Department of Medical Sciences, Child and Adolescent Psychiatry, Uppsala University, Uppsala, Sweden.
Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Department of Women's and Children's Health, Karolinska Institutet & Stockholm Health Care Services, Stockholm, Sweden.
Nord J Psychiatry. 2024 Jul;78(5):382-391. doi: 10.1080/08039488.2024.2333079. Epub 2024 May 1.
The WHO Adult ADHD Self-report Scale (ASRSv1.1 and ASRS-S) is used for screening for attention-deficit/hyperactivity disorder (ADHD). The capacity of the Swedish version of the scale to discriminate ADHD from borderline personality disorder (BPD) and bipolar disorder (BP) has not been tested.
Evaluate scoring methods, psychometric properties, and diagnostic accuracy of the Swedish versions of ASRSv1.1/ASRS-S in a group of patients with ADHD and/or BPD and/or BP.
A total of 151 young adult psychiatric patients diagnosed with ADHD, BPD and/or BD completed ASRSv1.1 and the Wender Utah Rating Scale (WURS) for ADHD symptoms, and the Sheehan Disability Scale (SDS) for functional impairment. ADHD diagnoses were assessed with the Schedule for Affective Disorders and Schizophrenia (K-SADS) interview. Both versions of the scale were analysed through dichotomised and non-dichotomised scoring for diagnostic accuracy analysis.
The internal consistency for ASRSv1.1/ASRS-S was satisfactory with α 0.913 and 0.743, respectively. The two-factor structure of the ASRSv1.1 and the one factor structure of ASRS-S were supported by the confirmatory factor analyses. A strong positive correlation was found between ASRSv1.1 and WURS and a moderate level of correlation was found between ASRSv1.1 and SDS. The area under the curve for both scoring methods were excellent with an area under the curve (AUC) of 0.808 and 0.817, respectively. Optimal cut-off scores were in line with the original recommendations.
The Swedish translation of ASRSv1.1/ASRS-S has psychometric properties comparable to other populations and the capacity to screen for ADHD in patients with overlapping symptoms.
世界卫生组织成人注意缺陷多动障碍自评量表（ASRSv1.1 和 ASRS-S）用于筛查注意缺陷多动障碍（ADHD）。该量表的瑞典版本区分 ADHD 与边缘型人格障碍（BPD）和双相障碍（BP）的能力尚未得到检验。
评估 ASRSv1.1/ASRS-S 瑞典版本在一组 ADHD 及/或 BPD 和/或 BP 患者中的评分方法、心理测量特性和诊断准确性。
共有 151 名被诊断为 ADHD、BPD 和/或 BD 的年轻成年精神科患者完成了 ASRSv1.1 和用于 ADHD 症状的 Wender Utah 评定量表（WURS），以及用于功能障碍的 Sheehan 残疾量表（SDS）。ADHD 诊断采用情感障碍和精神分裂症定式检查（K-SADS）访谈进行评估。通过二分类和非二分类评分对量表的两种版本进行分析，以进行诊断准确性分析。
ASRSv1.1/ASRS-S 的内部一致性较好，分别为 α 0.913 和 0.743。ASRSv1.1 的两因素结构和 ASRS-S 的一因素结构得到了验证性因素分析的支持。ASRSv1.1 与 WURS 之间存在强烈的正相关，与 SDS 之间存在中度相关。两种评分方法的曲线下面积均为优秀，分别为 0.808 和 0.817。最佳截断值与原始建议一致。
ASRSv1.1/ASRS-S 的瑞典翻译具有与其他人群相当的心理测量特性，并且能够对具有重叠症状的患者进行 ADHD 的筛查。
