title: The Clinical Utility of ASRS-v1.1 for Identifying ADHD in Alcoholics Using PRISM as the Reference Standard.
abstract: Objective:The objective was to assess the clinical utility of the Adult ADHD Self-Report Scale (ASRS-v1.1) in identifying ADHD in alcoholics using the Psychiatric Research Interview for Substance and Mental Disorders (PRISM) as the diagnostic "gold standard."Method:We performed a secondary analysis of data from 379 treatment-seeking alcoholics who completed the ASRS-v1.1 and the ADHD module of the PRISM. Data analysis included descriptive statistics.Results:The prevalence of ADHD was 7.7% (95% CI = [5.4, 10.8]). The positive predictive value (PPV) of the ASRS-v1.1 was 18.1% (95% CI = [12.4, 25.7]) and the negative predictive value (NPV) was 97.6% (95% CI = [94.9, 98.9]). The ASRS-v1.1 demonstrated a sensitivity of 79.3% (95% CI = [61.6, 90.2]) and a specificity of 70.3% (95% CI = [65.3, 74.8]).Conclusion:The ASRS-v1.1 demonstrated acceptable sensitivity and specificity in a sample of treatment-seeking alcoholics when compared with the PRISM as the reference standard for ADHD diagnosis.
authors.affiliation: 1 Mayo Clinic, Rochester, MN, USA.
authors.forename: Maria M
authors.initials: MM
authors.lastname: Reyes
authors.affiliation: 1 Mayo Clinic, Rochester, MN, USA.
authors.forename: Terry D
authors.initials: TD
authors.lastname: Schneekloth
authors.affiliation: 2 Sotero Del Rio Hospital, Santiago, Chile.
authors.forename: Mario J
authors.initials: MJ
authors.lastname: Hitschfeld
authors.affiliation: 1 Mayo Clinic, Rochester, MN, USA.
authors.forename: Jennifer R
authors.initials: JR
authors.lastname: Geske
authors.affiliation: 3 University of Texas Southwestern, Dallas, USA.
authors.forename: David L
authors.initials: DL
authors.lastname: Atkinson
authors.affiliation: 1 Mayo Clinic, Rochester, MN, USA.
authors.forename: Victor M
authors.initials: VM
authors.lastname: Karpyak
mesh_terms: D000328:Adult; D057229:Alcoholics; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000453:epidemiology; D006801:Humans; D015995:Prevalence; D057566:Self Report; D012680:Sensitivity and Specificity
keywords: ADD/ADHD; ADHD; ASRS-v1.1; PRISM; alcohol