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Abstract
The use of screening tools is an effective and practical approach within the clinical diagnostic assessment of attention deficit hyperactivity disorder (ADHD) in adults. Existing screening measures for adult ADHD have focused on a younger population. Subsequently, the current study aimed to evaluate the utility and general usability of an adapted four-item screening tool for adult ADHD: a brief version of the Wender Utah Rating Scale (WURS-brief), within a middle-aged population. The sample consisted of 69 adults, aged between 30 and 63 (age M= 45, SD=6.95), who had been referred to a specialist adult ADHD outpatients clinic. Using factor analysis, the WURS-brief screening measure was compared to existing ADHD diagnostic tools that were used as reference measures within the analysis. The WURS-brief had respectable sensitivity when compared with existing diagnostic tools. This study highlights the importance of validating brief screening measures for middle-aged adults with ADHD within clinical settings and offers suggestions for future research.
References
Alderson, R. M., Kasper, L. J., Hudec, K. L., & Patros, C. H. (2013). Attention-deficit/hyperactivity disorder (ADHD) and working memory in adults: A meta-analytic review. Neuropsychology, 27 (3), 287–302. https://doi.org/10.1037/a0032371.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders Fourth Edition(DSM-IV-TR®). American Psychiatric Association Publishing.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders Fourth Edition, Text Revision(DSM-IV®). American Psychiatric Association Publishing.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, Fifth Edition (DSM-5®). American Psychiatric Association Publishing.
Applegate, B., Lahey, B. B., Hart, E. L., Biederman, J., Hynd, G. W., Barkley, R. A., Ollendick, T., Frick, P. J., Greenhili, L., McBurnett, K., Newcorn, J. H., Kerdyk, L., Garfinkel, B., Waldman, I., & Shaffer, D. (1997). Validity of the age-of-onset criterion for ADHD: A report from the DSM-IV field trials. Journal of the American Academy of Child & Adolescent Psychiatry, 36 (9), 1211–1221. https://doi.org/10.1097/00004583-199709000-00013.
Asherson, P., Manor, I., & Huss, M. (2014). Attentiondeficit/hyperactivity disorder in adults: Update on clinical presentation and care. Neuropsychiatry, 4 (1), 109. https://doi.org/10.2217/npy.14.16.
Barbaresi, W. J., Colligan, R. C., Weaver, A. L., Voigt, R. G., Killian, J. M., & Katusic, S. K. (2013). Mortality, ADHD, and psychosocial adversity in adults with childhood ADHD: a prospective study. Pediatrics, 131 (4), 637–644. https://dx.doi.org/10.1542/2Fpeds.2012-2345.
Barkley, R. A., Fischer, M., Smallish, L., & Fletcher, K. (2002). The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder. Journal of abnormal psychology, 111 (2), 279–289. https://doi.org/10.1037/0021-843X.111.2.279.
Barkley, R. A., Knouse, L. E., & Murphy, K. R. (2011). Correspondence and disparity in the self- and other ratings of current and childhood ADHD symptoms and impairment in adults with ADHD. Psychological Assessment, 23 (2), 457–466. https://doi.org/10.1037/a0022172.
Biederman, J., Petty, C. R., Evans, M., Small, J., & Faraone, S. V. (2010). How persistent is ADHD? a controlled 10-year follow-up study of boys with ADHD. Psychiatry research, 177 (3), 299–304. https://doi.org/10.1016/j.psychres.2009.12.010.
Caspi, A., Roberts, B. W., & Shiner, R. L. (2005). Personality development: Stability and change. Annu. Rev. Psychol., 56, 453–484. https://doi.org/10.1007/978-3-662-38517-3_9.
Corbisiero, S., Hartmann-Schorro, R. M., Riecher-Rössler, A., & Stieglitz, R. D. (2017). Screening for adult attention-deficit/hyperactivity disorder in a psychiatric outpatient population with specific focus on sex differences. Frontiers in psychiatry, 8, 115. https://doi.org/10.3389/fpsyt.2017.00115.
Cuesta, M. J., Pino, O., Guilera, G., Rojo, J. E., Gómez- Benito, J., Purdon, S. E., Franco, M., Martínez-Arán, A., Segarra, N., Tabarés-Seisdedos, R., Vieta, E., Bernardo, M., Crespo-Facorro, B., Mesa, F., & Rejas, J. (2011). Brief cognitive assessment instruments in schizophrenia and bipolar patients, and healthy control subjects: a comparison study between the Brief Cognitive Assessment Tool for Schizophrenia (B-CATS) and the Screen for Cognitive Impairment in Psychiatry (SCIP). Schizophrenia research, 130 (1–3), 137–142. https://doi.org/10.1016/j.schres.2011.05.020.
Cumyn, L., French, L., & Hechtman, L. (2009). Comorbidity in adults with attention-deficit hyperactivity disorder. The Canadian Journal of Psychiatry, 54 (10), 673–683. https://doi.org/10.1177/070674370905401004.
Daigre, C., Terán, A., García-Vicent, V., & Roncero, C. (2013). Attention deficit hyperactivity disorder and central nervous system depressants dependence. A review. Adicciones, 25 (2), 171–186. https://doi.org/10.20882/adicciones.65.
Daigre Blanco, C., Ramos-Quiroga, J. A., Valero, S., Bosch, R., Roncero, C., Gonzalvo, B., & Nogueira, M. (2009). Adult ADHD Self-Report Scale (ASRS-v1. 1) symptom checklist in patients with substance use disorders. Actas Esp Psiquiatr, 37 (6), 299–305.
Dakwar, E., Mahony, A., Pavlicova, M., Glass, A., Brooks, D., Mariani, J. J., Grabowski, J., & Levin, F. R. (2012). The utility of attention-deficit/hyperactivity disorder screening instruments in individuals seeking treatment for substance use disorders. The Journal of clinical psychiatry, 73 (11), e1372–e1378. https://dx.doi.org/10.4088/2FJCP.12m07895.
Das, D., Cherbuin, N., Butterworth, P., Anstey, K., & Easteal, S. (2012). A population-based study of attention deficit/hyperactivitydisordersymptoms andassociatedimpairment in middle-aged adults. PloS one, 7 (2), e31500. https://doi.org/10.1371/journal.pone.0031500.
Epstein, J., & Kollins, S. (2006). Psychometric properties of an adult ADHD diagnostic interview. Journal of Attention Disorders, 9 (3), 504–514. https://doi.org/10.1177/1087054705283575.
Faayad, J., De Graaf, R., Kessler, R., Alonso, J., Angermeyer, M., Demyttenaere, K., De Girolamo, G., Haro, J., Karam, E., Lara, C., Lépine, J.-P., Ormel, J., Posada-Villa, J., Zaslavsky, A., & Jin, R. (2007). Cross-national prevalence and correlates of adult attention-deficit hyperactivity disorder. The British Journal of Psychiatry, 190, 402–409. https://doi.org/10.1192/bjp.bp.106.034389.
Family Law Reform Act. UK Government Legislation. (1969). http://www.legislation.gov.uk/ukpga/1969/46/pdfs/ukpga_19690046_en.pdf.
Gliem, J. A., & Gliem, R. R. (2003). Calculating, interpreting, and reporting Cronbachs alpha reliability coefficient for Likert-type scales [Paper presentation]. Midwest Research-to-Practice Conference in Adult, Continuing, and Community Education, The Ohio State University, OH, United States. https://scholarworks.iupui.edu/bitstream/handle/1805/344/Gliem%20and%20Gliem.pdf?s.
Guldberg-Kjär, T., & Johansson, B. (2009). Old people reporting childhood AD/HD symptoms: Retrospectively self-rated AD/HD symptoms in a population-based Swedish sample aged 65–80. Nordic journal of psychiatry, 63 (5), 375–382. https://doi.org/10.1080/08039480902818238.
Guldberg-Kjär, T., & Johansson, B. (2015). ADHD symptoms across the lifespan: A comparison of symptoms captured by the Wender and Barkley Scales and DSM-IV criteria in a population-based Swedish sample aged 65 to 80. Journal of attention disorders, 19 (5), 390–404. https://doi.org/10.1177/108705471351485.
Henry, B., Moffitt, T. E., Caspi, A., Langley, J., & Silva, P. A. (1994). On the “remembrance of things past”: A longitudinal evaluation of the retrospective method. Psychological assessment, 6 (2), 92–101. https://doi.org/10.1037/1040-3590.6.2.92.
Jamieson, S. (2004). Likert scales: How to (ab) use them. Medical education, 38 (12), 1217–1218. https://doi.org/10.1111/j.1365-2929.2004.02012.x.
Kessler, R. C., Adler, L. A., Barkley, R., Biederman, J., Conners, C. K., Faraone, S. V., Greenhill, L. L., Jaeger, S., Secnik, K., Spencer, T., & Üstün, T. B. (2005). Patterns and predictors of attention deficit/hyperactivity disorder persistence into adulthood: Results from the national comorbidity survey replication. Society of Biological Psychiatry, 57 (11), 1442–1451. https://doi.org/10.1016/j.biopsych.2005.04.001.
Kooij, J. J. S., & Francken, M. H. (2010). Diagnostic interview for ADHD in adults 2.0 (DIVA 2.0). Adult ADHD. Diagnostic Assessment and Treatment. Pearson Assessment and Information.
Kooij, J. J. S., Francken, M. H., Bron, T. I., McCarthy, J., & Perera, B. D. (2017). Diagnostic Interview for ADHD in Adults With Intellectual Disability (DIVA-5-ID). Journal of Mental Health Research in Intellectual Disabilities, 10 (1), 64–65. https://doi.org/10.1080/19315864.2017.1368259.
Mannuzza, S., & Klein, R. G. (2000). Long-term prognosis in attention- deficit/hyperactivity disorder. Child and Adolescent Psychiatric Clinics of North 83 America, 9 (3), 711–726. https://doi.org/10.1016/S1056-4993(18)30114-7
Mannuzza, S., Klein, R. G., Abikoff, H., & Moulton, J. L. (2004). Significance of childhood conduct problems to later development of conduct disorder among children with adhd: A prospective followup study. Journal of abnormal child psychology, 32 (5), 565–573. https://doi.org/10.1023/B:JACP.0000037784.80885.1a.
Mannuzza, S., Klein, R. G., Klein, D. F., Bessler, A., & Shrout, P. (2002). Accuracy of adult recall of childhood attention deficit hyperactivity disorder. American Journal of Psychiatry, 159 (11), 1882–1888. https://doi.org/10.1176/appi.ajp.159.11.1882.
Manor, I., Rozen, S., Zemishlani, Z., Weizman, A., & Zalsman, G. (2011). When does it end? attentiondeficit/hyperactivity disorder in the middle aged and older populations. Clinical neuropharmacology, 34 (4), 148–154. https://doi.org/10.1097/wnf.0b013e3182206dc1.
Matas, J., & Stanley, D. (1998). Rapid screening for attention deficit hyperactivity disorder in adults. Age, 34, 17–64.
Mausner, J. S., & Bahn, A. K. (1977). Epidemiology. Editorial Interamericana.
Miller, C. J., Newcorn, J. H., & Halperin, J. M. (2010). Fading memories: Retrospective recall inaccuracies in ADHD. Journal of attention disorders, 14 (1), 7–14. https://doi.org/10.1177/1087054709347189.
Mordre, M., Groholt, B., Kjelsberg, E., Sandstad, B., & Myhre, A. M. (2011). The impact of ADHD and conduct disorder in childhood on adult delinquency: A 30 years follow-up study using official crime records. BMC psychiatry, 11 (1), 57. https://doi.org/10.1186/1471-244x-11-57.
Mörstedt, B., Corbisiero, S., Bitto, H., & Stieglitz, R. D. (2015). Attention-deficit/hyperactivity disorder (ADHD) in adulthood: Concordance and differences between self-and informant perspectives on symptoms and functional impairment. PloS one, 10 (11), e0141342. https://doi.org/10.1371/journal.pone.0141342.
Murphy, K. R., & Adler, L. A. (2004). Assessing attentiondeficit/hyperactivity disorder in adults: Focus on rating scales. Journal of Clinical Psychiatry, 65 (3), 11–17.
Murray, C., & Weiss, M. (2001). Assessment of adult ADH: Current guidelines and issues. Anuario de Psiologia, 32 (4), 23–33.
Parikh, R., Mathai, A., Parikh, S., Sekhar, G. C., & Thomas, R. (2008). Understanding and using sensitivity, specificity and predictive values. Indian journal of ophthalmology, 56 (1), 45–50. https://doi.org/10.4103/0301-4738.37595.
Pettersson, R., Söderström, S., & Nilsson, K. W. (2018). Diagnosing ADHD in adults: An examination of the discriminative validity of neuropsychological tests and diagnostic assessment instruments. Journal of attention disorders, 22 (11), 1019–1031. https://doi.org/10.1177/1087054715618788.
Rabin, M., & Schrag, J. L. (1999). First impressions matter: A model of confirmatory bias. The Quarterly Journal of Economics, 114 (1), 37–82. https://doi.org/10.1162/003355399555945.
Ramos-Quiroga, J. A., Bosch, R., Richarte, V., Valero, S., Gómez-Barros, N., Nogueira, M., Palomar, G., Corrales, M., Sáez-Francàs, N., Corominas, M., Real, A., Vidal, R., Chalita, P. J., & Casas, M. (2012). Criterion and concurrent validity of Conners Adult ADHD Diagnostic Interview for DSM-IV (CAADID) Spanish version. Revista de Psiquiatría y Salud Mental (English Edition), 5 (4), 229–235. https://doi.org/10.1016/j.rpsmen.2012.05.002.
Ramos-Quiroga, J. A., Nasillo, V., Richarte, V., Corrales, M., Palma, F., Ibáñez, P., Michelsen, M., Van de Glind, G., Casas, M., & Kooij, J. J. (2019). Criteria and concurrent validity of DIVA 2.0: A semi-structured diagnostic interview for adult ADHD. Journal of attention disorders, 23 (10), 1126–1135.
Ramsey, J. R. (2014). Psychological Assessment of Adults. In R. A. Barkley (Ed.), Attention-Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment (pp. 475-500). The Guilford Press.
Rasmussen, P., & Gillberg, C. (2000). Natural outcome of ADHD with developmental coordination disorder at age 22 years: a controlled, longitudinal, community-based study. Journal of the American Academy of Child & Adolescent Psychiatry, 39 (11), 1424–1431. https://doi.org/10.1097/00004583-200011000-00017.
Schweitzer, J. B., Faber, T. L., Grafton, S. T., Tune, L. E., Hoffman, J. M., & Kilts, C. D. (2000). Alterations in the functional anatomy of working memory in adult attention deficit hyperactivity disorder. American Journal of Psychiatry, 157 (2), 278–280. https:// doi. org/10.1176/appi.ajp.157.2.278.
Sparrow, E. P. (2010). Essentials of conners behavior assessments. John Wiley & Sons. Stanton, K., & Watson, D. (2016). An examination of the structure and construct validity of the Wender Utah Rating Scale. Journal of personality assessment, 98 (5), 545–552. https://doi.org/10.1080/00223891.2016.1152579.
Stein, M. A., Sandoval, R., Szumowski, E., Roizen, N., Reinecke, M. A., Blondis, T. A., & Klein, Z. (1995). Psychometric characteristics of theWender Utah Rating Scale (WURS): Reliability and factor structure for men and women. Psychopharmacology Bulletin, 31 (2), 425–433.
Taylor, A., Deb, S., & Unwin, G. (2011). Scales for the identification of adults with attention deficit hyperactivity disorder (ADHD): A systematic review. Research in Developmental Disabilities, 32 (3), 924–938. https://doi.org/10.1016/j.ridd.2010.12.036.
Wang, Y. Y., Feng, Y., Xu, D. D., Huang, W., Chow, I. H., Ng, C. H., Ungvari, G. S., Yuan, Z.,Wang, G., & Xiang, Y. T. (2018). The development and validation of a short version of the 33-item hypomania checklist (HCL-33). Journal of affective disorders, 235, 206–210. https://doi.org/10.1016/j.jad.2018.04.019.
Ward, M. F., Wender, P. H., & Reimherr, F. W. (1993). The wender utah rating scale: An aid in the retrospective diagnosis of childhood attention decit hyperactivity disorder. American journal of Psychiatry, 150 (6), 885–890.
World Health Organization. (2008). International statistical classification of diseases and related health problems, (Tenth Revision). World Health Organization.
World Health Organization. (2016). International statistical classification of diseases and related health problems, tenth revision (Fifth Edition). World Health Organization.
Yoshimasu, K., Barbaresi, W. J., Colligan, R. C., Voigt, R. G., Killian, J. M., Weaver, A. L., & Katusic, S. K. (2018). Adults with persistent ADHD: Gender and psychiatric comorbidities–A populationbased longitudinal study. Journal of attention disorders, 22 (6), 535–546. https://doi.org/10.1177/1087054716676342.
Young, S., González, R. A., Mutch, L., Mallet-Lambert, I., O’rourke, L., Hickey, N., Asherson, P., & Gudjonsson, G. H. (2016). Diagnostic accuracy of a brief screening tool for attention deficit hyperactivity disorder in UK prison inmates. Psychological medicine, 46 (7), 1449–1458. https://doi.org/10.1017/S0033291716000039.