Instrumente zur Diagnostik der Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) im Erwachsenenalter

Abstract

We report on the development of a German self-rating behaviour questionnaire (ADHD-SR) and diagnostic checklist (ADHD-DC) for the diagnosis of attention-deficit/hyperactivity disorder in adults according to DSM IV and ICD 10 research criteria. When comparing self-rating with expert rating, we found good concordance measured by intraclass coefficients on the level of single symptoms and syndrome scores. High retest reliability of the ADHD-SR demonstrated the ability to assess time-stable behaviour traits. Evaluation of the psychometric properties revealed good internal consistency and adequate convergent and divergent validity measured by the "big five" derived from the NEO-FFI and the constructs impulsivity, venturesomeness, and empathy of Eysenck's impulsiveness questionnaire. We detected a remarkable correlation with the Wender Utah Rating Scale, which targets the detection of childhood ADHD symptoms. Diagnostic sensitivity for different cutoff points was calculated by ROC analysis at 65--88%. Specificity was 67% to 92%.

Differences in self-reported and behavioral measures of impulsivity in recreational and dependent cocaine users

“…The brief version of the Cocaine Craving Questionnaire (CCQ) was used to capture current cocaine craving (Sussner et al, 2006). The current severity of depression was measured by the Beck Depression Inventory (BDI) (Beck et al, 1961), and the ADHD self-rating scale (ADHD-SR) (Roesler et al, 2004) captured the DSM-IV criteria of ADHD. To consider the various aspects of impulsivity, we applied four measures often used in substance use studies (de Wit, 2009;Perry and Carroll, 2008): two selfreport questionnaires for trait impulsivity (Barratt Impulsiveness Scale, BIS-11) (Patton et al, 1995) and novelty seeking (Temperament and Character Inventory Novelty Seeking Scale, TCI NS) (Cloninger et al, 1999) as well as the two behavioral tasks, Rapid Visual Processing (RVP;…”

“…As cocaine binge is defined as out-of-control intake of large amounts of cocaine over an extended period of time (Mutschler et al, 2001), high cocaine binge was defined as an average cocaine use of at least 2g per occasion during the last 6 months. Cocaine user subgroups for ADHD (with/without ADHD,) and depression (no/at least mild, BDI ≥11, excluding 5 controls with BDI ≥11) were created according to predefined diagnostic criteria (Hautzinger et al, 1994;Roesler et al, 2004), for craving by median split (low/high, CCQ ≤16). …”

Der Wender-Reimherr-Selbstbeurteilungsfragebogen zur adulten ADHS

“…Sie erfordern jedoch, dass die zu erfassende Symptomatik der Methode der Selbstbeurteilung zugänglich ist und zwischen Selbst-und Fremdbeurteilung keine grundlegenden Divergenzen deutlich werden. In Evaluierungsstudien zu den Homburger ADHS-Skalen für Erwachsene (HASE) hatte sich eine gute Übereinstimmung zwischen dem Selbstbeschreibungsinstrument ADHS-SB mit der diagnostischen Checkliste als Fremdbeurteilungsverfahren (ADHS-DC) gezeigt [17,18].…”

A Similar but Distinctive Pattern of Impaired Cortical Excitability in First-Episode Schizophrenia and ADHD

“…The ADHD patients (combined type) were diagnosed according to the diagnostic criteria of DSM-IV (ADHD diagnostic checklist [34]), and had used no stimulant medication before. The Wender Utah Self-Rating Scale (short version) [35] was used to assess childhood ADHD symptoms.…”

“…Patients with a clinical diagnosis of ADHD were included in the study if the Wender Utah Self-Rating Scale (short version) score was at least 30, and if at least 6 of 9 items of inattention and hyperactivity/impulsivity were present. As indicators of severity of symptoms, the ADHD self-rating scale for adults according to DSM-IV [34] was used (total score: 0–54; attention deficit and hyperactivity/impulsivity subscores: each maximal 27). The Structured Clinical Interview for DSM-IV Axis I and II Disorders was used to exclude further axis I and II DSM categorical diagnoses.…”