ADHD in Tunisian Adolescents: Prevalence and Associated Factors

J Atten Disord. 2018 Jan;22(2):154-162. doi: 10.1177/1087054717702217. Epub 2017 Apr 5.

Abstract

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.

Keywords: ADHD; adolescence; epidemiology; maltreatment; screen addiction; self-esteem; substance use.

MeSH terms

  • Adolescent
  • Attention Deficit Disorder with Hyperactivity / epidemiology*
  • Attention Deficit Disorder with Hyperactivity / psychology*
  • Child Abuse
  • Cross-Sectional Studies
  • Female
  • Humans
  • Internet
  • Male
  • Prevalence
  • Risk Factors
  • Self Concept
  • Self Report
  • Students / statistics & numerical data
  • Surveys and Questionnaires
  • Tunisia / epidemiology