Self-Reported Adult ADHD Symptoms: Evidence Supporting Cautious Use in an Assessment-Seeking Sample-Reference-Cited by-同舟云学术

Self-Reported Adult ADHD Symptoms: Evidence Supporting Cautious Use in an Assessment-Seeking Sample

Published:2023-05-09 Issue:10 Volume:27 Page:1156-1166
ISSN:1087-0547
Container-title:Journal of Attention Disorders
language:en
Short-container-title:J Atten Disord

Author:

Vizgaitis Alexandra L.¹^ORCID,Bottini Summer²,Polizzi Craig P.³,Barden Eileen⁴⁵,Krantweiss Adam R.⁶

Affiliation:

1. State University of New York at Cortland, NY, USA

2. Emory University School of Medicine, Atlanta, GA, USA

3. Veterans Affairs Boston Healthcare System, MA, USA

4. Boston University School of Medicine, MA, USA

5. State University of New York at Binghamton, NY, USA

6. Ithaca Psychological Testing, NY, USA

Abstract

Objective: Self-report symptom inventories are commonly used in adult ADHD assessment, and research indicates they should be interpreted with caution. This study investigated one self-report symptom inventory for adult ADHD in a clinical sample. Method: Archival data were used to evaluate diagnostic utility of the Conners Adult ADHD Rating Scale—Self-Report: Long Version (CAARS-S:L) in a sample of 122 adults seeking ADHD assessment. Results: Overall, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) estimates for the ADHD Index and other CAARS-S:L scales demonstrated weak accuracy. Anxiety and depression were the most common diagnoses present when a false positive on the ADHD Index was observed. PPV and specificity for the ADHD Index were higher in males compared to females. Conclusion: The CAARS-S:L may be useful for screening purposes in some cases, but should not be the main method used for diagnostic purposes. Clinical implications of findings are discussed.

Publisher

SAGE Publications

Subject

Clinical Psychology,Developmental and Educational Psychology

Link

http://journals.sagepub.com/doi/pdf/10.1177/10870547231172764

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