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Assessing Attention-Deficit/Hyperactivity Disorder in Adults: a Review of Rating Scales

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Assessing Attention-Deficit/Hyperactivity Disorder in Adults: a Review of Rating Scales Pepperdine University Pepperdine Digital Commons Theses and Dissertations 2012 Assessing attention-deficit/hyperactivity disorder in adults: a review of rating scales Sarah Beth Silverman Follow this and additional works at: https://digitalcommons.pepperdine.edu/etd Recommended Citation Silverman, Sarah Beth, "Assessing attention-deficit/hyperactivity disorder in adults: a review of rating scales" (2012). Theses and Dissertations. 251. https://digitalcommons.pepperdine.edu/etd/251 This Dissertation is brought to you for free and open access by Pepperdine Digital Commons. It has been accepted for inclusion in Theses and Dissertations by an authorized administrator of Pepperdine Digital Commons. For more information, please contact [email protected], [email protected], [email protected]. Pepperdine University Graduate School of Education and Psychology ASSESSING ATTENTION-DEFICIT/HYPERACTIVITY DISORDER IN ADULTS: A REVIEW OF RATING SCALES A clinical dissertation submitted in partial satisfaction of the requirements for the degree of Doctor of Psychology by Sarah Beth Silverman June, 2012 Drew Erhardt, Ph.D. – Dissertation Chairperson This clinical dissertation, written by Sarah Beth Silverman under the guidance of a Faculty Committee and approved by its members, has been submitted to and accepted by the Graduate Faculty in partial fulfillment of the requirements for the degree of DOCTOR OF PSYCHOLOGY Doctoral Committee: Drew Erhardt, Ph.D., Chairperson Kathleen Eldridge, Ph.D. Ani Dillon, Psy.D. © Copyright by Sarah Beth Silverman (2012) All Rights Reserved TABLE OF CONTENTS Page LIST OF TABLES ............................................................................................................ vii DEDICATION ................................................................................................................. viii ACKNOWLEDGEMENTS ............................................................................................... ix VITA ....................................................................................................................................x ABSTRACT ..................................................................................................................... xiii REVIEW OF THE LITERATURE .....................................................................................1 Diagnostic Considerations .......................................................................................2 Diagnostic Criteria and Adult Manifestation ...........................................................3 Risks Associated with ADHD .................................................................................5 Comorbidities ...........................................................................................................7 Demand for Adult ADHD Assessments ..................................................................8 Assessing ADHD in Adults .....................................................................................8 Review of Rating Scales ..........................................................................................9 Purpose of rating scales .............................................................................10 Advantages of rating scales .......................................................................11 Disadvantages of rating scales ...................................................................12 Evaluating rating scales .............................................................................12 Reliability ...................................................................................................13 Validity ......................................................................................................14 Clinical Utility .......................................................................................................17 Application of Rating Scales to the Assessment of Adult ADHD.........................17 Rationale for the Study ..........................................................................................18 METHOD ..........................................................................................................................20 Identifying Scales for Review ................................................................................20 Data Collection for Identified Scales .....................................................................21 RESULTS ..........................................................................................................................23 Adult Attention Deficit Disorders Evaluation Scale ..............................................25 General Description. ..................................................................................25 Scale Development, Derived Factors, and Scoring ...................................25 v Normative Data ..........................................................................................26 Psychometric Properties.............................................................................27 Clinical Utility ...........................................................................................28 Adult ADHD Self-Report Scale – v1.1 Symptom Checklist .................................28 General Description ...................................................................................28 Scale Development, Derived Factors, and Scoring ...................................29 Normative Data ..........................................................................................30 Psychometric Properties.............................................................................31 Clinical Utility ...........................................................................................32 Attention Deficit Scales for Adults ........................................................................32 General Description ...................................................................................32 Scale Development, Derived Factors, and Scoring ...................................33 Normative Data ..........................................................................................33 Psychometric Properties.............................................................................34 Clinical Utility ...........................................................................................35 Barkley Adult ADHD Rating Scale – IV ...............................................................35 General Description ...................................................................................35 Scale Development, Derived Factors, and Scoring ...................................36 Normative Data ..........................................................................................39 Psychometric Properties.............................................................................39 Clinical Utility ...........................................................................................41 Brown Attention-Deficit Disorder Scales for Adults.............................................41 General Description ...................................................................................41 Scale Development, Derived Factors, and Scoring ...................................42 Normative Data ..........................................................................................43 Psychometric Properties.............................................................................44 Clinical Utility ...........................................................................................45 Conners’ Adult ADHD Rating Scales ...................................................................46 General Description ...................................................................................46 Scale Development, Derived Factors, and Scoring ...................................47 Normative Data ..........................................................................................49 Psychometric Properties.............................................................................49 Clinical Utility ...........................................................................................52 Wender Utah Rating Scale .....................................................................................52 General Description ...................................................................................52 Scale Development, Derived Factors, and Scoring ...................................53 Normative Data ..........................................................................................54 Psychometric Properties.............................................................................55 Clinical Utility ...........................................................................................56 DISCUSSION ....................................................................................................................58 Considerations in Selecting a Scale for Clinical Use .............................................58 Clinical Purpose .....................................................................................................59 Symptom Representation .......................................................................................60 Adequacy of Normative Samples ..........................................................................61 vi Psychometric Properties.........................................................................................61
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