Somatic comorbidities and health related uncertainty among Swedish adolescents with ADHD

IntroductionAttention-deficit/hyperactivity disorder (ADHD) frequently exists alongside psychiatric comorbidities. The coexistence of somatic diseases and ADHD constitutes a growing field of research.MethodThis study aimed to examine the prevalence of common somatic diseases in adolescents with ADHD...

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Main Authors: Sara Lundqvist, Sara Röjås, Kourosh Bador, Maria Råstam, Nóra Kerekes
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1534280/full
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author Sara Lundqvist
Sara Lundqvist
Sara Röjås
Kourosh Bador
Maria Råstam
Nóra Kerekes
Nóra Kerekes
author_facet Sara Lundqvist
Sara Lundqvist
Sara Röjås
Kourosh Bador
Maria Råstam
Nóra Kerekes
Nóra Kerekes
author_sort Sara Lundqvist
collection DOAJ
description IntroductionAttention-deficit/hyperactivity disorder (ADHD) frequently exists alongside psychiatric comorbidities. The coexistence of somatic diseases and ADHD constitutes a growing field of research.MethodThis study aimed to examine the prevalence of common somatic diseases in adolescents with ADHD and compare them with those in adolescents without any psychiatric diagnoses. A cross-sectional study was conducted among a convenient sample of Swedish upper secondary school students aged 15 to 19 years. Data were collected using an electronic version of the “Mental and Somatic Health without borders” survey. In 2020, 1608 adolescents completed the survey and provided self-reports of their psychiatric and somatic diagnoses.ResultsAmong the sample of Swedish adolescents, 5.5% reported having ADHD diagnoses. These adolescents reported more somatic comorbidities than those without any psychiatric diagnosis (comparison group). The most common somatic comorbidities among those with ADHD were allergies (43.4%), asthma (24.7%), and skin diseases (16.7%), which prevalences were significantly higher than those reported by adolescents in the comparison group. However the effect sizes of these differences were negligible (allergies: p=0.002, Cramer’s V=0.08; asthma: p=0.041, Cramer’s V=0.06; skin diseases: p=0.007, Cramer’s V=0.08), raising questions about the practical implications of these findings. Allergies were significantly more common in both genders with ADHD (p=0.038, Cramer’s V=0.08 in women and p=0.038, Cramer’s V=0.09 in men). Additionally, men with ADHD showed a significant association with skin diseases (p=0.007, Cramer’s V=0.12) while women with ADHD were significantly more likely to have migraine (p=0.038, Cramer’s V=0.08). Notably, adolescents with ADHD reported significantly higher rates of uncertainty regarding the existence of diabetes, rheumatoid diseases, asthma (with negligible effect sizes), and thyroid diseases (with a small effect size) than those without any psychiatric diagnoses, suggesting heightened health related anxiety within this group.ConclusionsAdolescents with ADHD reported more somatic comorbidities and greater uncertainty about the potential presence of additional somatic conditions compared to adolescents without psychiatric diagnoses. These findings highlight the importance of addressing both health literacy and access to healthcare. By focusing on this group, we cannot only improve their ability to understand and navigate the healthcare system but also strengthen their confidence in managing their own health.
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spelling doaj-art-2b89c0de016d40f0ae2f2f730d920fdf2025-02-11T06:59:22ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-02-011610.3389/fpsyt.2025.15342801534280Somatic comorbidities and health related uncertainty among Swedish adolescents with ADHDSara Lundqvist0Sara Lundqvist1Sara Röjås2Kourosh Bador3Maria Råstam4Nóra Kerekes5Nóra Kerekes6Department of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of Gothenburg, Göteborg, SwedenDepartment of Child and Adolescent Psychiatri, Sahlgrenska University Hospital, Göteborg, SwedenDepartment of Child and Adolescent Psychiatri, Sahlgrenska University Hospital, Göteborg, SwedenCentre for Holistic Psychiatry Research (CHoPy), Mölndal, SwedenDepartment of Clinical Sciences, Faculty of Medicine, Lund University, Lund, SwedenCentre for Holistic Psychiatry Research (CHoPy), Mölndal, SwedenDepartment of Health Sciences, University West, Trollhättan, SwedenIntroductionAttention-deficit/hyperactivity disorder (ADHD) frequently exists alongside psychiatric comorbidities. The coexistence of somatic diseases and ADHD constitutes a growing field of research.MethodThis study aimed to examine the prevalence of common somatic diseases in adolescents with ADHD and compare them with those in adolescents without any psychiatric diagnoses. A cross-sectional study was conducted among a convenient sample of Swedish upper secondary school students aged 15 to 19 years. Data were collected using an electronic version of the “Mental and Somatic Health without borders” survey. In 2020, 1608 adolescents completed the survey and provided self-reports of their psychiatric and somatic diagnoses.ResultsAmong the sample of Swedish adolescents, 5.5% reported having ADHD diagnoses. These adolescents reported more somatic comorbidities than those without any psychiatric diagnosis (comparison group). The most common somatic comorbidities among those with ADHD were allergies (43.4%), asthma (24.7%), and skin diseases (16.7%), which prevalences were significantly higher than those reported by adolescents in the comparison group. However the effect sizes of these differences were negligible (allergies: p=0.002, Cramer’s V=0.08; asthma: p=0.041, Cramer’s V=0.06; skin diseases: p=0.007, Cramer’s V=0.08), raising questions about the practical implications of these findings. Allergies were significantly more common in both genders with ADHD (p=0.038, Cramer’s V=0.08 in women and p=0.038, Cramer’s V=0.09 in men). Additionally, men with ADHD showed a significant association with skin diseases (p=0.007, Cramer’s V=0.12) while women with ADHD were significantly more likely to have migraine (p=0.038, Cramer’s V=0.08). Notably, adolescents with ADHD reported significantly higher rates of uncertainty regarding the existence of diabetes, rheumatoid diseases, asthma (with negligible effect sizes), and thyroid diseases (with a small effect size) than those without any psychiatric diagnoses, suggesting heightened health related anxiety within this group.ConclusionsAdolescents with ADHD reported more somatic comorbidities and greater uncertainty about the potential presence of additional somatic conditions compared to adolescents without psychiatric diagnoses. These findings highlight the importance of addressing both health literacy and access to healthcare. By focusing on this group, we cannot only improve their ability to understand and navigate the healthcare system but also strengthen their confidence in managing their own health.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1534280/fulladolescentsallergieshealth-related uncertaintyattention-deficit/hyperactivity disorder (ADHD)gendermigraine
spellingShingle Sara Lundqvist
Sara Lundqvist
Sara Röjås
Kourosh Bador
Maria Råstam
Nóra Kerekes
Nóra Kerekes
Somatic comorbidities and health related uncertainty among Swedish adolescents with ADHD
Frontiers in Psychiatry
adolescents
allergies
health-related uncertainty
attention-deficit/hyperactivity disorder (ADHD)
gender
migraine
title Somatic comorbidities and health related uncertainty among Swedish adolescents with ADHD
title_full Somatic comorbidities and health related uncertainty among Swedish adolescents with ADHD
title_fullStr Somatic comorbidities and health related uncertainty among Swedish adolescents with ADHD
title_full_unstemmed Somatic comorbidities and health related uncertainty among Swedish adolescents with ADHD
title_short Somatic comorbidities and health related uncertainty among Swedish adolescents with ADHD
title_sort somatic comorbidities and health related uncertainty among swedish adolescents with adhd
topic adolescents
allergies
health-related uncertainty
attention-deficit/hyperactivity disorder (ADHD)
gender
migraine
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1534280/full
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