Attention-deficit hyperactivity disorder rating scales for diagnosis

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Overview

Most of the studies on the accuracy of scales for the diagnosis after compromised from spectrum bias, in which accuracy is inflated due to comparing two separate populations of patients with and without disease rather than a spectrum of patients being evaluated for thee disease[1].

When comparing scales by using correlation coefficients, an R of 0.7 or a R<sup2 of 0.5 is considered reliable[2][3] If study results are given as sensitivity and specificity, then results across studies may be better compared with the bivariate or hierarchical summary receiver operating characteristic (HSROC) [4].

Available scales

For the diagnosis of ADHD, several rating scales exist and were systematically reviewed in 2011[5]. A list is available at:

More recently, the WURS and both the short and long ASRS have been compared[6].

  • Conners' Adult ADHD Rating Scales (CAARS) is copyrighted and only available through purchase. https://www.wpspublish.com/caars-conners-adult-adhd-rating-scales
  • Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist (ASRS). https://www.hcp.med.harvard.edu/ncs/asrs.php. "the ASRS screening scale was developed by 2 board-certified psychiatrists (L.A.A. and T.J.S.) working with a World Health Organization (WHO) advisory group to generate 1 fully structured question for each DSM-IV Criterion."[7]
    • The ASS may have a sensitivity as low as 56%[5].
    • A shorter version, "ASRS‐v1.1 Screener" may be valid[7].
  • Utah criteria
    • Wender Utah Rating Scale (WURS) has 25 items and is used in adults to retrospectively diagnosis ADHD in childhood[8]. Originnaly, the scale had 61 items till the Utah study of 1993[8].
    • WRAADDS (Wender-Reimherr Adult Attention Deficit Disorder Scale) is used to diagnosis ADHD in adults[9].

References

  1. Whiting PF, Rutjes AW, Westwood ME, Mallett S, QUADAS-2 Steering Group (2013). "A systematic review classifies sources of bias and variation in diagnostic test accuracy studies". J Clin Epidemiol. 66 (10): 1093–104. doi:10.1016/j.jclinepi.2013.05.014. PMID 23958378.
  2. Anonymous. PROMIS® Instrument Development and Validation Scientific Standards, Version 2.0, (revised May 2013). HealthMeasures. Published May 2013. Accessed June 5, 2022. https://www.healthmeasures.net/images/PROMIS/PROMISStandards_Vers2.0_Final.pdf
  3. Brady KJS, Ni P, Carlasare L, Shanafelt TD, Sinsky CA, Linzer M; et al. (2022). "Establishing Crosswalks Between Common Measures of Burnout in US Physicians". J Gen Intern Med. 37 (4): 777–784. doi:10.1007/s11606-021-06661-4. PMC 8904666 Check |pmc= value (help). PMID 33791938 Check |pmid= value (help).
  4. Takwoingi Y, Riley RD, Deeks JJ (2015). "Meta-analysis of diagnostic accuracy studies in mental health". Evid Based Ment Health. 18 (4): 103–9. doi:10.1136/eb-2015-102228. PMC 4680179. PMID 26446042.
  5. 5.0 5.1 Taylor A, Deb S, Unwin G (2011). "Scales for the identification of adults with attention deficit hyperactivity disorder (ADHD): a systematic review". Res Dev Disabil. 32 (3): 924–38. doi:10.1016/j.ridd.2010.12.036. PMID 21316190.
  6. Brevik EJ, Lundervold AJ, Haavik J, Posserud MB (2020). "Validity and accuracy of the Adult Attention-Deficit/Hyperactivity Disorder (ADHD) Self-Report Scale (ASRS) and the Wender Utah Rating Scale (WURS) symptom checklists in discriminating between adults with and without ADHD". Brain Behav. 10 (6): e01605. doi:10.1002/brb3.1605. PMC 7303368 Check |pmc= value (help). PMID 32285644 Check |pmid= value (help).
  7. 7.0 7.1 Ustun B, Adler LA, Rudin C, Faraone SV, Spencer TJ, Berglund P; et al. (2017). "The World Health Organization Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5". JAMA Psychiatry. 74 (5): 520–527. doi:10.1001/jamapsychiatry.2017.0298. PMC 5470397. PMID 28384801.
  8. 8.0 8.1 Ward MF, Wender PH, Reimherr FW (1993). "The Wender Utah Rating Scale: an aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder". Am J Psychiatry. 150 (6): 885–90. doi:10.1176/ajp.150.6.885. PMID 8494063.
  9. Marchant BK, Reimherr FW, Robison D, Robison RJ, Wender PH (2013). "Psychometric properties of the Wender-Reimherr Adult Attention Deficit Disorder Scale". Psychol Assess. 25 (3): 942–50. doi:10.1037/a0032797. PMID 23647041.