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Objectives: Emotional dysregulation (ED) in adult ADHD is frequent but definition and tools for its evaluation are not consensual. Our aim was to determine the core ADHD symptomatic domains via the Self-Reported Wender-Reimherr Adult Attention Deficit Disorder Scale (SR-WRAADDS) following its validation in a large clinical sample of adults with ADHD and controls. Method: Three hundred sixty-nine adult patients with ADHD and 251 healthy participants completed the SR-WRAADDS and questionnaires about ADHD, depression, and ED. We analyzed the psychometric properties of the SR-WRAADDS and a factor analysis yielded symptomatic domains. Results: The SR-WRAADDS has good reliability. The 30 symptoms were best organized in a four-factor solution: attention/disorganization, hyperactivity/restlessness, impulsivity/emotional outbursts, and emotional lability. Conclusions: The symptomatic structure of the SR-WRAADDS includes two distinct dimensions related to ED: “impulsivity/emotional outbursts” and “emotional lability.” The SR-WRAADDS is a reliable and clinically useful tool that assesses all ADHD symptom domains, including facets of ED.

Attention Deficit/Hyperactivity Disorder (ADHD) often persists into adulthood. However, few screening tools have been adapted to assess adult ADHD using the DSM-5 criteria. This study assessed the diagnostic accuracy of a French version of the ADHD Self-Report Screening for DSM-5 (ASRS-5). This multicentric cross-sectional study included 557 participants: 309 adult ADHD outpatients without bipolar disorder (BD)/borderline personality disorder (BPD) (n=236) or with BD/BPD (n=36) and 285 adults without ADHD who were either healthy volunteers (n=248) or outpatients with BD or BPD (n=37). Measures included ADHD diagnosis and the ASRS-5. The ASRS-5 was a good predictor of ADHD diagnosis (cut-off score ≥13/24: sensitivity=84.3%, specificity=91.9%) in the sample of adult outpatients without comorbid disorders/healthy controls. Performances were lower with this cut-off score in some subgroups, notably low-severity ADHD symptomatology (sensitivity=63.5%) and participants with BD or BPD (sensitivity=91.7%, specificity= 54.1%). The French ASRS-5 had acceptable screening properties, even if its performance varied according to clinical variables. Further evidence is needed for patients with comorbid disorders having overlapping symptoms.

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