The Adult ADHD Self-Report Scale for Screening for Adult Attention Deficit-Hyperactivity Disorder (ADHD)
The Adult ADHD Self-Report Scale for Screening for Adult Attention Deficit-Hyperactivity Disorder (ADHD)
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DOI：
10.3122/jabfm.2012.06.120065
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发表时间：
2012-11-01
影响因子：
2.9
通讯作者：
Curry, William J.
中科院分区：
文献类型：
--
作者：
Hines, Joseph L.;King, Tonya S.;Curry, William J.
背景：成人注意缺陷多动障碍（ADHD）在初级保健机构的诊断不足，尽管有3%至6%的成年人有ADHD样症状。成人注意力缺陷多动障碍自我报告量表- v1.1 （ASRS-V1.1）是一个经过验证的成人注意力缺陷多动障碍自我报告量表，包含6个问题。我们的目的是分析这个工具在繁忙的初级保健环境中评估患者。方法：对8个繁忙的初级保健诊所的患者进行ASRS-V1.1评分。所有得分为阳性的人以及随机抽取的得分为阴性的人都被要求完成康纳斯成人多动症评定量表自我报告-简短版。每一个都是在同一疗程的临床环境中进行的。计算敏感性、特异性和阳性/阴性预测值。对数据进行了地点特异性差异评估。结果：完成ASRS-V1.1的平均时间为54.3秒（范围22 ~ 252秒）。经不一致性调整后的敏感性为1.0，特异性为0.71，阳性预测值为0.52，阴性预测值为1.0。没有发现特定部位的差异。结论：ASRS-V1.1具有使用方便、给药时间短、灵敏度高、特异性中等等特点，是一种有效的成人ADHD筛查方法，可指导ADHD的进一步评估。[J] .中华医学杂志，2012;25:847-853。]
Background: Adult attention deficit-hyperactivity disorder (ADHD) is underdiagnosed in the primary care setting despite 3% to 6% of adults having ADHD-like symptoms. The Adult ADHD Self-Report Scale-V1.1 (ASRS-V1.1) is a validated, 6-question screen for adult ADHD. Our purpose was to analyze this tool for evaluating patients in a busy primary care setting.Methods: The ASRS-V1.1 was administered to patients in 8 busy primary care practices. All with a positive score and a random sample of those with a negative screening score were asked to complete the Conners' Adult ADHD Rating Scale Self Report-Short Version. Each was administered within the clinic setting during the same session. Sensitivity, specificity, and positive/negative predictive values were calculated. Data were evaluated for site-specific differences.Results: It took an average of 54.3 seconds (range, 22-252 seconds) to complete the ASRS-V1.1. There was an inconsistency-adjusted sensitivity of 1.0, a specificity of 0.71, a positive predictive value of 0.52, and a negative predictive value of 1.0. No site-specific differences were found.Conclusions: Because of its ease of use, short time to administer, high sensitivity, and moderate specificity, the ASRS-V1.1 is an effective adult ADHD screening to guide further evaluations for ADHD. (J Am Board Fam Med 2012;25:847-853.)