scholarly journals The Adult ADHD Self-Report Scale: utility and reliability in college students with attention deficit hyperactivity disorder

Author(s):  
Sarah Gray ◽  
Steven Woltering ◽  
Karizma Mawjee ◽  
Rosemary Tannock

Background. Attention Deficit Hyperactivity Disorder is a debilitating condition that often persists into adulthood. The past number of decades an increased number of adults with ADHD have gained entrance into the post-secondary education section and register with college or university Disability Service Offices. There is a need to explore utility of affordable materials to gain confidence in validating the original diagnoses and potentially detect feigning. Methods. 135 college students (mean age = 24, 42% males) with ADHD were recruited from post-secondary institutions. The freely available Adult ADHD Self-Report Scale (ASRS) self-report was utilized to assess current ADHD symptomatology. The ASRS was compared to an interview (over the phone) and other-report version (filled out by a significant other) that were directly derived from the original Self-report. Results. Results showed moderate levels of congruency between ASRS-Self and Other Report (correlation = .47). Furthermore, a robust relationship was shown between the ASRS-Self and the interview version (correlation = .66). Discussion. Current findings suggest the telephone-interview version of the ASRS may be an easy-to-use, reliable, and cost-effective supplement in gaining more confidence in determining ADHD in post-secondary education students. More research is required specifically testing its merits to detect feigning or support in diagnosis.

2013 ◽  
Author(s):  
Sarah Gray ◽  
Steven Woltering ◽  
Karizma Mawjee ◽  
Rosemary Tannock

Background. Attention Deficit Hyperactivity Disorder is a debilitating condition that often persists into adulthood. The past number of decades an increased number of adults with ADHD have gained entrance into the post-secondary education section and register with college or university Disability Service Offices. There is a need to explore utility of affordable materials to gain confidence in validating the original diagnoses and potentially detect feigning. Methods. 135 college students (mean age = 24, 42% males) with ADHD were recruited from post-secondary institutions. The freely available Adult ADHD Self-Report Scale (ASRS) self-report was utilized to assess current ADHD symptomatology. The ASRS was compared to an interview (over the phone) and other-report version (filled out by a significant other) that were directly derived from the original Self-report. Results. Results showed moderate levels of congruency between ASRS-Self and Other Report (correlation = .47). Furthermore, a robust relationship was shown between the ASRS-Self and the interview version (correlation = .66). Discussion. Current findings suggest the telephone-interview version of the ASRS may be an easy-to-use, reliable, and cost-effective supplement in gaining more confidence in determining ADHD in post-secondary education students. More research is required specifically testing its merits to detect feigning or support in diagnosis.


Author(s):  
Renata Schoeman ◽  
Manie De Klerk

Background: Adult attention-deficit hyperactivity disorder (ADHD) is a chronic, costly and debilitating disorder. In South Africa (SA), access to funding for care and treatment of ADHD is limited, and research is lacking.Aim: This study aimed to establish the current situation with regard to the psychiatric management of and funding for treatment of adult ADHD in the private sector in SA.Methods: A diagnostically refined retrospective claims database analysis was conducted. We examined the prevalence, costs and funding profile of claims over a 2-year period for adult beneficiaries with possible ADHD of a large medical administrator in SA.Results: The prevalence of adult ADHD was lower than published international rates. The presence of adult ADHD increased the prevalence of comorbidity and doubled the health care costs of beneficiaries. Contrary to public belief, comorbidities (including their medicine costs) rather than psychiatric services or medicines were the main cost drivers.Conclusion: The current private health insurance funding model for ADHD limits access to funding. This affects early diagnosis and optimal treatment, thereby escalating long-term costs. Improved outcomes are possible if patients suffering from ADHD receive timely and accurate diagnosis, and receive chronic and comprehensive care. Balanced regulation is proposed to minimise the risk to both medical schemes and patients. A collaborative approach between stakeholders is needed to develop an alternative cost-effective funding model to improve access to treatment and quality of life for adults with ADHD in SA.


2017 ◽  
Vol 41 (S1) ◽  
pp. S396-S397
Author(s):  
B. Tuzun Mutluer ◽  
T.G. Yener Orum ◽  
S. Sertcelik

ObjectiveIn this study, it was aimed to determine the internet use properties of Adult Attention Deficit Hyperactivity Disorder (ADHD) patients who were followed-up at Haydarpasa Numune Research and Training Hospital, Psychiatry Department; ADHD Outpatient Clinic.MethodThirty participants who were diagnosed with adult ADHD aged between 18–31 years rated their ADHD symptoms in childhood retrospectively, using Wender Utah Rating Scale. Patients rated current adult ADHD symptoms with the Adult ADHD DSM-IV-Based Diagnostic Screening and Rating Scale (DSRS) and severity of symptoms measured by Adult ADHD Self-Report Scale (ASRS). Internet addiction (IA) was assessed with Young's Internet Addiction Scale (IAS). It was determined that, none of 30 Adult ADHD patients have been diagnosed with IA.29 of patient have moderate internet use although 1 of patients have risky internet use. The results revealed that total ASRS score (P = 0.020), total Adult ADHD DSM-IV-Based DSRS score (P = 0.036) and the Attention Deficit related properties subscale total score (P = 0.042) were significantly correlated with the IAS total score. Subscale of the self-report scales including; failing to finish schoolworks, chores, or duties at workplace, difficulty of following through on instructions (P = 0.017), restiveness; impaired inhibitory performance (P = 0.017), feeling not confident (P = 0.017), difficulty of managing time (P = 0.047), failing to give close attention to details or making careless mistakes (P = 0.037) are closely relevant to IAS total score.ResultIn conclusion, clinical features, which are characteristic of Adult ADHD could have same shared etiology with IA. Furthermore, ADHD patients are more likely to have an IA diagnosis. However, it was thought that this result had to be supported with studies including larger samples.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2017 ◽  
Vol 23 (1) ◽  
pp. 6 ◽  
Author(s):  
Renata Schoeman ◽  
Manie De Klerk

<p><strong>Background:</strong> Adult attention-deficit hyperactivity disorder (ADHD) is a chronic, costly and debilitating disorder. In South Africa (SA), access to funding for care and treatment of ADHD is limited, and research is lacking.</p><p><strong>Aim:</strong> This study aimed to establish the current situation with regard to the psychiatric management of and funding for treatment of adult ADHD in the private sector in SA.</p><p><strong>Methods:</strong> A diagnostically refined retrospective claims database analysis was conducted. We examined the prevalence, costs and funding profile of claims over a 2-year period for adult beneficiaries with possible ADHD of a large medical administrator in SA.</p><p><strong>Results:</strong> The prevalence of adult ADHD was lower than published international rates. The presence of adult ADHD increased the prevalence of comorbidity and doubled the health care costs of beneficiaries. Contrary to public belief, comorbidities (including their medicine costs) rather than psychiatric services or medicines were the main cost drivers.</p><p><strong>Conclusion:</strong> The current private health insurance funding model for ADHD limits access to funding. This affects early diagnosis and optimal treatment, thereby escalating long-term costs. Improved outcomes are possible if patients suffering from ADHD receive timely and accurate diagnosis, and receive chronic and comprehensive care. Balanced regulation is proposed to minimise the risk to both medical schemes and patients. A collaborative approach between stakeholders is needed to develop an alternative cost-effective funding model to improve access to treatment and quality of life for adults with ADHD in SA.</p>


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