Rating scales in attention-deficit/hyperactivity disorder: Use in assessment and treatment monitoring

Journal/Book: J Clin Psychiat. 1998; 59: P O Box 240008, Memphis, TN 38124. Physicians Postgraduate Press. 24-30.

Abstract: Rating scales are valuable tools in both assessment and treatment monitoring. However, caution in their use is indicated because of several types of rater errors. Recent large-scale normative studies provide a set of instruments that cover child, adolescent, and adult ages, with separate gender norms and large representative samples. By including DSM-IV symptoms for ADHD in a proposed nationwide standardization of parent, teacher, and self-report scales, it is apparent that the proposed subtypes of ADHD are reasonable; however, item content in this standardization is somewhat broader than that proposed by DSM-IV. Empirical indexes were created and cross-validated, providing powerful discrimination between ADHD and non-ADHD samples. Separate scoring for the traditional DSM subtypes of ADHD allows both categorical and dimensional measures to be used in assessment and treatment monitoring.

Note: Article Conners CK, Duke Univ, Med Ctr, Dept Psychiat, Durham,NC 27710 USA

Keyword(s): DEFICIT HYPERACTIVITY DISORDER; DISRUPTIVE BEHAVIOR DISORDERS; III-R SYMPTOMS; TEACHER RATINGS; META-ANALYSIS; SAMPLE; PARENT; METHYLPHENIDATE; PREVALENCE; ADD

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