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Protocol - Attention-Deficit Hyperactivity Disorder Symptoms - Adult

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Description

The Adult Attention-Deficit Hyperactivity Disorder Self-Report Scale (ASRS-v1.1) Symptom Checklist is an 18-item, two-part questionnaire designed to determine if the participant exhibits attention-deficit/hyperactivity disorder (ADHD) symptoms.

Specific Instructions

The shading in the instrument is provided as a guide for scoring and should be removed prior to giving to the respondent for screening.

Availability

Available

Protocol

Instructions:

Ask the patient to complete both Part A and Part B of the Symptom Checklist by marking an X in the box that most closely represents the frequency of occurrence of each of the symptoms.

Name

Today’s Date

Please answer the questions below, rating yourself on each of the criteria shown using the scale on the right side of the page. As you answer each question, place an X in the box that best describes how you have felt and conducted yourself over the past 6 months.

N e v e r

R a r e l y

S o m e t i m e s

O f t e n

V e r y O f t e n

1. How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?

2. How often do you have difficulty getting things in order when you have to do a task that requires organization?

3. How often do you have problems remembering appointments or obligations?

4. When you have a task that requires a lot of thought, how often do you avoid or delay getting started?

5. How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?

6. How often do you feel overly active and compelled to do things, like you were driven by a motor?

Part A

7. How often do you make careless mistakes when you have to work on a boring or difficult project?

8. How often do you have difficulty keeping your attention when you are doing boring or repetitive work?

9. How often do you have difficulty concentrating on what people say to you, even when they are speaking to you directly?

10. How often do you misplace or have difficulty finding things at home or at work?

11. How often are you distracted by activity or noise around you?

12. How often do you leave your seat in meetings or other situations in which you are expected to remain seated?

13. How often do you feel restless or fidgety?

14. How often do you have difficulty unwinding and relaxing when you have time to yourself?

15. How often do you find yourself talking too much when you are in social situations?

16. When you’re in a conversation, how often do you find yourself finishing the sentences of the people you are talking to, before they can finish them themselves?

17. How often do you have difficulty waiting your turn in situations when turn taking is required?

18. How often do you interrupt others when they are busy?

Part B

© World Health Organization

Scoring

Part A.

If four or more marks appear in the darkly shaded boxes within Part A, then the patient has symptoms highly consistent with ADHD in adults, and further investigation is warranted.

Part B.

The frequency scores on Part B provide additional cues and can serve as further probes into the patient’s symptoms. Pay particular attention to marks appearing in the darkly shaded boxes. No total score or diagnostic likelihood is utilized for the twelve questions.

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self- or proxy-administered questionnaire

Lifestage

Adult

Participants

Adults aged 18-44 years

Selection Rationale

The Adult Attention-Deficit Hyperactivity Disorder Self-Report Scale (ASRS-v1.1) Symptom Checklist was vetted against similar protocols and selected because it is a validated, brief, self-report instrument that is low burden for investigators and respondents.

Language

Chinese, English, Spanish, Other languages available at source

Standards
StandardNameIDSource
Logical Observation Identifiers Names and Codes (LOINC) Attention deficit hyperac adult proto 62750-5 LOINC
Human Phenotype Ontology Attention deficit hyperactivity disorder HP:0007018 HPO
caDSR Form PhenX PX121501 - Attentiondeficit Hyperactivity Disorder Symptoms Adult 6165203 caDSR Form
Derived Variables

None

Process and Review

Expert Review Panel 4 (ERP 4) reviewed the measures in the Neurology, Psychiatric, and Psychosocial domains.

Guidance from ERP 4 included the following:

· No changes

Protocol Name from Source

The Adult Attention-Deficit Hyperactivity Disorder Self-Report Scale (ASRS-v1.1)

Source

Kessler, R. C., Adler, L., Ames, M., Demler, O., Faraone, S., Hiripi, E., Howes, M. J., Jin, R., Secnik, K., Spencer, T., Ustun, T. B., & Walters, E. E. (2005). The World Health Organization Adult ADHD Self-Report Scale (ASRS). Psychological Medicine, 35(2), 245-256.

General References

American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

Barkley, R. A. (1990). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment. New York: Guilford Press.

Biederman, J., Faraone, S. V., Spencer, T., Wilens, T., Norman, D., Lapey, K. A., Mick, E., Lehman, B. K., & Doyle, A. (1993). Patterns of psychiatric comorbidity, cognition, and psychosocial functioning in adults with attention deficit hyperactivity disorder. American Journal of Psychiatry, 150, 1792-1798.

Schweitzer, J., Cummins, T., & Kant, C. (2001). Attention-deficit/hyperactivity disorder. Medical Clinics of North America, 85(3), 757-777.

Protocol ID

121501

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX121501_Careless_Mistakes_Tedious_Tasks
PX121501070000 How often do you make careless mistakes when more
you have to work on a boring or difficult project? show less
N/A
PX121501_Difficulty_Concentrating_On_Conversations
PX121501090000 How often do you have difficulty more
concentrating on what people say to you, even when they are speaking to you directly? show less
N/A
PX121501_Difficulty_Getting_Orgainized
PX121501020000 How often do you have difficulty getting more
things in order when you have to do a task that requires organization? show less
N/A
PX121501_Difficulty_Paying_Attention_Repetitive_Tasks
PX121501080000 How often do you have difficulty keeping more
your attention when you are doing boring or repetitive work? show less
N/A
PX121501_Difficulty_Remembering_Appointments
PX121501030000 How often do you have problems remembering more
appointments or obligations? show less
N/A
PX121501_Difficulty_Unwinding
PX121501140000 How often do you have difficulty unwinding more
and relaxing when you have time to yourself? show less
N/A
PX121501_Difficulty_Waiting_Turn
PX121501170000 How often do you have difficulty waiting more
your turn in situations when turn taking is required? show less
Variable Mapping
PX121501_Feel_Driven_By_Motor
PX121501060000 How often do you feel overly active and more
compelled to do things, like you were driven by a motor? show less
N/A
PX121501_Fidget_While_Sitting
PX121501050000 How often do you fidget or squirm with your more
hands or feet when you have to sit down for a long time? show less
N/A
PX121501_Finish_Others_Sentences
PX121501160000 When you're in a conversation, how often do more
you find yourself finishing the sentences of the people you are talking to, before they can finish them themselves? show less
N/A
PX121501_Frequency_Distracted_By_Noise
PX121501110000 How often are you distracted by activity or more
noise around you? show less
N/A
PX121501_Frequency_Leave_Seat_At_Meetings
PX121501120000 How often do you leave your seat in meetings more
or other situations in which you are expected to remain seated? show less
N/A
PX121501_Frequency_Restless
PX121501130000 How often do you feel restless or fidgety? Variable Mapping
PX121501_Frequency_Talk_Too_Much
PX121501150000 How often do you find yourself talking too more
much when you are in social situations? show less
N/A
PX121501_Interrupt_Others_When_Busy
PX121501180000 How often do you interrupt others when they more
are busy? show less
N/A
PX121501_Misplace_Items_Home_Work
PX121501100000 How often do you misplace or have difficulty more
finding things at home or at work? show less
N/A
PX121501_Procrastinate_Tasks
PX121501040000 When you have a task that requires a lot of more
thought, how often do you avoid or delay getting started? show less
N/A
PX121501_Trouble_Wrapping_Up_Project
PX121501010000 How often do you have trouble wrapping up more
the final details of a project, once the challenging parts have been done? show less
N/A
Psychiatric
Measure Name

Attention-Deficit/Hyperactivity Disorder Symptoms

Release Date

May 12, 2010

Definition

A questionnaire to assess attention-deficit/hyperactivity disorder (ADHD), a condition characterized by patterns of inattention, hyperactivity, and impulsivity that is more pronounced than in other individuals at similar developmental levels (APA, 2000).

Purpose

This measure is used to screen an individual for attention-deficit/hyperactivity disorder (ADHD) and to assess the severity of symptoms. ADHD is found in 3%-7% of school-aged children and demonstrates a familial pattern because first-order relatives of affected individuals are at higher risk for ADHD and other disorders, such as mood, anxiety, and learning disorders. The severity and course of ADHD are also influenced by environmental factors, such as school and family (APA, 2000).

Keywords

Psychiatric, attention, concentration, impulsivity

Measure Protocols
Protocol ID Protocol Name
121501 Attention-Deficit Hyperactivity Disorder Symptoms - Adult
121502 Attention-Deficit Hyperactivity Disorder Symptoms - Child
Publications

There are no publications listed for this protocol.