Retz W, Retz-Junginger P, Römer K, Rösler M
Institut für Gerichtliche Psychologie und Psychiatrie, Universitätsklinikum des Saarlandes, Geb. 90.3, 66421 Homburg.
Fortschr Neurol Psychiatr. 2013 Jul;81(7):381-9. doi: 10.1055/s-0033-1335740. Epub 2013 Jul 15.
Ascertaining the diagnosis of ADHD in adults according to DSM-IV requires determination of the presence of symptoms of inattention, hyperactivity and impulsivity during both childhood and adulthood. Developmental changes of psychopathology, age-related comorbidity and functional and psychosocial problems associated with ADHD have to be taken into account during the diagnostic process. The use of standardised instruments might improve validity and reliability of the diagnosis. These diagnostic tools comprise self and expert ratings as well as observer ratings for the retrospective assessment of childhood and the evaluation of current ADHD symptoms. Here we give an overview of the standardised instruments that are available in German language and present data regarding the validity and reliability of a structured guide for the integrated diagnosis of adult ADHD (IDA) which has been constructed in order to provide a feasible tool for diagnosis of ADHD.
根据《精神疾病诊断与统计手册第四版》（DSM-IV）来确定成人注意力缺陷多动障碍（ADHD）的诊断，需要判定在儿童期和成年期均存在注意力不集中、多动和冲动症状。在诊断过程中，必须考虑精神病理学的发展变化、与年龄相关的共病情况以及与ADHD相关的功能和心理社会问题。使用标准化工具可能会提高诊断的有效性和可靠性。这些诊断工具包括自我评定和专家评定，以及用于回顾性评估儿童期和评估当前ADHD症状的观察者评定。在此，我们概述了德语版的可用标准化工具，并展示了有关成人ADHD综合诊断结构化指南（IDA）有效性和可靠性的数据，该指南旨在为ADHD诊断提供一个可行的工具。
