&lt;p&gt;Validity of the Korean Version of DIVA-5: A Semi-Structured Diagnostic Interview for Adult ADHD&lt;/p&gt;

Hong, Minha; Kooij, J. J. Sandra; Kim, Bongseog; Joung, Yoo Sook; Yoo, Hanik K.; Kim, Eui Jung; Lee, Soyoung Irene; Bhang, Soo-Young; Lee, Seung Yup; Han, Doug Hyun; Lee, Young Sik; Bahn, Geon Ho

doi:10.2147/ndt.s262995

Cited by 9 publications

(8 citation statements)

References 21 publications

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“…The DIVA is a semi-structured interview tool for diagnosing ADHD in adults, which is available from the DIVA foundation website [ 17 ]. DIVA-5 has been previously translated into Korean and validated [ 18 ]. This tool consists of three parts that cover the following themes: (1) ADHD symptoms in childhood and adulthood; (2) age of ADHD onset; and (3) areas of impairment due to ADHD.…”

Section: Methodsmentioning

confidence: 99%

“…This tool consists of three parts that cover the following themes: (1) ADHD symptoms in childhood and adulthood; (2) age of ADHD onset; and (3) areas of impairment due to ADHD. If three or more criteria were met for either inattention and/or hyperactivity/impulsivity in childhood before the age of 12 years, and five or more criteria were met in adulthood as reported by the patient and collateral informant(s), the requirements for a clinical diagnosis of lifetime ADHD were met [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

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Preliminary Study of ADHD Biomarkers in Adults with Focus on Serum Iron and Transcranial Sonography of the Substantia Nigra

Bahn

Lee

Hong

et al. 2021

IJERPH

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As previous studies have reported abnormalities in the iron indices of peripheral blood and hyperechogenicity of the substantia nigra (SN) in children and adolescents with attention-deficit/hyperactivity disorder (ADHD), we aimed to examine the same in adults with ADHD using transcranial Doppler sonography (TCS). In addition, we compared the iron indices and TCS findings before and after methylphenidate (MPH) treatment. A total of 39 participants aged ≥19 years (13 patients and 26 healthy controls) were recruited from Kyung Hee University Hospital between October 2018 and September 2019. All subjects were clinically evaluated based on the ADHD diagnostic criteria in the DSM-5, the Adult ADHD Self-Report Scale, and the Diagnostic Interview for ADHD in Adults (DIVA-5). Further, the iron indices including serum iron, ferritin, and mean platelet volume were determined. Additionally, TCS focused on the midbrain and echogenicity of the SN was conducted. Follow-up for all items was conducted for five ADHD patients after MPH treatment. Patients with ADHD had significantly lower education levels (number of years) than controls. There were no statistically significant differences in serum iron indices or the echogenic area between ADHD and control groups. Further, there were no significant changes in iron indices or TCS findings after MPH medication. Unlike previous studies, this study showed no differences between patients with ADHD and controls. Therefore, it is important to determine if these null findings were due to different target populations (children vs. adults) or other factors, including ADHD subtypes.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Preliminary Study of ADHD Biomarkers in Adults with Focus on Serum Iron and Transcranial Sonography of the Substantia Nigra

Bahn

Lee

Hong

et al. 2021

IJERPH

Self Cite

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“…These comprehensive interviews include past and current symptom evaluation, differential diagnosis, complemented with documentation of examples of functional impairments. The Diagnostic Interview for ADHD (DIVA) ( (accessed on 30 July 2022)) has now been translated into 25 languages and has greatly facilitated clinician acceptance and comfort with diagnostic assessment for ADHD [ 32 , 33 , 34 , 35 ]. DIVA-5 asks about the presence of ADHD symptoms over time, as well as lifetime functional impairments due to these symptoms.…”

Section: Tools For Measurement Informed Assessmentmentioning

confidence: 99%

A Paradigm for Targeting Functional Impairment as an Outcome in Attention-Deficit/Hyperactivity Disorder

Weiss

2022

Brain Sciences

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Although functional impairment is required for a diagnosis in the DSM 5, the time frame and definition of functional impairment is ambiguous. We present a conceptual review clarifying the difference between functional impairment as a stable trait representing strength or disability in various domains, and functional impairment as secondary to emotional or behavior problems, which is a state sensitive to change with treatment intervention. Functional impairment as a measure of treatment outcome includes both change from baseline and status at the endpoint of treatment. When using a validated measure of function, functional improvement can be defined as the percentage of patients who achieve the Minimal Important Clinical Difference (MCID) and functional remission as the percentage of patients who normalize at treatment endpoint. True treatment remission should be defined as both symptomatic and functional remission.

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“…The pathogenesis of ADHD is multifactorial and conditioned by genetic vulnerability [ 16 , 17 , 18 ], environmental factors [ 19 ], prenatal conditions, prematurity [ 20 , 21 ] and neurobiological alterations, mainly involving prefrontal cortex (PFC) impairment [ 22 ]. Shaw and colleagues [ 23 ] highlighted that a delayed maturation of PFC is present in adolescents with ADHD and that it is linked to symptom persistence into adulthood, whereas the thinness of bilateral prefrontal areas seems to correlate with the severity of conduct disorder [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

ADHD Follow-Up in Adulthood among Subjects Treated for the Disorder in a Child and Adolescent Mental Health Service from 1995 to 2015

Lorenzo

Balducci²,

Cutino³

et al. 2023

Medicina

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Background and Objectives: ADHD is a neurodevelopmental disorder characterized by inattention and hyperactivity/impulsivity and can persist in adulthood. The aim of this study is to deepen knowledge about adult ADHD follow-up. Materials and Methods: This observational study consists of one retrospective part aimed at collecting records of children and adolescents treated for ADHD in the Children and Adolescent Mental Health Service (CAMHS) from 1995 to 2015 and, successively, at identifying their adult follow-up in Adult Mental Health Service (AMHS); the second part consists of ADHD scale administration, Diagnostic Interview for ADHD in Adults (DIVA 2-0) and Adult Self Rating Scale (ASRSv1.1), for the subjects currently being treated at AMHS who agreed to participate in the study. Results: We observed that among the 55 patients treated at CAMHS between 1995 and 2015 for ADHD and subsequently at the AMHS, none presented a diagnosis of ADHD; instead, they were treated for Intellectual Dysfunction (33%), Borderline Personality Disorder (15%) and Anxiety Disorders (9%), and two individuals were also diagnosed with comorbid substance/alcohol abuse (4%). Of the 55 patients, only 25 (45%) were treated at AMHS during the study period. Though we asked for their informed consent to administer the questionnaires, we were able to test only seven patients. The ASRS-V1.1 score showed that 43% of patients reported symptoms of ADHD persistence in adulthood. For DIVA 2.0, 57% of individuals reported scores indicating the persistence of the ADHD inattention component, and 43% the persistence of both ADHD dimensions. Conclusions: ADHD cannot be considered a disorder confined to childhood/adolescence but instead is a chronic and complex condition that can persist into adulthood. The very small size of our final sample may account for both the high ADHD dropout rate over the long follow-up period and the difficult transition from child to adult health care in ADHD treatment. Our investigation suggests the need for specific training in the diagnosis and treatment of adult ADHD and the implementation of transition protocols between minor and adult services to improve long-term treatments.

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<p>Validity of the Korean Version of DIVA-5: A Semi-Structured Diagnostic Interview for Adult ADHD</p>

Cited by 9 publications

References 21 publications

Preliminary Study of ADHD Biomarkers in Adults with Focus on Serum Iron and Transcranial Sonography of the Substantia Nigra

Preliminary Study of ADHD Biomarkers in Adults with Focus on Serum Iron and Transcranial Sonography of the Substantia Nigra

A Paradigm for Targeting Functional Impairment as an Outcome in Attention-Deficit/Hyperactivity Disorder

ADHD Follow-Up in Adulthood among Subjects Treated for the Disorder in a Child and Adolescent Mental Health Service from 1995 to 2015

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