University of Groningen, The Netherlands.
University Medical Center Rostock, Germany.
J Atten Disord. 2024 Oct;28(12):1529-1541. doi: 10.1177/10870547241261598. Epub 2024 Jun 19.
Assessing functional impairment is one of the essential components in the clinical evaluation of ADHD in adulthood, serving both diagnostic and outcome evaluation purposes. However, clinicians and researchers may face challenges in selecting suitable instruments due to variations in accessibility and quality of instruments.
We conducted an online survey involving an international group of 92 respondents engaged in clinical practice and/or research on ADHD. The survey aimed to evaluate current practices in assessing impairment in adult ADHD and related disorders, while also identifying areas requiring adaptation or potential new developments.
Our findings revealed that clinicians and researchers utilize a diverse range of instruments for assessing impairment in adults with ADHD, including some that may lack adequate properties for this purpose. Notably, dissatisfaction with current practice standards was expressed, underscoring the need for novel assessment approaches and improved psychometric properties.
It is evident that research endeavors are warranted to either refine existing measures or devise new ones for assessing functional impairment in adult ADHD. Emphasis should be placed on disseminating instruments that enhance accessibility in both research and clinical settings, and facilitate streamlined administration and interpretation.
评估功能障碍是成人 ADHD 临床评估的基本组成部分之一，既用于诊断，也用于评估结果。然而，由于仪器的可及性和质量存在差异，临床医生和研究人员在选择合适的仪器时可能会面临挑战。
我们进行了一项在线调查，涉及 92 名从事 ADHD 临床实践和/或研究的国际受访者。该调查旨在评估目前评估成人 ADHD 和相关障碍中损害的实践情况，同时确定需要适应或潜在新发展的领域。
我们的研究结果表明，临床医生和研究人员使用各种工具来评估成人 ADHD 患者的损害，其中一些工具可能不具备为此目的而充分的特性。值得注意的是，对当前实践标准的不满情绪得到了表达，强调需要新的评估方法和改进的心理计量学特性。
显然，有必要进行研究努力，要么完善现有的测量方法，要么设计新的方法来评估成人 ADHD 的功能障碍。应强调在研究和临床环境中传播增强可及性的工具，并促进简化的管理和解释。
