Magnitude, relationship and determinants of attention deficit hyperactivity disorder and depression among University of Gondar undergraduate students, Northwest Ethiopia, 2022: Non-recursive structural equation modeling

Up to 80% of adults with attention deficit hyperactivity disorder (ADHD) may have a concomitant psychiatric disorder. ADHD and depression, combined with the demands of University life, can pose serious challenges for students. However, there are limited studies conducted on this topic in our country...

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Veröffentlicht in:PloS one 2023-10, Vol.18 (10), p.e0291137-e0291137
Hauptverfasser: Tilahun, Werkneh Melkie, Wolde, Haileab Fekadu, Gebreegziabher, Zenebe Abebe, Abebaw, Wondwosen Abey, Simegn, Mulat Belay, Tadesse, Asefa Adimasu
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creator Tilahun, Werkneh Melkie
Wolde, Haileab Fekadu
Gebreegziabher, Zenebe Abebe
Abebaw, Wondwosen Abey
Simegn, Mulat Belay
Tadesse, Asefa Adimasu
description Up to 80% of adults with attention deficit hyperactivity disorder (ADHD) may have a concomitant psychiatric disorder. ADHD and depression, combined with the demands of University life, can pose serious challenges for students. However, there are limited studies conducted on this topic in our country. Therefore, the current study assessed the magnitude, relationship, and determinants of ADHD and depressive symptoms among students at the University of Gondar. An institution-based cross-sectional study was employed among 1514 undergraduate students at the University of Gondar from June 1-20, 2022. A stratified, simple random sampling technique was applied. Structural equation modeling was employed. The degree of relationship was interpreted based on the adjusted regression coefficient with 95% confidence interval (CI) and p-value (
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ADHD and depression, combined with the demands of University life, can pose serious challenges for students. However, there are limited studies conducted on this topic in our country. Therefore, the current study assessed the magnitude, relationship, and determinants of ADHD and depressive symptoms among students at the University of Gondar. An institution-based cross-sectional study was employed among 1514 undergraduate students at the University of Gondar from June 1-20, 2022. A stratified, simple random sampling technique was applied. Structural equation modeling was employed. The degree of relationship was interpreted based on the adjusted regression coefficient with 95% confidence interval (CI) and p-value (&lt;0.05). In our study, 37.6% [CI: 35.2-40.1%] and 20.01% [CI: 18.1-22.1%] of the participants had depressive and ADHD symptoms, respectively. Chronic illness [[beta] = 0.19, CI; 0.09, 0.30], alcohol use [[beta] = 0.10, CI; 0.03, 0.17], social support [[beta] = -0.23, CI; -0.29, -0.17], problematic internet use (PIU) [[beta] = 0.23, CI; 0.18, 0.27], and insomnia [[beta] = 0.24, CI; 0.17, 0.30] had a direct relationship with depressive symptoms. Mother education level [[beta] = -0.09, CI; -0.13, -0.06], birth order [[beta] = -0.09, CI; -0.11, -0.07], chat chewing [[beta] = 0.18, CI; 0.06, 0.30], and depressive symptoms [[beta] = 0.73, CI; 0.62, 0.86] had a direct relationship with ADHD. Chronic illness [[beta] = 0.14, CI; 0.06, 0.22], PIU [[beta] = 0.16, CI; 0.13, 0.21], social support [[beta] = -0.16, CI; -0.22, -0.12], and insomnia [[beta] = 0.17, CI; 0.13, 0.23] had an indirect effect on ADHD. The prevalence of ADHD and depressive symptoms was high. Chronic disease, alcohol use, social support, PIU, and insomnia had a direct effect on depressive symptoms and an indirect effect on ADHD. Mother education, birth order, chat chewing, and depressive symptoms had a direct effect on ADHD. Our study provided useful clues for clinical treatment and school-based interventions that aim to improve college students' mental well-being. It is better to design school-based intervention and prevention programs to achieve timely diagnosis and treatment of these disorders among university students.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0291137</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Alcohol use ; Analysis ; Attention deficit hyperactivity disorder ; Biology and Life Sciences ; Chewing ; Chronic diseases ; College students ; Colleges &amp; universities ; Comorbidity ; Computer and Information Sciences ; Confidence intervals ; Depression, Mental ; Diagnosis ; Education ; Health aspects ; Health services ; Illnesses ; Insomnia ; Internet ; Mastication ; Medical colleges ; Medicine and Health Sciences ; Mental depression ; Mental disorders ; Modelling ; Multivariate statistical analysis ; Physical Sciences ; Psychological aspects ; Random sampling ; Regression coefficients ; Risk factors ; Sampling techniques ; Signs and symptoms ; Sleep disorders ; Social interactions ; Social Sciences ; Statistical analysis ; Statistical sampling ; Structural equation modeling ; Students ; Undergraduate study ; Well being</subject><ispartof>PloS one, 2023-10, Vol.18 (10), p.e0291137-e0291137</ispartof><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Tilahun et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Tilahun et al 2023 Tilahun et al</rights><rights>2023 Tilahun et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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ADHD and depression, combined with the demands of University life, can pose serious challenges for students. However, there are limited studies conducted on this topic in our country. Therefore, the current study assessed the magnitude, relationship, and determinants of ADHD and depressive symptoms among students at the University of Gondar. An institution-based cross-sectional study was employed among 1514 undergraduate students at the University of Gondar from June 1-20, 2022. A stratified, simple random sampling technique was applied. Structural equation modeling was employed. The degree of relationship was interpreted based on the adjusted regression coefficient with 95% confidence interval (CI) and p-value (&lt;0.05). In our study, 37.6% [CI: 35.2-40.1%] and 20.01% [CI: 18.1-22.1%] of the participants had depressive and ADHD symptoms, respectively. Chronic illness [[beta] = 0.19, CI; 0.09, 0.30], alcohol use [[beta] = 0.10, CI; 0.03, 0.17], social support [[beta] = -0.23, CI; -0.29, -0.17], problematic internet use (PIU) [[beta] = 0.23, CI; 0.18, 0.27], and insomnia [[beta] = 0.24, CI; 0.17, 0.30] had a direct relationship with depressive symptoms. Mother education level [[beta] = -0.09, CI; -0.13, -0.06], birth order [[beta] = -0.09, CI; -0.11, -0.07], chat chewing [[beta] = 0.18, CI; 0.06, 0.30], and depressive symptoms [[beta] = 0.73, CI; 0.62, 0.86] had a direct relationship with ADHD. Chronic illness [[beta] = 0.14, CI; 0.06, 0.22], PIU [[beta] = 0.16, CI; 0.13, 0.21], social support [[beta] = -0.16, CI; -0.22, -0.12], and insomnia [[beta] = 0.17, CI; 0.13, 0.23] had an indirect effect on ADHD. The prevalence of ADHD and depressive symptoms was high. Chronic disease, alcohol use, social support, PIU, and insomnia had a direct effect on depressive symptoms and an indirect effect on ADHD. Mother education, birth order, chat chewing, and depressive symptoms had a direct effect on ADHD. Our study provided useful clues for clinical treatment and school-based interventions that aim to improve college students' mental well-being. It is better to design school-based intervention and prevention programs to achieve timely diagnosis and treatment of these disorders among university students.</description><subject>Alcohol use</subject><subject>Analysis</subject><subject>Attention deficit hyperactivity disorder</subject><subject>Biology and Life Sciences</subject><subject>Chewing</subject><subject>Chronic diseases</subject><subject>College students</subject><subject>Colleges &amp; universities</subject><subject>Comorbidity</subject><subject>Computer and Information Sciences</subject><subject>Confidence intervals</subject><subject>Depression, Mental</subject><subject>Diagnosis</subject><subject>Education</subject><subject>Health aspects</subject><subject>Health services</subject><subject>Illnesses</subject><subject>Insomnia</subject><subject>Internet</subject><subject>Mastication</subject><subject>Medical colleges</subject><subject>Medicine and Health Sciences</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Modelling</subject><subject>Multivariate statistical analysis</subject><subject>Physical Sciences</subject><subject>Psychological aspects</subject><subject>Random sampling</subject><subject>Regression coefficients</subject><subject>Risk factors</subject><subject>Sampling techniques</subject><subject>Signs and symptoms</subject><subject>Sleep disorders</subject><subject>Social interactions</subject><subject>Social Sciences</subject><subject>Statistical analysis</subject><subject>Statistical sampling</subject><subject>Structural equation modeling</subject><subject>Students</subject><subject>Undergraduate study</subject><subject>Well being</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk1Fr1TAUx4soOKffQDAgiMLuNUmbtNcXGWPOwXSgzteQm5y2GW3SJenV-1n9MqZ3VXZlD9KHlnN-53_-5zTJsucEL0lekrfXbvRWdsvBWVhiuiIp-iA7IKucLjjF-cM734-zJyFcY8zyivOD7Ncn2VgTRw1HyEMno3E2tGZA0mqkIYLvjZU2BuRqJGMEOxEpUxtlImq3A3ipotmYuEXaBOc1-Ll48BDCRMve2QZdWbMBHyYwaZ05q6VHo01846UeZQQUJiOp2RH67Hxsf0CI6DS2xg1GHiGKKX2XMnbhQY1JaTNV-FHF0csOwc24s496p6EztnmaPaplF-DZ_D7Mrj6cfjv5uLi4PDs_Ob5YKF7iuKg4Y-tVjkvGJayhUuuac8kIZ0pJzjWvGAOW40IRBgprSqGSRUXJGghTmuaH2Ytb3aFzQcw_IwhalTktCraqEnF-S2gnr8XgTS_9VjhpxC7gfCOkj0Z1IOiKQlnn-ZphVpQSVphgwutal6Soq3yVtN7P3cZ1D1qlfaXp90T3M9a0onEbQTBjydDk9_Ws4N3NmHYsehMUdJ204Mad8YJyyosyoS__Qe8fb6YamSYwtnapsZpExXHJy6pI3nGilvdQ6dHQG5WObm1SfK_gzV5BYiL8jI0cQxDnX7_8P3v5fZ99dYdtQXaxDa4bd2d_HyxuQeVdCB7qv1smWEw37882xHTzxHzz8t-F1iat</recordid><startdate>20231005</startdate><enddate>20231005</enddate><creator>Tilahun, Werkneh Melkie</creator><creator>Wolde, Haileab Fekadu</creator><creator>Gebreegziabher, Zenebe Abebe</creator><creator>Abebaw, Wondwosen Abey</creator><creator>Simegn, Mulat Belay</creator><creator>Tadesse, Asefa Adimasu</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>COVID</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-8206-4195</orcidid></search><sort><creationdate>20231005</creationdate><title>Magnitude, relationship and determinants of attention deficit hyperactivity disorder and depression among University of Gondar undergraduate students, Northwest Ethiopia, 2022: Non-recursive structural equation modeling</title><author>Tilahun, Werkneh Melkie ; 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ADHD and depression, combined with the demands of University life, can pose serious challenges for students. However, there are limited studies conducted on this topic in our country. Therefore, the current study assessed the magnitude, relationship, and determinants of ADHD and depressive symptoms among students at the University of Gondar. An institution-based cross-sectional study was employed among 1514 undergraduate students at the University of Gondar from June 1-20, 2022. A stratified, simple random sampling technique was applied. Structural equation modeling was employed. The degree of relationship was interpreted based on the adjusted regression coefficient with 95% confidence interval (CI) and p-value (&lt;0.05). In our study, 37.6% [CI: 35.2-40.1%] and 20.01% [CI: 18.1-22.1%] of the participants had depressive and ADHD symptoms, respectively. Chronic illness [[beta] = 0.19, CI; 0.09, 0.30], alcohol use [[beta] = 0.10, CI; 0.03, 0.17], social support [[beta] = -0.23, CI; -0.29, -0.17], problematic internet use (PIU) [[beta] = 0.23, CI; 0.18, 0.27], and insomnia [[beta] = 0.24, CI; 0.17, 0.30] had a direct relationship with depressive symptoms. Mother education level [[beta] = -0.09, CI; -0.13, -0.06], birth order [[beta] = -0.09, CI; -0.11, -0.07], chat chewing [[beta] = 0.18, CI; 0.06, 0.30], and depressive symptoms [[beta] = 0.73, CI; 0.62, 0.86] had a direct relationship with ADHD. Chronic illness [[beta] = 0.14, CI; 0.06, 0.22], PIU [[beta] = 0.16, CI; 0.13, 0.21], social support [[beta] = -0.16, CI; -0.22, -0.12], and insomnia [[beta] = 0.17, CI; 0.13, 0.23] had an indirect effect on ADHD. The prevalence of ADHD and depressive symptoms was high. Chronic disease, alcohol use, social support, PIU, and insomnia had a direct effect on depressive symptoms and an indirect effect on ADHD. Mother education, birth order, chat chewing, and depressive symptoms had a direct effect on ADHD. Our study provided useful clues for clinical treatment and school-based interventions that aim to improve college students' mental well-being. It is better to design school-based intervention and prevention programs to achieve timely diagnosis and treatment of these disorders among university students.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><doi>10.1371/journal.pone.0291137</doi><tpages>e0291137</tpages><orcidid>https://orcid.org/0000-0001-8206-4195</orcidid><oa>free_for_read</oa></addata></record>
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subjects Alcohol use
Analysis
Attention deficit hyperactivity disorder
Biology and Life Sciences
Chewing
Chronic diseases
College students
Colleges & universities
Comorbidity
Computer and Information Sciences
Confidence intervals
Depression, Mental
Diagnosis
Education
Health aspects
Health services
Illnesses
Insomnia
Internet
Mastication
Medical colleges
Medicine and Health Sciences
Mental depression
Mental disorders
Modelling
Multivariate statistical analysis
Physical Sciences
Psychological aspects
Random sampling
Regression coefficients
Risk factors
Sampling techniques
Signs and symptoms
Sleep disorders
Social interactions
Social Sciences
Statistical analysis
Statistical sampling
Structural equation modeling
Students
Undergraduate study
Well being
title Magnitude, relationship and determinants of attention deficit hyperactivity disorder and depression among University of Gondar undergraduate students, Northwest Ethiopia, 2022: Non-recursive structural equation modeling
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