Validation of the World Health Organization Adult ADHD Self-Report Scale for adolescents

Sonnby, Karin; Skordas, Konstantinos; Olofsdotter, Susanne; Vadlin, Sofia; Nilsson, Kent W.; Ramklint, Mia

doi:10.3109/08039488.2014.968203

Cited by 55 publications

(60 citation statements)

References 21 publications

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“…In previous research (13), girls’ ADHD symptoms were often undetected, in part because girls with ADHD have more inattention problems than do boys with ADHD, who are more hyperactive. Nevertheless, the ASRS-S has been validated and is considered a reliable screening instrument (23). Since hyperactivity symptoms interacted with the gambling frequency index for those already susceptible to gambling problems, and inattention symptoms did not (although those differences were minor), we suggest that further research should assess interaction effects within ADHD subgroups as well as psychological and social differences between boys and girls (12).…”

Section: Discussionmentioning

confidence: 99%

“…However, self-reported screening for ADHD symptoms may be an effective complement for identifying adolescents at psychiatric risk (22). ASRS-S is seen as an accurate and reliable method for this purpose (23). Our ability to find interaction effects was limited due to low power, because few adolescents in our sample reported gambling problems.…”

Section: Discussionmentioning

confidence: 99%

“…The World Health Organization Adult ADHD Self Report Scale (ASRS) (21) was used. Of the 18 ASRS questions, the first six are valid for use alone as a short screening (ASRS-S) (22,23), which was used here. Participants were asked about their frequency of ADHD symptoms within the last 6 months, with response options: never (0 points), rarely (1 point), sometimes (2 points), often (3 points), and very often (4 points); giving a range of 0–24 points.…”

Section: Methodsmentioning

confidence: 99%

“…The ASRS-S has two latent factors, attention deficit and hyperactivity (24), that were investigated as separate summation indices in subgroup analyses. Internal consistency values were 0.79–0.87 for the inattention subscale and 0.68–0.89 for the hyperactivity subscale (23). A dichotomous cut-off point was set for each item (21).…”

Section: Methodsmentioning

confidence: 99%

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Gambling frequency and symptoms of attention-deficit hyperactivity disorder in relation to problem gambling among Swedish adolescents: a population-based study

Hellström

Wagner

Nilsson

et al. 2017

Upsala Journal of Medical Sciences

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AimTo investigate the associations between gambling frequency, attention-deficit hyperactivity disorder (ADHD) symptoms, and problem gambling among adolescent boys and girls. One hypothesis was that adolescents with increased ADHD symptoms have a higher frequency of gambling compared to adolescents with fewer ADHD symptoms.MethodA population-based sample of adolescents (aged 15–18 years) completed a questionnaire on demographics, gambling habits, ADHD symptoms, and problematic gambling; 1412 adolescents (from 4440 sampled) with gambling experience were included in the final sample.ResultsA zero-inflated negative binomial regression analysis revealed that increased ADHD symptoms, higher gambling frequency, and higher age were associated with lower odds for being non-susceptible to gambling problems. Moreover, gambling frequency interacted with ADHD symptoms in predicting probability of being non-susceptible to gambling problems. However, when analysing those already susceptible to problem gambling, ADHD symptoms did not modify the effect of gambling frequency on the expected magnitude of gambling problems. In susceptible individuals, problem gambling increased with both increased ADHD symptoms and increased gambling frequency, but the level of problems due to gambling frequency did not change depending on the ADHD symptom level. There was an interaction effect between sex and gambling frequency in relation to gambling problems.ConclusionsAdolescents with ADHD symptoms seem to be more sensitive to gambling, in terms of being susceptible to developing gambling problems. However, once susceptible, adolescents with ADHD symptoms are affected by gambling frequency similarly to other susceptible participants.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Gambling frequency and symptoms of attention-deficit hyperactivity disorder in relation to problem gambling among Swedish adolescents: a population-based study

Hellström

Wagner

Nilsson

et al. 2017

Upsala Journal of Medical Sciences

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“…We calculated a total sum score for the ASRS and also used the scoring approach recommended by the ASRS v1.1 Screener manual (Adler, Kessler, & Spencer, ), whereby respondents who endorsed at least four out of six items were considered at “elevated” risk for ADHD. As described above, the ASRS Symptom Checklist and Screener have previously demonstrated good psychometric properties in studies with adults (Adler et al, ; Kessler et al, ) and with clinical adolescent samples (Adler et al, ; Sonnby et al, ).…”

Section: Methodsmentioning

confidence: 96%

Evidence for the reliability and preliminary validity of the Adult ADHD Self‐Report Scale v1.1 (ASRS v1.1) Screener in an adolescent community sample

Green

DeYoung

Wogan

et al. 2018

Int J Methods Psych Res

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Objectives There is a need for brief and publicly‐available assessments of attention deficit hyperactivity disorder (ADHD) easily administered in large‐scale survey efforts monitoring symptoms among adolescents. The ADHD Self‐Report Scale v1.1 (ASRS; Kessler et al., 2005) Screener, a six‐item measure of ADHD symptoms, is a valid and reliable screening instrument for ADHD among adults. The current study provides initial evidence for the reliability and validity of the ASRS Screener among a community sample of U.S. adolescents. Methods Middle and high school students in grades 6 through 12 (N = 2,472) completed the ASRS Screener, along with the Strengths and Difficulties Questionnaire (SDQ; Goodman, 2001) and several questions about school functioning. Results The ASRS Screener demonstrated good internal consistency, with items captured by a single underlying latent variable, which was invariant across subsamples differing by gender. The ASRS Screener scores were associated with the SDQ subscale measuring hyperactivity/inattention (r = 0.58) and significantly less strongly associated with other SDQ subscale scores (r = −0.15–0.41). The ASRS Screener scores were also significantly associated with student‐reported school functioning. Conclusion Findings suggest directions for future research and provide preliminary support for use of the ASRS Screener as a brief tool for identifying symptoms of ADHD among adolescents.

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Association of Digital Media Use With Subsequent Symptoms of Attention-Deficit/Hyperactivity Disorder Among Adolescents

Karen

Cho

Stone

et al. 2018

JAMA

213

123

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IMPORTANCE Modern digital platforms are easily accessible and intensely stimulating; it is unknown whether frequent use of digital media may be associated with symptoms of attention-deficit/hyperactivity disorder (ADHD).OBJECTIVE To determine whether the frequency of using digital media among 15-and 16-year-olds without significant ADHD symptoms is associated with subsequent occurrence of ADHD symptoms during a 24-month follow-up.DESIGN, SETTING, AND PARTICIPANTS Longitudinal cohort of students in 10 Los Angeles County, California, high schools recruited through convenience sampling. Baseline and 6-, 12-, 18-, and 24-month follow-up surveys were administered from September 2014 (10th grade) to December 2016 (12th grade). Of 4100 eligible students, 3051 10th-graders (74%) were surveyed at the baseline assessment.EXPOSURES Self-reported use of 14 different modern digital media activities at a high-frequency rate over the preceding week was defined as many times a day (yes/no) and was summed in a cumulative index (range, 0-14).MAIN OUTCOMES AND MEASURES Self-rated frequency of 18 ADHD symptoms (never/rare, sometimes, often, very often) in the 6 months preceding the survey. The total numbers of 9 inattentive symptoms (range, 0-9) and 9 hyperactive-impulsive symptoms (range, 0-9) that students rated as experiencing often or very often were calculated. Students who had reported experiencing often or very often 6 or more symptoms in either category were classified as being ADHD symptom-positive. RESULTS Among the 2587 adolescents (63% eligible students; 54.4% girls; mean [SD] age 15.5 years [0.5 years]) who did not have significant symptoms of ADHD at baseline, the median follow-up was 22.6 months (interquartile range [IQR], months). The mean (SD) number of baseline digital media activities used at a high-frequency rate was 3.62 (3.30); 1398 students (54.1%) indicated high frequency of checking social media (95% CI, 52.1%-56.0%), which was the most common media activity. High-frequency engagement in each additional digital media activity at baseline was associated with a significantly higher odds of having symptoms of ADHD across follow-ups (OR, 1.11; 95% CI, 1.06-1.16). This association persisted after covariate adjustment (OR, 1.10; 95% CI, 1.05-1.15). The 495 students who reported no high-frequency media use at baseline had a 4.6% mean rate of having ADHD symptoms across follow-ups vs 9.5% among the 114 who reported 7 high-frequency activities (difference; 4.9%; 95% CI, 2.5%-7.3%) and vs 10.5% among the 51 students who reported 14 high-frequency activities (difference, 5.9%; 95% CI, 2.6%-9.2%).CONCLUSIONS AND RELEVANCE Among adolescents followed up over 2 years, there was a statistically significant but modest association between higher frequency of digital media use and subsequent symptoms of ADHD. Further research is needed to determine whether this association is causal.

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Validation of the World Health Organization Adult ADHD Self-Report Scale for adolescents

Abstract: Both the ASRS-A-S and the ASRS-A showed promising psychometric properties for use in adolescent clinical populations.

Cited by 55 publications

References 21 publications

Gambling frequency and symptoms of attention-deficit hyperactivity disorder in relation to problem gambling among Swedish adolescents: a population-based study

Gambling frequency and symptoms of attention-deficit hyperactivity disorder in relation to problem gambling among Swedish adolescents: a population-based study

Evidence for the reliability and preliminary validity of the Adult ADHD Self‐Report Scale v1.1 (ASRS v1.1) Screener in an adolescent community sample

Association of Digital Media Use With Subsequent Symptoms of Attention-Deficit/Hyperactivity Disorder Among Adolescents

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