title: The adult ADHD self-report scale for screening for adult attention deficit-hyperactivity disorder (ADHD).
abstract: 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.
authors.affiliation: Altoona Family Physicians Residency, Altoona, PA, USA.
authors.forename: Joseph L
authors.initials: JL
authors.lastname: Hines
authors.forename: Tonya S
authors.initials: TS
authors.lastname: King
authors.forename: William J
authors.initials: WJ
authors.lastname: Curry
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011237:Predictive Value of Tests; D011320:Primary Health Care; D011581:Psychological Tests; D057566:Self Report; D012680:Sensitivity and Specificity; D013997:Time Factors; D055815:Young Adult