title: Adult ADHD screening in alcohol-dependent patients using the Wender-Utah Rating Scale and the adult ADHD Self-Report Scale.
abstract: 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.
  
  
  METHODS
  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%.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Hospital Universitari Vall d'Hebron, Barcelona, Spain Vall d'Hebron Hospital and Barcelona Public Health Agency (ASPB), Barcelona, Spain Universitat Autònoma de Barcelona, Spain cdaigre@vhebron.net.
authors.forename: Constanza
authors.initials: C
authors.lastname: Daigre
authors.affiliation: Hospital Universitari Vall d'Hebron, Barcelona, Spain Vall d'Hebron Hospital and Barcelona Public Health Agency (ASPB), Barcelona, Spain Universitat Autònoma de Barcelona, Spain Biomedical Network Research Centre on Mental Health (CIBERSAM), Barcelona, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Roncero
authors.affiliation: Hospital Universitari Vall d'Hebron, Barcelona, Spain Vall d'Hebron Hospital and Barcelona Public Health Agency (ASPB), Barcelona, Spain Fundació Hospital Universitari Vall d'Hebron, Barcelona, Spain.
authors.forename: Laia
authors.initials: L
authors.lastname: Rodríguez-Cintas
authors.affiliation: Institut Clinic de Neurociències (ICN), Barcelona, Spain Unitat de Conductes Adictives, Barcelona, Spain.
authors.forename: Lluisa
authors.initials: L
authors.lastname: Ortega
authors.affiliation: Institut Clinic de Neurociències (ICN), Barcelona, Spain Unitat de Conductes Adictives, Barcelona, Spain.
authors.forename: Anna
authors.initials: A
authors.lastname: Lligoña
authors.affiliation: Vall d'Hebron Hospital and Barcelona Public Health Agency (ASPB), Barcelona, Spain.
authors.forename: Sonia
authors.initials: S
authors.lastname: Fuentes
authors.affiliation: Hospital Universitari Vall d'Hebron, Barcelona, Spain Vall d'Hebron Hospital and Barcelona Public Health Agency (ASPB), Barcelona, Spain.
authors.forename: Jesús
authors.initials: J
authors.lastname: Pérez-Pazos
authors.affiliation: Hospital Universitari Vall d'Hebron, Barcelona, Spain Vall d'Hebron Hospital and Barcelona Public Health Agency (ASPB), Barcelona, Spain.
authors.forename: Nieves
authors.initials: N
authors.lastname: Martínez-Luna
authors.affiliation: Hospital Universitari Vall d'Hebron, Barcelona, Spain Universitat Autònoma de Barcelona, Spain Biomedical Network Research Centre on Mental Health (CIBERSAM), Barcelona, Spain.
authors.forename: Miguel
authors.initials: M
authors.lastname: Casas
mesh_terms: D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000175:diagnosis* / Q000523:psychology; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000295:instrumentation*; D008875:Middle Aged; D010552:Personality Assessment / Q000706:statistics & numerical data; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics / Q000706:statistics & numerical data*; D015203:Reproducibility of Results; D057566:Self Report; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires; D014589:Utah
keywords: WURS; adult ADHD; alcohol dependence; assessment; diagnosis