Preprint / Version 1

Sexual Orientation Differences in ADHD in Adolescents in Southeastern US

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  • Tsz Hin Wong Brookwood High School

DOI:

https://doi.org/10.58445/rars.1393

Keywords:

ADHD, Sexual Minority, Adolescent, Health Disparities

Abstract

The present study investigated the difference in ADHD prevalence by sexual orientation. Participants (n=78) completed a survey containing ADHD Self-Report Scale Symptoms Checklist-Adolescent Version (Sonnby et al., 2014). LGB teens are 5.16 times more likely to meet the criteria for ADHD than non-LGB teens after controlling for relevant covariates. More research is needed to investigate the possible difference in ADHD prevalence by sexual orientation through gold-standard diagnostic methods for ADHD.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual for mental disorders (5th ed.). American Psychiatric Association.

Ancheta, A. J. (2022). The impacts of school climate and education policy on weight and victimization disparities among sexual minority adolescents [Doctoral Dissertation, Colombia University]. Colombia University Repository. https://doi.org/10.7916/ezt1-2h41

Ancheta, A. J., Caceres, B. A., Jackman, K. B., Kreuze, E., & Hughes, T. L. (2021). Sexual identity differences in health behaviors and weight status among urban high school students. Behavioral Medicine, 47(4), 259–271. https://doi.org/10.1080/08964289.2020.1763903

Bailey, J. M. (2020). The minority stress model deserves reconsideration, not just extension. Archives of Sexual Behavior, 49(7), 2265-2268. https://doi.org/10.1007/s10508-019-01606-9

Bailey, J. M. (2021). It is time to stress test the minority stress model. Archives of Sexual Behavior, 50(3), 739-740. https://doi.org/10.1007/s10508-021-01912-1

Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121(1), 65-94. https://doi.org/10.1037/0033-2909.121.1.65

Barkley, R. A. (2018a). Comorbid psychiatric disorders and psychological maladjustment in adults with ADHD. In Russel A. Barkley (Ed.), Attention-Deficit Hyperactivity Disorder: A handbook for diagnosis & treatment (4th ed., pp. 343-355). The Guilford Press. (Original work published in 2015).

Barkley, R. A. (2018b). Emotional dysregulation is a core component of ADHD. In Russel A. Barkley (Ed.), Attention-Deficit Hyperactivity Disorder: A handbook for diagnosis & treatment (4th ed., pp. 81-115). The Guilford Press. (Original work published in 2015).

Barkley, R. A. (2018c). Etiologies of ADHD. In Russel A. Barkley (Ed.), Attention-Deficit Hyperactivity Disorder: A handbook for diagnosis & treatment (4th ed., pp. 356-391). The Guilford Press. (Original work published in 2015).

Barkley, R. A. (2018d). Health problems and related impairments in children and adults with ADHD. In Russel A. Barkley (Ed.), Attention-Deficit Hyperactivity Disorder: A handbook for diagnosis & treatment (4th ed., pp. 267-313). The Guilford Press. (Original work published 2015).

Beach, L. B., Turner, B., Felt, D., Marro, R., & Phillips, G. (2018). Risk factors for Diabetes are higher among non-heterosexual US high-school students. Pediatric Diabetes, 19(7), 1137–1146. https://doi.org/10.1111/pedi.12720

Blums, A. W., Lust, K., Christenson, G., & Grant, J. E. (2020). Links between sexuality, impulsivity, compulsivity, and addiction in a large sample of university students. CNS Spectrums, 25(1), 9-15. https://doi.org/10.1017/S1092852918001591

Borgogna, N. C., & Aita, S. L. (2023). Stress testing the minority stress model: It’s not just neuroticism. Psychology of Sexual Orientation and Gender Diversity. Advanced Online Publication. https://dx.doi.org/10.1037/sgd0000620

Caceres, B. A., Makarem, N., Hickey, K. T., & Hughes, T. L. (2019). Cardiovascular disease disparities in sexual minority adults: An examination of the Behavioral Risk Factor Surveillance System (2014-2016). American Journal of Health Promotion, 33(4), 576–585. https://doi.org/10.1177/0890117118810246

Calzo, J. P., Blashill, A. J., Brown, T. A., & Argenal, R. L. (2017). Eating Disorders and disordered weight and shape control behaviors in sexual minority populations. Current Psychiatry Reports, 19(8), 49. https://doi.org/10.1007/s11920-017-0801-y

Conner, D. F. (2018). Stimulant and non-stimulant medications for childhood ADHD. In Russell A. Barkley (Eds.), Attention Deficit Hyperactivity Disorder: A handbook for diagnosis & treatment (4th ed., pp. 666-687). The Guilford Press. (Original work published in 2015).

Donahue, K. L., Långström, N., Lundström, S., Lichtenstein, P., & Forsman, M. (2017). Familial factors, victimization, and psychological health among sexual minority adolescents in Sweden. American Journal of Public Health, 107(2), 322–328. https://doi.org/10.2105/ajph.2016.303573

Dürrbaum, T., & Sattler, F. A. (2020). Minority stress and mental health in Lesbian, Gay male, and Bisexual youths: A meta-analysis. Journal of LGBT Youth, 17(3), 298–314. https://doi.org/10.1080/19361653.2019.1586615

Faraone, S. V., & Larsson, H. (2019). Genetics of Attention Deficit Hyperactivity Disorder. Molecular Psychiatry, 24(4), 562-575. https://doi.org/10.1038/s41380-018-0070-0

Faraone, S. V., Banaschewski, T., Coghill, D., Zheng, Y., Biederman, J., Bellgrove, M. A., Newcorn, J. H., Gignac, M., Al Saud, N. M., Manor, I., Rohde, L. A., Yang, L., Cortese, S., Amagor, D., Stein, M. A., Albatti, T. H., Aljoudi, H. F., Alqahtani, M. M. J., Asherson, P., Atwoli, L., . . . Wang, Y. (2021). The World Federation of ADHD International Consensus Statement: 208 evidence-based conclusions about the disorder. Neuroscience & Biobehavioral Reviews, 128, 789-818. https://doi.org/10.1016/j.neubiorev.2021.01.022

Fogler, J. M., Weaver, A. L., Katustic, S., Volgt, R. G., & Barbaresi, W. J. (2022). Recalled experiences of bullying and victimization in a longitudinal, population-based birth cohort: The influence of ADHD and co-occurring psychiatric disorder. Journal of Attention Disorder, 26(1), 15-24. https://doi.org/10.1177/1087054720969981

Fredriksen-Goldsen, K. I., Romanelli, M., Jung, H., & Kim, H. (2024). Health, economic, and social disparities among lesbian, gay, bisexual, and sexually diverse adults: Results from a population-based study. Behavioral Medicine, 50(2), 141-152. https://doi.org/10.1080/08964289.2022.2153787

Frisell, T., Lichtenstein, P., Rahman, Q., & Långström, N. (2010). Psychiatric morbidity associated with same-sex sexual behavior: Influence of minority stress and familial factors. Psychological Medicine, 40(2), 315-324. https://doi.org/10.1017/s10508-02-02319-2

Geiger, E. F. (2019). Don’t DIS my ability: Expansion of the minority stress theory [Doctoral Dissertation, Columbia University]. Columbia University Repository. https://doi.org/10.7916/d8-bsjg-yq92

Kerridge, B. T., Pickering, R. P., Saha, T. D., Ruan, W. J., Chou, S. P., Zhang, H., Jung, J., & Hasin, D. S. (2017). Prevalence, sociodemographic correlates and DSM-5 substance use disorders and other psychiatric disorders among sexual minorities in the United States. Drug and Alcohol Dependence, 170, 82–92. https://doi.org/10.1016/j.drugalcdep.2016.10.038

King, M., Semlyen, J., Tai, S. S., Killaspy, H., Osborn, D., Popelyuk, D., & Nazareth, I. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay, and bisexual people. BMC Psychiatry, 8(1), 70. https://doi.org/10.1186/1471-244x-8-70

Meyer, I. H. (2001). Why lesbian, gay, bisexual, and transgender public health? American Journal of Public Health, 91(6), 856–859. https://doi.org/10.2105/AJPH.91.6.856

Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674-697. https://doi.org/10.1037/0033-2909.129.5.674

Meyer, I. H., Pachankis, J. E., & Klein, D. N. (2021). Do genes explain sexual minority health disparities? Archives of Sexual Behavior, 50(3), 731-737. https://doi.org/10.1007/s10508-020-01909-2

Owens, J. S., Goldfine, M. E., Evangelista, N. M., Hoza, B., & Kaiser, N. M. (2007). A critical review of self-perceptions and the positive illusory bias in children with ADHD. Clinical Child and Family Psychology Review, 10(4), 335-351. https://doi.org/10.1007/s10567-007-0027-3

Pachankis, J. E., & Link, D. J. (2017). Sexual minority stigma and health. In Brenda Major, John F. Dovidio, & Bruce G. Link (Eds.)., The Oxford handbook of stigma, discrimination, and health (1st ed., pp. 477-498). Oxford University Press. https://doi.org/10.1007/s13178-021-00637-z

Pachankis, J. E., Sullivan, T. J., Feinstein, B. A., & Newcomb, M. E. (2018). Young adult Gay and Bisexual men’s stigma experience and mental health: An 8-year longitudinal study. Developmental Psychology, 54(7), 1381-1393. https://doi.org/10.1037/dev0000518

Pachankis, J. E., Mahon, C. P., Jackson, S. D., Fetzner, B. K., & Bränström, R. (2020). Sexual orientation concealment and mental health: A conceptual and meta-analytic review. Psychological Bulletin, 146(10), 831-871. https://doi.org/10.1037/bul0000271

Passell, E., Rutter, L. A., Turban, J. L., Scheuer, L., Wright, N., & Germine, L. (2022). Generalized anxiety disorder symptoms are higher among same- and both-sex attracted individuals in a large, international sample. Sexuality Research and Social Policy, 19(4), 1440-1451. https://doi.org/10.1007/s13178-021-00637-z

Pliszka, S. R. (2018). Comorbid psychiatric disorders in children with ADHD. In Russel A. Barkley (Ed.), Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment (4th ed., pp. 140-168). The Guilford Press.

Plöderl, M., & Tremblay, P. (2015). Mental health of sexual minorities. A systematic review. International Review of Psychiatry, 27(5), 367–385. https://doi.org/10.3109/09540261.2015.1083949

Rafiman, J., Charlton, B. M., Arrington-Sanders, R., Chan, P. A., Rusley, J., Mayer, K. H., Stein, M. D., Austin, S. B., & McConnell, M. (2020). Sexual orientation and suicide attempt disparities among US adolescents 2009-2017. Pediatrics, 145(3), e20191658. https://doi.org/10.1542/peds.2019-1658

Reisner, S. L., Choi, S. K., Herman, J. L., Bockting, W., Krueger, E. A., & Meyer, I. H. (2023). Sexual orientation in transgender adults in the United States. BMC Public Health, 23, 1799. https://doi.org/10.1186/s12889-023-16654-z

Roberts, W., Milich, R., & Barkley, R. A. (2018). Primary symptoms, diagnostic criteria, subtyping, and prevalence of ADHD. In Russel A. Barkley (Ed.), Attention-Deficit Hyperactivity Disorder: A handbook for diagnosis and treatment (4th ed., pp. 51-80). The Guilford Press. (Original work published in 2015).

Sandfort, T., De Graaf, R., Have, M. T., Ransome, Y., & Schnabel, P. (2014). Same-sex sexuality and psychiatric disorders in the Second Netherlands Mental Health Survey and Incidence Study (NEMESIS-2). LGBT Health, 1(4), 292–301. https://doi.org/10.1089/lgbt.2014.0031

Sharma, Y. (2023). Social determinants of cardiovascular health among sexual minority adults [Doctoral Dissertation, Columbia University]. Columbia University Repository. https://doi.org/10.7916/sb2d-fk47

Sharma, Y., Bhargava, A., Doan, D., & Caceres, B. A. (2022). Examination of sexual identity differences in the prevalence of hypertension and antihypertensive medication use among US adults: Findings from the Behavioral Risk Factor Surveillance System. Circulation: Cardiovascular Quality and Outcomes, 15(12), e008999. https://doi.org/10.1161/circoutcomes.122.008999

Solanto, M. V. (2018). Executive function deficits in adults with ADHD. In Russel A. Barkley (Eds.), Attention-Deficit Hyperactivity Disorder: A handbook for diagnosis and treatment (4th ed., pp. 256-266). The Guilford Press. (Original work published 2015).

Sonnby, K., Skordas, K., Olofsdotter, S., Vadlin, S., Nilsson, K. W., & Ramklint, M. (2015). Validation of the World Health Organization Adult ADHD Self-Report Scale for adolescents. Nordic Journal of Psychiatry, 69(3), 216–223. https://doi.org/10.3109/08039488.2014.968203

Strang, J. F., Anthony, L. G., Song, A., Lai, M. C., Knauss, M., Sadikova, S., Graham, E., Zaks, Z., Wimms, H., Willing, L., Call, D., Mancilla, M., Shakin, S., Villain, E., Kim, D. Y., Maisashvili, T., Khawaja, A., & Kenworthy, L. (2023). In addition to stigma: Cognitive and autism-related predictors of mental health in Transgender adolescents. Journal of Clinical Child & Adolescent Psychology, 52(2), 212-229. https://doi.org/10.1080/15374416.2021.1916940

Strutz, K. L., Herring, A. H., & Halpern, C. T. (2015). Health disparities among young adult sexual minorities in the US. American Journal of Preventive Medicine, 48(1), 76-88. https://doi.org/10.1016/j.amepre.2014.07.038

Wittgens, C., Fischer, M. M., Buspavanich, P., Theobald, S., Schweizer, K., & Trautmann, S. (2022). Mental health in people with minority sexual orientations: A meta-analysis of population-based studies. Acta Psychiatrica Scandinavica, 145(4), 357-372. https://doi.org/10.1111/acps.13405

Wang, J., Dey, M., Soldati, L., Weiss, M. G., Gmail, G., & Mohler‐Kuo, M. (2014). Psychiatric disorders, suicidality, and personality among young men by sexual orientation. European Psychiatry, 29(8), 514–522. https://doi.org/10.1016/j.eurpsy.2014.05.001

Xu, Y., Montgomery, S., & Rahman, Q. (2022). Neuroticism and sexual orientation-based victimization as mediators of sexual orientation disparities in mental health. Archives of Sexual Behavior, 51(7), 3405-3416. https://doi.org/10.1007/s10508-022-02319-2

Zietsch, B. P., Verweij, K. J. H., Heath, A. C., Madden, P. A., Martin, N. G., Nelson, E. C., & Lynskey, M. T. (2012). Do shared etiological factors contribute to the relationship between sexual orientation and depression? Psychological Medicine, 42(3), 521-532. https://doi.org/10.1017/S0033291711001577

Posted

2024-08-04