The Prevalence of ADHD and Comorbid Disorders in Iranian Adult Male Prison Inmates

J Atten Disord. 2016 Jul;20(7):590-8. doi: 10.1177/1087054712457991. Epub 2012 Sep 20.

Abstract

Objective: The aim of the present study was to explore the prevalence of ADHD and comorbid disorders in a community sample of adult male prisoners in Iran.

Method: Through stratified sampling method, 908 adult male prison inmates in Gorgan Prison were recruited on a voluntary basis. Diagnostic assessments were based on the Adult ADHD Self-Report Scale Screener and a clinical interview based on Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria and psychiatric interview. Comorbid disorders were assessed with the Beck Anxiety Inventory, Beck Depression Inventory-Second Edition, and Millon Clinical Multiaxial Inventory-III.

Results: ADHD was present in 147 participants (16.2%). Eighty-five percent of participants with ADHD reported lifetime substance abuse. They had higher rates of mood (40.8%) and anxiety (55.1%) disorders. Antisocial and borderline personality disorders were also more prevalent among offenders with ADHD.

Conclusion: ADHD is prevalent in offenders and it is associated with comorbid disorders. The results emphasize the necessity of treatment programs for offenders with ADHD.

Keywords: Iran; adult ADHD; offenders; prevalence.

MeSH terms

  • Adult
  • Antisocial Personality Disorder / epidemiology
  • Anxiety / epidemiology
  • Attention Deficit Disorder with Hyperactivity / epidemiology*
  • Attention Deficit Disorder with Hyperactivity / psychology
  • Comorbidity
  • Criminals / psychology
  • Criminals / statistics & numerical data
  • Diagnostic and Statistical Manual of Mental Disorders
  • Humans
  • Iran / epidemiology
  • Male
  • Mass Screening / statistics & numerical data
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology
  • Prevalence
  • Prisoners / psychology
  • Prisoners / statistics & numerical data*
  • Prisons / statistics & numerical data
  • Psychiatric Status Rating Scales
  • Self Report
  • Substance-Related Disorders / epidemiology