Criteria and Concurrent Validity of DIVA 2.0: A Semi-Structured Diagnostic Interview for Adult ADHD

2016 ◽  
Vol 23 (10) ◽  
pp. 1126-1135 ◽  
Author(s):  
Josep Antoni Ramos-Quiroga ◽  
Viviana Nasillo ◽  
Vanesa Richarte ◽  
Montserrat Corrales ◽  
Felipe Palma ◽  
...  
Keyword(s):  
Concurrent Validity ◽  
Adult Adhd ◽  
Rating Scales ◽  
Rating Scale ◽  
Diagnostic Interview ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm Iv ◽  
Structured Diagnostic Interview ◽  
First Time

Objective: The aim of this study was to assess for the first time the criterion validity of the semi-structured Diagnostic Interview for ADHD in adults (DIVA 2.0), and its concurrent validity in comparison with the Conners’ Adult ADHD Diagnostic Interview for DSM-IV (CAADID) and other ADHD severity scales, following the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) criteria. Method: A transversal study was performed on 40 out-patients with ADHD to check the criteria and concurrent validity of the DIVA 2.0 compared with the CAADID. Results: The DIVA 2.0 interview showed a diagnostic accuracy of 100% when compared with the diagnoses obtained with the CAADID interview. The concurrent validity demonstrated good correlations with three self-reported rating scales: the Wender Utah Rating Scale (WURS; r = .544, p < .0001), the ADHD-Rating Scale ( r = .720, p < .0001), and Sheehan’s Dysfunction Inventory ( r = .674, p < .0001). Conclusion: The DIVA 2.0 is a reliable tool for assessing and diagnosing Adult ADHD and is the only one that offers free online access for clinical and research purposes.

Psychiatric Comorbidity in Treatment-Seeking Alcohol Dependence Patients With and Without ADHD

2015 ◽  
Vol 23 (12) ◽  
pp. 1497-1504 ◽  
Author(s):  
Carlos Roncero ◽  
Lluisa Ortega ◽  
Jesús Pérez-Pazos ◽  
Anna Lligoña ◽  
Alfonso C. Abad ◽  
...  
Keyword(s):  
Alcohol Dependence ◽  
Adult Adhd ◽  
Psychiatric Comorbidity ◽  
Diagnostic Interview ◽  
Self Report ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
History Of ◽  
Dsm Iv ◽  
Made In

Objective: To estimate the prevalence of ADHD in adult patients treated for alcohol dependence and to analyze the characteristics of consumption and psychiatric comorbidity, in function of a possible ADHD in adulthood. Method: We administered the Adult ADHD Self-Report Scale (ASRS) to 726 alcohol-dependent patients. Clinical diagnosis, following Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR) criteria was made in the first four weeks of treatment. A subsample of 297 patients was evaluated using Conners’ Adult ADHD Diagnostic Interview for DSM-IV (CAADID-II) to test the psychometric properties of ASRS. Results: After analyzing the properties of the ASRS (sensitivity: 83.3%; specificity: 66.1%), the prevalence of ADHD, in the whole sample, was estimated to be 16.2%. Being younger, lifetime history of cocaine dependence and the presence of an affective, anxiety or personality disorder were associated with a possible ADHD. Conclusion: The estimated prevalence of ADHD in patients being treated for alcohol dependence is high, and the presence of a possible ADHD in adulthood is associated with an increase in psychiatric comorbidity.

Criteria and concurrent validity of DIVA 2.0: A semi-structured diagnostic interview for adult ADHD

2016 ◽  
Vol 33 (S1) ◽  
pp. S630-S630
Author(s):  
C. Fadeuilhe Grau ◽  
R.F. Palma-Álvarez ◽  
V. Nasillo ◽  
G. Palomar ◽  
M. Corrales ◽  
...  
Keyword(s):  
Concurrent Validity ◽  
Adult Adhd ◽  
Rating Scales ◽  
Rating Scale ◽  
Adult Population ◽  
Structured Interview ◽  
Criterion Validity ◽  
Diagnostic Interview ◽  
University Hospital ◽  
Adult Sample

IntroductionAttention Deficit Hyperactivity Disorder (ADHD) prevalence in the general adult population is estimated to be between 2–4%. Despite the high prevalence, until recently there was only one validated semi-structured interview available for the accurate diagnostic assessment of ADHD within the adult population: the Conners Adult ADHD Diagnostic Interview for DSM-IV (CAADID).ObjectivesTo examine the concurrent validity of the DIVA 2.0 interview comparing the diagnostic rate with the CAADID interview. To analyse the criterion validity of the DIVA 2.0 in the Spanish language in an adult sample.AimsThe aim of this is to study was to evaluate criterion validity of the DIVA 2.0 in an adult sample comparing with the CAADID and other ADHD severity scales.MethodsA transversal study was performed to check the criteria and concurrent validity of the DIVA 2.0 compared to the CAADID.ResultsForty patients were recruited in an adult ADHD program at a university hospital. The DIVA 2.0 interview showed a diagnostic accuracy of 100% when compared with the diagnoses obtained with the CAADID interview and goods correlations with three self-reported rating scales: the WURS, the ADHD Rating Scale and Sheehan's’ Dysfunction Inventory.ConclusionsThe DIVA 2.0 has good psychometric properties and is a reliable tool for the assessment of ADHD in adults.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals ADHD Is Highly Prevalent in Patients Seeking Treatment for Cannabis Use Disorders

2016 ◽  
Vol 24 (11) ◽  
pp. 1487-1492 ◽  
Author(s):  
Daniel P. Notzon ◽  
Martina Pavlicova ◽  
Andrew Glass ◽  
John J. Mariani ◽  
Amy L. Mahony ◽  
...  
Keyword(s):  
Sensitivity And Specificity ◽  
Adult Adhd ◽  
Rating Scale ◽  
Diagnostic Interview ◽  
Cannabis Use ◽  
Self Report ◽  
Screening Tests ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Cannabis Use Disorders

Objective: To estimate the prevalence of ADHD and determine an effective screening test for ADHD in a population-seeking treatment for cannabis use disorders. Method: The Conners Adult ADHD Diagnostic Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition ( DSM-IV; CAADID) was used to generate sensitivity and specificity data for ADHD screening tests, which were then administered to 99 participants seeking treatment for cannabis use disorders to estimate ADHD prevalence. Results: The prevalence estimated from the Wender Utah Rating Scale (WURS) was 45% (sensitivity = 0.88, sensitivity of 0.75), from the Conners Adult ADHD Rating Scale (CAARS) 34% (sensitivity = 0.80, specificity = 0.91), from the WURS + CAARS 36% (sensitivity = 0.71, specificity = 0.95), and from the Adult ADHD Self-Report Scale (ASRS) 46% (sensitivity = 0.61, specificity = 0.86). Conclusion: The prevalence of ADHD in adults seeking treatment for cannabis use disorders is estimated to be between 34% and 46%. The WURS paired with the CAARS provides excellent sensitivity and specificity for the diagnosis of ADHD in this population.

Tools and Techniques for Evaluating Depression

2001 ◽  
Vol 14 (6) ◽  
pp. 448-452 ◽  
Author(s):  
Jessica S. Wehner ◽  
Steven C. Stoner
Keyword(s):  
Rating Scales ◽  
Rating Scale ◽  
Psychiatric Symptoms ◽  
Outpatient Setting ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
High Prevalence ◽  
Life Threatening ◽  
Dsm Iv ◽  
Tools And Techniques

Depression is a common and under-recognized disease state usually treated in the outpatient setting. Since it does not usually require sophisticated laboratory tests or physical evaluations as a component of monitoring, depression is a condition that can be managed by pharmacists in any setting. Due to depression’s high prevalence, pharmacists must be aware of the usual presentation so they can better identify patients in need of treatment. The Diagnostic and Statistical Manual of Mental Disorders(DSMIV) describes specific criteria needed for the diagnosis of depression to be made. The diagnostic criteria in DSM-IV are essentially the target symptoms used to monitor changes in a patient’s status. Psychometric rating scales assess the severity of psychiatric symptoms in a standardized manner. Several rating scales are currently available to assess depression, including the Hamilton Rating Scale for Depression, Montgomery-Asberg Depression Rating Scale, Beck Depression Inventory and Zung Self-Rating Scale. Rating scales can help pharmacists assess a change in symptoms or determine the baseline severity of symptoms. They also provide a framework to gather information from the patient. By understanding the presentation of depression and simple ways to assess it, pharmacists can be proactive in treating this common and sometimes life-threatening psychiatric disorder.

The Epidemiology of Adult ADHD

CNS Spectrums ◽  
2008 ◽  
Vol 13 (S12) ◽  
pp. 6-8 ◽  
Author(s):  
Thomas J. Spencer
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Mental Disorders ◽  
Adult Adhd ◽  
Rating Scales ◽  
Statistical Manual ◽  
Children With Adhd ◽  
Hyperactivity Disorder ◽  
Diagnostic And Statistical Manual ◽  
The Subject ◽  
Source Of Information

Until recently, little was known about the epidemiology of attention-deficit/hyperactivity disorder (ADHD) in adults. Bottom-up studies following children with ADHD into adolescence had shown variable rates of persistence, some of which depended on the definitions used. The traditional diagnosis was complicated by the introduction of the Diagnostic and Statistical Manual of Mental Disorders, Third Edition, which stated that ADHD could be diagnosed with inattentive symptoms alone. This resulted in diagnostic inconsistency as earlier investigations demanded the presence of hyperactivity while others did not. Diagnosis also depended on the site, the cohort, whether interviews versus rating scales were employed, and whether the subject or their parent were the source of information.

The Prevalence and Comorbidity Rates of ADHD Among School-Age Children in Turkey

2015 ◽  
Vol 24 (9) ◽  
pp. 1237-1245 ◽  
Author(s):  
Adil Zorlu ◽  
Gulsen Unlu ◽  
Burcu Cakaloz ◽  
Mehmet Zencir ◽  
Ahmet Buber ◽  
...  
Keyword(s):  
Rating Scale ◽  
Community Sample ◽  
Learning Disorders ◽  
School Age Children ◽  
School Age ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Extended Families ◽  
Oppositional Defiant ◽  
Dsm Iv

Objective: The aim of the present study was to explore the prevalence and comorbidity rates of ADHD in a community sample of school-age children. Method: Participants were 1,508 children aged 6 to 14 years. Parents and teachers of each child completed the Turgay Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) Disruptive Behavior Disorders Rating Scale (T- DSM-IV-S). Screen-positive cases were interviewed using the Schedule for Affective Disorders and Schizophrenia for School-Age Children–Present and Lifetime Version (K-SADS-PL). Diagnoses were based on DSM-IV criteria. Results: The prevalence rate of ADHD was 8%. Children from extended families had extremely high rates (46.4%) of ADHD. Sixty percent of children with ADHD had one or more comorbid diagnoses. The most common comorbidities were learning disorders (35.7%) and oppositional defiant disorder (22.6%). Conclusion: The prevalence and comorbidity rates of ADHD in school-age children in Turkey are similar to those found in previous studies in other countries.

scholarly journals Public perceptions of adult ADHD: Indications of stigma?

2020 ◽  
Author(s):  
Emmet Godfrey ◽  
Anselm B. M. Fuermaier ◽  
Lara Tucha ◽  
Marah Butzbach ◽  
Matthias Weisbrod ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Adult Adhd ◽  
Rating Scales ◽  
Rating Scale ◽  
Public Perceptions ◽  
Medium Effect ◽  
Control Group ◽  
Adhd Group ◽  
Major Barrier ◽  
Dsm Iv

AbstractStigmatization represents a major barrier to treatment seeking across mental disorders. Despite this, stigma research on individual mental disorders remains in its infancy. Attention-deficit hyperactivity disorder (ADHD) in adults also represents an under-researched area—being far less studied than its child counterpart. This study examined the current state of public perceptions towards adult ADHD. A simulation group consisting of 105 participants performed the Weiss Functional Impairment Rating Scale (WFIRS) and Conners’ Adult ADHD Rating Scales (CAARS) as though they had ADHD. These scores were compared to a group consisting of 98 individuals with adult ADHD and a group of 117 healthy individuals both groups being instructed to complete the WFIRS and CAARS to the best of their abilities. Simulators were found to overestimate impairments in adult ADHD (to a large effect) in the domains of hyperactivity, DSM-IV hyperactivity-impulsivity, DSM-IV total, work, school, (to a medium effect) in family and social, and (to a negligible-small effect) in inattention, impulsivity, DSM-IV inattention, and life skills when compared to the ADHD group, and in all domains (to a large effect) when compared to the control group. Current and retrospective ADHD symptoms were found to be associated with more accurate perceptions in a number of domains. Evidence for the presence of perceptions considered to be stigmatizing was found, with largest effects present in the domains of hyperactivity, impulsivity, impairments at work, school, and engagement in risky behaviour.

Introduction

CNS Spectrums ◽  
2007 ◽  
Vol 12 (S23) ◽  
pp. 4-5
Author(s):  
Lenard A. Adler ◽  
Jeffrey H. Newcorn
Keyword(s):  
Adult Adhd ◽  
The United States ◽  
Adhd Symptoms ◽  
Fourth Edition ◽  
Statistical Manual ◽  
Adhd Diagnosis ◽  
Text Revision ◽  
Hyperactivity Disorder ◽  
Diagnostic And Statistical Manual ◽  
Dsm Iv

Attention-deficit/hyperactivity disorder (ADHD) may be the most common chronic, undiagnosed psychiatric disorder in adults. ADHD is characterized by restlessness, overactivity, disorganization, impulsivity, and inattention; and as further characterized in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). For most cases, an adult ADHD diagnosis is preceded by symptoms in childhood, which is a time when the disorder is rarely inquired about and usually overlooked.ADHD has been recognized in children for several decades, and the importance of detection and treatment is well established. Whereas it was initially believed that children outgrew the disease, researchers now know that approximately two thirds of children affected with ADHD symptoms carry the condition into adolescence and then into adulthood. Consequently, >4% of adults in the United States have ADHD. Nevertheless, the disorder is unrecognized and untreated in the vast majority of these people.

Validation of the Expanded Versions of the Adult ADHD Self-Report Scale v1.1 Symptom Checklist and the Adult ADHD Investigator Symptom Rating Scale

2018 ◽  
Vol 23 (10) ◽  
pp. 1101-1110 ◽  
Author(s):  
Michael J. Silverstein ◽  
Stephen V. Faraone ◽  
Samuel Alperin ◽  
Terry L. Leon ◽  
Joseph Biederman ◽  
...  
Keyword(s):  
Adult Adhd ◽  
Rating Scale ◽  
Final Analysis ◽  
Care Physician ◽  
Self Report ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Cutoff Scores ◽  
Item Scores ◽  
Symptom Rating

Objective: The aim of this study is to validate the Adult ADHD Self-Report Scale (ASRS) and Adult ADHD Investigator Symptom Rating Scale (AISRS) expanded versions, including executive function deficits (EFDs) and emotional dyscontrol (EC) items, and to present ASRS and AISRS pilot normative data. Method: Two patient samples (referred and primary care physician [PCP] controls) were pooled together for these analyses. Results: Final analysis included 297 respondents, 171 with adult ADHD. Cronbach’s alphas were high for all sections of the scales. Examining histograms of ASRS 31-item and AISRS 18-item total scores for ADHD controls, 95% cutoff scores were 70 and 23, respectively; histograms for pilot normative sample suggest cutoffs of 82 and 26, respectively. Conclusion: (a) ASRS- and AISRS-expanded versions have high validity in assessment of core 18 adult ADHD Diagnostic and Statistical Manual of Mental Disorders ( DSM) symptoms and EFD and EC symptoms. (b) ASRS (31-item) scores 70 to 82 and AISRS (18-item) scores from 23 to 26 suggest a high likelihood of adult ADHD.

Does Anxiety Modify the Risk for, or Severity of, Conduct Problems Among Children With Co-Occurring ADHD: Categorical and Dimensional and Analyses

2017 ◽  
Vol 23 (8) ◽  
pp. 797-808 ◽  
Author(s):  
Jeffrey S. Danforth ◽  
Leonard A. Doerfler ◽  
Daniel F. Connor
Keyword(s):  
Conduct Problems ◽  
Rating Scales ◽  
Conduct Problem ◽  
School Age Children ◽  
School Age ◽  
Statistical Manual ◽  
Children With Adhd ◽  
Diagnostic And Statistical Manual ◽  
Oppositional Defiant ◽  
Dsm Iv

Objective: The goal was to examine whether anxiety modifies the risk for, or severity of, conduct problems in children with ADHD. Method: Assessment included both categorical and dimensional measures of ADHD, anxiety, and conduct problems. Analyses compared conduct problems between children with ADHD features alone versus children with co-occurring ADHD and anxiety features. Results: When assessed by dimensional rating scales, results showed that compared with children with ADHD alone, those children with ADHD co-occurring with anxiety are at risk for more intense conduct problems. When assessment included a Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) diagnosis via the Schedule for Affective Disorders and Schizophrenia for School Age Children–Epidemiologic Version (K-SADS), results showed that compared with children with ADHD alone, those children with ADHD co-occurring with anxiety neither had more intense conduct problems nor were they more likely to be diagnosed with oppositional defiant disorder or conduct disorder. Conclusion: Different methodological measures of ADHD, anxiety, and conduct problem features influenced the outcome of the analyses.

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