title: The Impact of DSM-5 A-Criteria Changes on Parent Ratings of ADHD in Adolescents.
abstract: OBJECTIVE
  Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) A-criteria for ADHD were expanded to include new descriptors referencing adolescent and adult symptom manifestations. This study examines the effect of these changes on symptom endorsement in a sample of adolescents with ADHD (N = 259; age range = 10.72-16.70).
  
  
  METHODS
  Parent ratings were collected and Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR) and DSM-5 endorsement of ADHD symptoms were compared.
  
  
  RESULTS
  Under the DSM-5, there were significant increases in reported inattention, but not hyperactivity/impulsivity (H/I) symptoms, with specific elevations for certain symptoms. The average adolescent met criteria for less than one additional symptom under the DSM-5, but the correlation between ADHD symptoms and impairment was attenuated when using the DSM-5 items. Impulsivity items appeared to represent adolescent deficits better than hyperactivity items. Results were not moderated by demographic factors.
  
  
  CONCLUSIONS
  In a sample of adolescents with well-diagnosed DSM-IV-TR ADHD, developmental symptom descriptors led parents to endorse slightly more symptoms of inattention, but this elevation is unlikely to be clinically meaningful.
authors.affiliation: 1 Florida International University, Miami, USA.
authors.forename: Margaret H
authors.initials: MH
authors.lastname: Sibley
authors.affiliation: 2 University of Michigan, Ann Arbor, USA.
authors.forename: Carlos E
authors.initials: CE
authors.lastname: Yeguez
mesh_terms: D000293:Adolescent; D000328:Adult; D001288:Attention; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis*; D002648:Child; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D007175:Impulsive Behavior; D008297:Male; D010290:Parents / Q000523:psychology*; D010549:Personal Satisfaction
keywords: DSM-5; adolescents; diagnosis