Diagnosis of ADHD in Adults: What Is the Appropriate "DSM-5" Symptom Threshold for Hyperactivity-Impulsivity?

Autor/inn/en	Solanto, Mary V.; Wasserstein, Jeanette; Marks, David J.; Mitchell, Katherine J.
Titel	Diagnosis of ADHD in Adults: What Is the Appropriate "DSM-5" Symptom Threshold for Hyperactivity-Impulsivity?
Quelle	In: Journal of Attention Disorders, 16 (2012) 8, S.631-634 (4 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1087-0547
DOI	10.1177/1087054711416910
Schlagwörter	Identification; Rating Scales; Hyperactivity; Attention Deficit Hyperactivity Disorder; Conceptual Tempo; Adults; Clinical Diagnosis; Symptoms (Individual Disorders); Diagnostic Tests; Interviews; Scores; Severity (of Disability) + Suchen Sie Ihr Suchwort? Identifikation; Identifizierung; Rating-Skala; Hyperaktivität; Psychiatrische Symptomatik; Diagnostic test; Diagnostischer Test; Interviewing; Interviewtechnik; Schweregrad
Abstract	Objective: To empirically identify the appropriate symptom threshold for hyperactivity-impulsivity for diagnosis of ADHD in adults. Method: Participants were 88 adults (M [SD] age = 41.69 [11.78] years, 66% female, 16% minority) meeting formal "DSM-IV" criteria for ADHD combined or predominantly inattentive subtypes based on a structured diagnostic interview keyed to "DSM-IV" (Conners' Adult ADHD Diagnostic Interview for "DSM-IV" [CAADID]). All participants also completed the Conners' Adult ADHD Rating Scale (CAARS), which was normed on the general adult population and includes subscales for "DSM-IV" inattentive and "DSM-IV" hyperactive-impulsive symptoms. A T-score threshold of 65 (at least 1.5 SD above population mean) on the CAARS "DSM-IV" hyperactive-impulsive dimension was used to identify participants with empirically elevated symptom severity. Results: Of 88 participating adults, 48 (55%) had a T-score of at least 65 (1.5 SD) on the CAARS "DSM-IV" Hyperactive-Impulsive scale. Of these, only 25 (52%) met the "DSM-IV" cutoff of six hyperactive-impulsive symptoms on the CAADID. Thus, approximately half of those who reported empirically elevated hyperactive-impulsive complaints on the CAARS did not concurrently meet the six-symptom DSM-IV cutoff on the CAADID. An alternative cutoff of four hyperactive-impulsive symptoms on the CAADID captured 39 (81%) cases identified by the CAARS. Conclusion: In adults, mandating at least six hyperactive-impulsive symptoms excludes a significant percentage (almost half) of adults who are at least 1.5 SD above the population mean on a dimensional measure of hyperactivity-impulsivity. These data provide a compelling basis for lowering the symptom threshold of hyperactivity-impulsivity for adults in the "DSM-5." (Contains 3 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10