Zurück zum Zitat Rydell AM (2010) Family factors and children’s disruptive behaviour: an investigation of links between demographic characteristics, negative life events and symptoms of ODD and ADHD. Soc Psychiatry Psychiatr Epidemiol 45:233–244PubMedCrossRef Rydell AM (2010) Family factors and children’s disruptive behaviour: an investigation of links between demographic characteristics, negative life events and symptoms of ODD and ADHD. Soc Psychiatry Psychiatr Epidemiol 45:233–244PubMedCrossRef
Metadaten
Titel
Prevalence, incidence, and stimulant use of attention-deficit hyperactivity disorder in Taiwan, 1996–2005: a national population-based study
verfasst von
I-Chia Chien
Ching-Heng Lin
Yiing-Jenq Chou
Pesus Chou
Publikationsdatum
01.12.2012
Verlag
Springer-Verlag
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 12/2012
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-012-0501-1

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