Adult ADHD Screening in Alcohol-Dependent Patients Using the Wender–Utah Rating Scale and the Adult ADHD Self-Report Scale

Constanza Daigre; Carlos Roncero; Laia Rodríguez-Cintas; Lluisa Ortega; Anna Lligoña; Sonia Fuentes; Jesús Pérez-Pazos; Nieves Martínez-Luna; Miguel Casas

doi:10.1177/1087054714529819

Adult ADHD Screening in Alcohol-Dependent Patients Using the Wender–Utah Rating Scale and the Adult ADHD Self-Report Scale

Constanza Daigre, Carlos Roncero, Laia Rodríguez-Cintas, Lluisa Ortega, Anna Lligoña, Sonia Fuentes, Jesús Pérez-Pazos, Nieves Martínez-Luna, Miguel Casas

Department of Psychiatry and Legal Medicine

Research output: Contribution to journal › Article › Research › peer-review

39 Citations (Scopus)

Abstract

© 2014 SAGE Publications Objective: The aim was to analyze the psychometric properties of two screening instruments, Wender-Utah Rating Scale (WURS) that evaluates childhood ADHD and Adult ADHD Self-Report Scales (ASRS) that assesses symptoms in adulthood, in alcohol-dependent patients. Method: A total of 355 outpatients were included. Conners’ adult ADHD diagnostic interview results were used as a gold standard in childhood and adulthood ADHD. Results: The WURS with a 41 cutoff had a sensitivity of 79.6% and a specificity of 60.3%. The ASRS with a 14 cutoff had a sensitivity of 86.7% and specificity of 66.1%. Analyzing both rating scales in combination, it was observed that patients with positive ASRS and WURS presented a sensitivity of 92.3%. Patients with positive ASRS, but negative WURS, presented a specificity of 73.6%. Conclusion: WURS and ASRS are useful tools in the diagnosis of adult ADHD in alcohol-dependent patients; with the use of both instruments, the psychometric properties are substantially improved.

Original language	English
Pages (from-to)	328-334
Journal	Journal of Attention Disorders
Volume	19
Issue number	4
DOIs	https://doi.org/10.1177/1087054714529819
Publication status	Published - 1 Jan 2015

Keywords

adult ADHD
alcohol dependence
assessment
diagnosis
WURS

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10.1177/1087054714529819

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title = "Adult ADHD Screening in Alcohol-Dependent Patients Using the Wender–Utah Rating Scale and the Adult ADHD Self-Report Scale",

abstract = "{\textcopyright} 2014 SAGE Publications Objective: The aim was to analyze the psychometric properties of two screening instruments, Wender-Utah Rating Scale (WURS) that evaluates childhood ADHD and Adult ADHD Self-Report Scales (ASRS) that assesses symptoms in adulthood, in alcohol-dependent patients. Method: A total of 355 outpatients were included. Conners{\textquoteright} adult ADHD diagnostic interview results were used as a gold standard in childhood and adulthood ADHD. Results: The WURS with a 41 cutoff had a sensitivity of 79.6% and a specificity of 60.3%. The ASRS with a 14 cutoff had a sensitivity of 86.7% and specificity of 66.1%. Analyzing both rating scales in combination, it was observed that patients with positive ASRS and WURS presented a sensitivity of 92.3%. Patients with positive ASRS, but negative WURS, presented a specificity of 73.6%. Conclusion: WURS and ASRS are useful tools in the diagnosis of adult ADHD in alcohol-dependent patients; with the use of both instruments, the psychometric properties are substantially improved.",

keywords = "adult ADHD, alcohol dependence, assessment, diagnosis, WURS",

author = "Constanza Daigre and Carlos Roncero and Laia Rodr{\'i}guez-Cintas and Lluisa Ortega and Anna Lligo{\~n}a and Sonia Fuentes and Jes{\'u}s P{\'e}rez-Pazos and Nieves Mart{\'i}nez-Luna and Miguel Casas",

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doi = "10.1177/1087054714529819",

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T1 - Adult ADHD Screening in Alcohol-Dependent Patients Using the Wender–Utah Rating Scale and the Adult ADHD Self-Report Scale

AU - Daigre, Constanza

AU - Roncero, Carlos

AU - Rodríguez-Cintas, Laia

AU - Ortega, Lluisa

AU - Lligoña, Anna

AU - Fuentes, Sonia

AU - Pérez-Pazos, Jesús

AU - Martínez-Luna, Nieves

AU - Casas, Miguel

PY - 2015/1/1

Y1 - 2015/1/1

N2 - © 2014 SAGE Publications Objective: The aim was to analyze the psychometric properties of two screening instruments, Wender-Utah Rating Scale (WURS) that evaluates childhood ADHD and Adult ADHD Self-Report Scales (ASRS) that assesses symptoms in adulthood, in alcohol-dependent patients. Method: A total of 355 outpatients were included. Conners’ adult ADHD diagnostic interview results were used as a gold standard in childhood and adulthood ADHD. Results: The WURS with a 41 cutoff had a sensitivity of 79.6% and a specificity of 60.3%. The ASRS with a 14 cutoff had a sensitivity of 86.7% and specificity of 66.1%. Analyzing both rating scales in combination, it was observed that patients with positive ASRS and WURS presented a sensitivity of 92.3%. Patients with positive ASRS, but negative WURS, presented a specificity of 73.6%. Conclusion: WURS and ASRS are useful tools in the diagnosis of adult ADHD in alcohol-dependent patients; with the use of both instruments, the psychometric properties are substantially improved.

AB - © 2014 SAGE Publications Objective: The aim was to analyze the psychometric properties of two screening instruments, Wender-Utah Rating Scale (WURS) that evaluates childhood ADHD and Adult ADHD Self-Report Scales (ASRS) that assesses symptoms in adulthood, in alcohol-dependent patients. Method: A total of 355 outpatients were included. Conners’ adult ADHD diagnostic interview results were used as a gold standard in childhood and adulthood ADHD. Results: The WURS with a 41 cutoff had a sensitivity of 79.6% and a specificity of 60.3%. The ASRS with a 14 cutoff had a sensitivity of 86.7% and specificity of 66.1%. Analyzing both rating scales in combination, it was observed that patients with positive ASRS and WURS presented a sensitivity of 92.3%. Patients with positive ASRS, but negative WURS, presented a specificity of 73.6%. Conclusion: WURS and ASRS are useful tools in the diagnosis of adult ADHD in alcohol-dependent patients; with the use of both instruments, the psychometric properties are substantially improved.

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KW - alcohol dependence

KW - assessment

KW - diagnosis

KW - WURS

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DO - 10.1177/1087054714529819

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SN - 1087-0547

VL - 19

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JO - Journal of Attention Disorders

JF - Journal of Attention Disorders

IS - 4

ER -

Adult ADHD Screening in Alcohol-Dependent Patients Using the Wender–Utah Rating Scale and the Adult ADHD Self-Report Scale

Abstract

Keywords

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