Rating the Various ADHD Rating Scales for Diagnostic Accuracy

2019 ◽  
pp. 84-84
2019 ◽  
Vol 38 (3) ◽  
pp. 337-349
Author(s):  
Fumio Someki ◽  
Masafumi Ohnishi ◽  
Mikael Vejdemo-Johansson ◽  
Kazuhiko Nakamura

To examine reliability, validity, factor structure, and measurement invariance (i.e., configural, metric, and scalar invariance) of the Japanese Conners’ Adult attention deficit hyperactivity disorder (ADHD) Rating Scales (CAARS), Japanese nonclinical adults ( N = 786) completed the CAARS Self-Report (CAARS-S). Each participant was also rated by one observer using the CAARS Observer Form (CAARS-O). For the test of measurement invariance, excerpts from the original (North American) CAARS norming data ( N = 500) were used. Dimensional structure was examined by exploratory and confirmatory factor analyses. Test–retest reliability, internal consistency, and concurrent validity were satisfactory. Based on the DSM-IV model and Japanese four-factor model, configural and metric invariance were established for the CAARS-S/O across Japanese and North American populations. Scalar invariance was established for the CAARS-O based on the Japanese model. The use of the Japanese CAARS for diagnostic purposes in Japan was supported; however, it should be used with caution for cross-cultural comparison research.


2006 ◽  
Vol 14 (7S_Part_16) ◽  
pp. P893-P894
Author(s):  
Jinzhou Tian ◽  
Mingqing Wei ◽  
Jing Shi ◽  
Jingnian Ni ◽  
Xuekai Zhang ◽  
...  

Author(s):  
Steven M. Snyder ◽  
John F. Drozd ◽  
Stephen N. Xenakis

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Hanna Christiansen ◽  
Mira-Lynn Chavanon ◽  
Oliver Hirsch ◽  
Martin H. Schmidt ◽  
Christian Meyer ◽  
...  

Abstract A reliable diagnosis of adult Attention Deficit/Hyperactivity Disorder (ADHD) is challenging as many of the symptoms of ADHD resemble symptoms of other disorders. ADHD is associated with gambling disorder and obesity, showing overlaps of about 20% with each diagnosis. It is important for clinical practice to differentiate between conditions displaying similar symptoms via established diagnostic instruments. Applying the LightGBM algorithm in machine learning, we were able to differentiate subjects with ADHD, obesity, problematic gambling, and a control group using all 26 items of the Conners’ Adult ADHD Rating Scales (CAARS-S: S) with a global accuracy of .80; precision (positive predictive value) ranged between .78 (gambling) and .92 (obesity), recall (sensitivity) between .58 for obesity and .87 for ADHD. Models with the best 5 and best 10 items resulted in less satisfactory fits. The CAARS-S seems to be a promising instrument to be applied in clinical practice also for multiclassifying disorders displaying symptoms resembling ADHD.


2014 ◽  
Author(s):  
Juan Antonio Amador-Campos ◽  
Juana Gómez-Benito ◽  
Josep Antoni Ramos-Quiroga

2010 ◽  
Vol 40 (12) ◽  
pp. 2089-2100 ◽  
Author(s):  
M. Aebi ◽  
U. C. Müller ◽  
P. Asherson ◽  
T. Banaschewski ◽  
J. Buitelaar ◽  
...  

BackgroundOppositional defiant disorder (ODD) is frequently co-occurring with attention deficit hyperactivity disorder (ADHD) in children and adolescents. Because ODD is a precursor of later conduct disorder (CD) and affective disorders, early diagnostic identification is warranted. Furthermore, the predictability of three recently confirmed ODD dimensions (ODD-irritable, ODD-headstrong and ODD-hurtful) may assist clinical decision making.MethodReceiver-operating characteristic (ROC) analysis was used in order to test the diagnostic accuracy of the Conners' Parent Rating Scale revised (CPRS-R) and the parent version of the Strength and Difficulties Questionnaire (PSDQ) in the prediction of ODD in a transnational sample of 1093 subjects aged 5–17 years from the International Multicentre ADHD Genetics study. In a second step, the prediction of three ODD dimensions by the same parent rating scales was assessed by backward linear regression analyses.ResultsROC analyses showed adequate diagnostic accuracy of the CPRS-R and the PSDQ in predicting ODD in this ADHD sample. Furthermore, the three-dimensional structure of ODD was confirmed by confirmatory factor analysis and the CPRS-R emotional lability scale significantly predicted the ODD irritable dimension.ConclusionsThe PSDQ and the CPRS-R are both suitable screening instruments in the identification of ODD. The emotional lability scale of the CPRS-R is an adequate predictor of irritability in youth referred for ADHD.


2016 ◽  
Vol 23 (10) ◽  
pp. 1111-1118 ◽  
Author(s):  
Alyssa C. Smyth ◽  
Scott T. Meier

Objective: Characterized by significant work-related impairments, difficulties with relationships, and higher rates of criminal behavior and substance abuse, ADHD is now understood as a disability that can persist throughout a lifetime. Differing opinions remain, however, regarding adult symptoms of ADHD, particularly with regard to gender differences. These issues add to the challenges of constructing a reliable and valid measure of ADHD for use with adults in research and practice. Method: We review the theoretical foundations of ADHD and psychometric properties of a major assessment device, the Conners’ Adult ADHD Rating Scales (CAARS). Results: Results of the literature review found (a) a wide range of internal consistency estimates, with lowest values for the Diagnostic and Statistical Manual of Mental Disorders ( DSM)–Hyperactive/Impulsive Symptoms subscale when completed by women, and (b) discriminant validity estimates in the same range as convergent validity estimates. Conclusion: These findings raise questions about the construct validity of the CAARS and suggest directions for future research.


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