Altoona Family Physicians Residency, Altoona, PA, USA.
J Am Board Fam Med. 2012 Nov-Dec;25(6):847-53. doi: 10.3122/jabfm.2012.06.120065.
Adult attention deficit-hyperactivity disorder (ADHD) is underdiagnosed in the primary care setting despite 3% to 6% of adults having ADHD-like symptoms. The Adult ADHD Self-Report Scale-V1.1 (ASRS-V1.1) is a validated, 6-question screen for adult ADHD. Our purpose was to analyze this tool for evaluating patients in a busy primary care setting.
The ASRS-V1.1 was administered to patients in 8 busy primary care practices. All with a positive score and a random sample of those with a negative screening score were asked to complete the Conners' Adult ADHD Rating Scale Self Report-Short Version. Each was administered within the clinic setting during the same session. Sensitivity, specificity, and positive/negative predictive values were calculated. Data were evaluated for site-specific differences.
It took an average of 54.3 seconds (range, 22-252 seconds) to complete the ASRS-V1.1. There was an inconsistency-adjusted sensitivity of 1.0, a specificity of 0.71, a positive predictive value of 0.52, and a negative predictive value of 1.0. No site-specific differences were found.
Because of its ease of use, short time to administer, high sensitivity, and moderate specificity, the ASRS-V1.1 is an effective adult ADHD screening to guide further evaluations for ADHD.
尽管有 3%至 6%的成年人存在类似 ADHD 的症状，但成人注意力缺陷多动障碍（ADHD）在初级保健环境中仍未得到充分诊断。成人 ADHD 自评量表-第 1.1 版（ASRS-V1.1）是一种经过验证的用于评估成人 ADHD 的 6 个问题的筛查工具。我们的目的是分析该工具在繁忙的初级保健环境中评估患者的效果。
在 8 家繁忙的初级保健诊所中对患者进行 ASRS-V1.1 评估。所有评分阳性的患者和评分阴性的随机样本都被要求完成康纳成人 ADHD 评定量表自评量表-短版本。这些评估均在同一就诊时段内于诊所环境下进行。计算了敏感性、特异性和阳性/阴性预测值。评估了各诊所有无特定差异。
完成 ASRS-V1.1 平均用时 54.3 秒（范围 22-252 秒）。经一致性调整后，敏感性为 1.0，特异性为 0.71，阳性预测值为 0.52，阴性预测值为 1.0。未发现特定诊所有差异。
由于 ASRS-V1.1 使用方便、评估用时短、敏感性高和特异性适度，因此是一种有效的成人 ADHD 筛查工具，可用于指导进一步评估 ADHD。
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