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Protocol - Attention-Deficit Hyperactivity Disorder Symptoms - Adult

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Protocol Name from Source:

The Adult Attention-Deficit Hyperactivity Disorder Self-Report Scale (ASRS-v1.1)

Availability:

Publicly available

Description:

The Adult Attention-Deficit Hyperactivity Disorder Self-Report Scale (ASRS-v1.1) Symptom Checklist is an 18-item, two-part questionnaire designed to determine if the participant exhibits attention-deficit/hyperactivity disorder (ADHD) symptoms.

Protocol:

Instructions:

Ask the patient to complete both Part A and Part B of the Symptom Checklist by marking an X in the box that most closely represents the frequency of occurrence of each of the symptoms.

Name

Today’s Date

Please answer the questions below, rating yourself on each of the criteria shown using the scale on the right side of the page. As you answer each question, place an X in the box that best describes how you have felt and conducted yourself over the past 6 months.

N e v e r

R a r e l y

S o m e t i m e s

O f t e n

V e r y O f t e n

1. How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?

2. How often do you have difficulty getting things in order when you have to do a task that requires organization?

3. How often do you have problems remembering appointments or obligations?

4. When you have a task that requires a lot of thought, how often do you avoid or delay getting started?

5. How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?

6. How often do you feel overly active and compelled to do things, like you were driven by a motor?

Part A

7. How often do you make careless mistakes when you have to work on a boring or difficult project?

8. How often do you have difficulty keeping your attention when you are doing boring or repetitive work?

9. How often do you have difficulty concentrating on what people say to you, even when they are speaking to you directly?

10. How often do you misplace or have difficulty finding things at home or at work?

11. How often are you distracted by activity or noise around you?

12. How often do you leave your seat in meetings or other situations in which you are expected to remain seated?

13. How often do you feel restless or fidgety?

14. How often do you have difficulty unwinding and relaxing when you have time to yourself?

15. How often do you find yourself talking too much when you are in social situations?

16. When you’re in a conversation, how often do you find yourself finishing the sentences of the people you are talking to, before they can finish them themselves?

17. How often do you have difficulty waiting your turn in situations when turn taking is required?

18. How often do you interrupt others when they are busy?

Part B

© World Health Organization

Scoring

Part A.

If four or more marks appear in the darkly shaded boxes within Part A, then the patient has symptoms highly consistent with ADHD in adults, and further investigation is warranted.

Part B.

The frequency scores on Part B provide additional cues and can serve as further probes into the patient’s symptoms. Pay particular attention to marks appearing in the darkly shaded boxes. No total score or diagnostic likelihood is utilized for the twelve questions.

Personnel and Training Required

None

Equipment Needs

None

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult

Specific Instructions:

The shading in the instrument is provided as a guide for scoring and should be removed prior to giving to the respondent for screening.

Research Domain Information

Release Date:

May 12, 2010

Definition

A questionnaire to assess attention-deficit/hyperactivity disorder (ADHD), a condition characterized by patterns of inattention, hyperactivity, and impulsivity that is more pronounced than in other individuals at similar developmental levels (APA, 2000).

Purpose

This measure is used to screen an individual for attention-deficit/hyperactivity disorder (ADHD) and to assess the severity of symptoms. ADHD is found in 3%-7% of school-aged children and demonstrates a familial pattern because first-order relatives of affected individuals are at higher risk for ADHD and other disorders, such as mood, anxiety, and learning disorders. The severity and course of ADHD are also influenced by environmental factors, such as school and family (APA, 2000).

Selection Rationale

The Adult Attention-Deficit Hyperactivity Disorder Self-Report Scale (ASRS-v1.1) Symptom Checklist was vetted against similar protocols and selected because it is a validated, brief, self-report instrument that is low burden for investigators and respondents.

Language

Danish, Dutch, English, Finnish, Flemish, French, German, Hebrew, Japanese, Mandarin Chinese, Norwegian, Portugese, Russian, Spanish, Swedish, Traditional Chinese

Standards

StandardNameIDSource
Common Data Elements (CDE)Adult Attention Deficit Hyperactivity Disorder Assessment Score3075460CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)Attention deficit hyperac adult proto62750-5LOINC

Process and Review

[link[phenx.org/node/103|Expert Review Panel 4]] (ERP 4) reviewed the measures in the Neurology, Psychiatric, and Psychosocial domains.

Guidance from ERP 4 included the following:

· No changes

Source

Kessler, R. C., Adler, L., Ames, M., Demler, O., Faraone, S., Hiripi, E., Howes, M. J., Jin, R., Secnik, K., Spencer, T., Ustun, T. B., & Walters, E. E. (2005). The World Health Organization Adult ADHD Self-Report Scale (ASRS). Psychological Medicine, 35(2), 245-256.

General References

American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

Barkley, R. A. (1990). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment. New York: Guilford Press.

Biederman, J., Faraone, S. V., Spencer, T., Wilens, T., Norman, D., Lapey, K. A., Mick, E., Lehman, B. K., & Doyle, A. (1993). Patterns of psychiatric comorbidity, cognition, and psychosocial functioning in adults with attention deficit hyperactivity disorder. American Journal of Psychiatry, 150, 1792-1798.

Schweitzer, J., Cummins, T., & Kant, C. (2001). Attention-deficit/hyperactivity disorder. Medical Clinics of North America, 85(3), 757-777.

Protocol ID:

121501

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX121501_Trouble_Wrapping_Up_ProjectPX121501010000How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?4N/A
PX121501_Difficulty_Getting_OrgainizedPX121501020000How often do you have difficulty getting things in order when you have to do a task that requires organization?4N/A
PX121501_Difficulty_Remembering_AppointmentsPX121501030000How often do you have problems remembering appointments or obligations?4N/A
PX121501_Procrastinate_TasksPX121501040000When you have a task that requires a lot of thought, how often do you avoid or delay getting started?4N/A
PX121501_Fidget_While_SittingPX121501050000How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?4N/A
PX121501_Feel_Driven_By_MotorPX121501060000How often do you feel overly active and compelled to do things, like you were driven by a motor?4N/A
PX121501_Careless_Mistakes_Tedious_TasksPX121501070000How often do you make careless mistakes when you have to work on a boring or difficult project?4N/A
PX121501_Difficulty_Paying_Attention_Repetitive_TasksPX121501080000How often do you have difficulty keeping your attention when you are doing boring or repetitive work?4N/A
PX121501_Difficulty_Concentrating_On_ConversationsPX121501090000How often do you have difficulty concentrating on what people say to you, even when they are speaking to you directly?4N/A
PX121501_Misplace_Items_Home_WorkPX121501100000How often do you misplace or have difficulty finding things at home or at work?4N/A
PX121501_Frequency_Distracted_By_NoisePX121501110000How often are you distracted by activity or noise around you?4N/A
PX121501_Frequency_Leave_Seat_At_MeetingsPX121501120000How often do you leave your seat in meetings or other situations in which you are expected to remain seated?4N/A
PX121501_Frequency_RestlessPX121501130000How often do you feel restless or fidgety?4N/A
PX121501_Difficulty_UnwindingPX121501140000How often do you have difficulty unwinding and relaxing when you have time to yourself?4N/A
PX121501_Frequency_Talk_Too_MuchPX121501150000How often do you find yourself talking too much when you are in social situations?4N/A
PX121501_Finish_Others_SentencesPX121501160000When you're in a conversation, how often do you find yourself finishing the sentences of the people you are talking to, before they can finish them themselves?4N/A
PX121501_Difficulty_Waiting_TurnPX121501170000How often do you have difficulty waiting your turn in situations when turn taking is required?4N/A
PX121501_Interrupt_Others_When_BusyPX121501180000How often do you interrupt others when they are busy?4N/A