title: Validity of the Adult ADHD Self-Report Scale (ASRS) as a screener for adult ADHD in treatment seeking substance use disorder patients.
abstract: BACKGROUND
  To detect attention deficit hyperactivity disorder (ADHD) in treatment seeking substance use disorders (SUD) patients, a valid screening instrument is needed.
  
  
  OBJECTIVE
  To test the performance of the Adult ADHD Self-Report Scale V 1.1(ASRS) for adult ADHD in an international sample of treatment seeking SUD patients for DSM-IV-TR; for the proposed DSM-5 criteria; in different subpopulations, at intake and 1-2 weeks after intake; using different scoring algorithms; and different externalizing disorders as external criterion (including adult ADHD, bipolar disorder, antisocial and borderline personality disorder).
  
  
  METHODS
  In 1138 treatment seeking SUD subjects, ASRS performance was determined using diagnoses based on Conner's Adult ADHD Diagnostic Interview for DSM-IV (CAADID) as gold standard.
  
  
  RESULTS
  The prevalence of adult ADHD was 13.0% (95% CI: 11.0-15.0%). The overall positive predictive value (PPV) of the ASRS was 0.26 (95% CI: 0.22-0.30), the negative predictive value (NPV) was 0.97 (95% CI: 0.96-0.98). The sensitivity (0.84, 95% CI: 0.76-0.88) and specificity (0.66, 95% CI: 0.63-0.69) measured at admission were similar to the sensitivity (0.88, 95% CI: 0.83-0.93) and specificity (0.67, 95% CI: 0.64-0.70) measured 2 weeks after admission. Sensitivity was similar, but specificity was significantly better in patients with alcohol compared to (illicit) drugs as the primary substance of abuse (0.76 vs. 0.56). ASRS was not a good screener for externalizing disorders other than ADHD.
  
  
  CONCLUSIONS
  The ASRS is a sensitive screener for identifying possible ADHD cases with very few missed cases among those screening negative in this population.
authors: Trimbos-instituut and ICASA Foundation, Utrecht, The Netherlands; Amsterdam Institute for Addiction Research, Amsterdam, The Netherlands. Electronic address: gglind@trimbos.nl.
authors: Geurt
authors: G
authors: van de Glind
authors: Wim
authors: W
authors: van den Brink
authors: Maarten W J
authors: MW
authors: Koeter
authors: Pieter-Jan
authors: PJ
authors: Carpentier
authors: Katelijne
authors: K
authors: van Emmerik-van Oortmerssen
authors: Sharlene
authors: S
authors: Kaye
authors: Arvid
authors: A
authors: Skutle
authors: Eli-Torild H
authors: ET
authors: Bu
authors: Johan
authors: J
authors: Franck
authors: Maija
authors: M
authors: Konstenius
authors: Franz
authors: F
authors: Moggi
authors: Geert
authors: G
authors: Dom
authors: Sofie
authors: S
authors: Verspreet
authors: Zsolt
authors: Z
authors: Demetrovics
authors: Máté
authors: M
authors: Kapitány-Fövény
authors: Melina
authors: M
authors: Fatséas
authors: Marc
authors: M
authors: Auriacombe
authors: Arild
authors: A
authors: Schillinger
authors: Andrea
authors: A
authors: Seitz
authors: Brian
authors: B
authors: Johnson
authors: Stephen V
authors: SV
authors: Faraone
authors: J Antoni
authors: JA
authors: Ramos-Quiroga
authors: Miguel
authors: M
authors: Casas
authors: Steve
authors: S
authors: Allsop
authors: Susan
authors: S
authors: Carruthers
authors: Csaba
authors: C
authors: Barta
authors: Robert A
authors: RA
authors: Schoevers
authors: Frances R
authors: FR
authors: Levin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D057566:Self Report / Q000592:standards*; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D011795:Surveys and Questionnaires / Q000592:standards*; D016896:Treatment Outcome; D055815:Young Adult
keywords: ADHD; ASRS; Addiction; Attention/deficit hyperactivity disorder; Prevalence; Psychiatry; Substance use disorders; Validity
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