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The short form adult attention deficit/hyperactivity self-report scale is a useful diagnostic measure

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Q Do the long and short forms of the attention deficit/hyperactivity disorder (ADHD) self-report scale effectively diagnose ADHD in adults?


Embedded ImageDesign:

Prospective diagnostic cohort study.

Embedded ImageSetting:

General population, USA; interviews conducted 2001–03.

Embedded ImagePatients:

154 people aged 18–44 years who participated in the US National Comorbidity Survey Replication study. Participants were selected from four groups: those reporting no childhood ADHD symptoms; those reporting some childhood ADHD symptoms, but not meeting diagnostic criteria; those meeting childhood ADHD diagnostic criteria but no current symptoms; and those meeting childhood ADHD diagnostic criteria and having current symptoms.

Embedded ImageTest:

The adult ADHD self-report scale (ASRS) includes 18 items based on DSM-IV Criterion A symptoms of adult ADHD. Each item asks how frequently a symptom occurred in the preceding six months rated on a four-point scale (0 = never to 4 = very often). The optimal method for scoring each symptom as present or absent was developed by selecting …

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  • For correspondence: Dr R C Kessler, Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA; kessler{at}

  • Sources of funding: National Institute of Mental Health, National Institute of Drug Abuse, Substance Abuse and Mental Health Services Administration, Robert Wood Johnson Foundation, and Eli Lilly, USA.

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