_id

683a15f9c782e11e38d1b0e4

id

1730

title

Adult Self-Report Scale (ASRS v1.1) for ADHD

full_title

Adult Self-Report Scale (ASRS v1.1) for ADHD

short_title

Adult Self-Report Scale (ASRS)

med_description

Diagnoses adultADHD.

short_description

Diagnoses adult ADHD.

slug

adult-self-report-scale-asrs-adhd

description

The Adult Self Report Scale (ASRS) for ADHD screens and diagnoses adult ADHD via questionnaire completed by patient.

keywords

adult ADHD, adhd screen, adult adhd screen, ASRS screen, ASRS adult, rule out ADHD, rule out adult ADHD, rule out adhd, asrs, do i have adhd, attention span screen, calc adhd, asrs for adhd, adult self-report calc, 6 month screen ADHD, ADD self screen for adults, self-report adult add, asrs add

complaint

[ "Anxious" ]

formula

Addition of the selected points.

evidence

• The ASRS was initially developed as a screening tool for the World Health Organization (WHO) World Mental Health (WMH) Initiative Survey. It is now used both for research and clinical purposes.
• The ASRS Screener has been shown to have adequate sensitivity (68.7%), excellent specificity (99.5%) and good κ (0.76) using the cutoff of ≥4 out of 6 positive criteria.
• It is important to note that the validity of this scale is assessed by comparing it to the current gold standard which is the clinical interview. However, the clinical interview has not been formally validated.

measurements

[]

information

• Point totals ≥4 indicate consistency with adult ADHD.
• As symptoms of attention deficit are increasingly common in society, the ASRS helps to try to differentiate normal trends from pathological disease.
• Version 1.1 is a shorter screening test than the original test.

refrences

{ "Clinical Practice Guidelines": [], "Manufacturer Website": [], "Original/Primary Reference": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/15841682", "text": "Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hiripi E, Howes MJ, Jin R, Secnik K, Spencer T, Ustun TB, Walters EE. The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychol Med. 2005 Feb;35(2):245-56. PubMed PMID: 15841682." } ], "Other References": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/17623385", "text": "Kessler RC, Adler LA, Gruber MJ, Sarawate CA, Spencer T, Van Brunt DL. Validity of the World Health Organization Adult ADHD Self-Report Scale (ASRS) Screener in a representative sample of health plan members. Int J Methods Psychiatr Res. 2007;16(2):52-65." } ], "Outcomes": [], "Validation": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/16923651", "text": "Adler LA, Spencer T, Faraone SV, Kessler RC, Howes MJ, Biederman J, Secnik K. Validity of pilot Adult ADHD Self- Report Scale (ASRS) to Rate Adult ADHD symptoms. Ann Clin Psychiatry. 2006 Jul-Sep;18(3):145-8. PubMed PMID: 16923651." } ], "Validations": [] }

pearls

• The Adult ADHD Self-Report Scale (ASRS) Screener v1.1 is used in primary care and mental health settings to screen for adult ADHD (Attention Deficit Hyperactivity Disorder).
• The ASRS has been validated in the general population.
• It is an abbreviated 6-item version of the full ASRS, which evaluates for the DSM criteria for adult ADHD.
• Positive scores for these 6 items were found to be most predictive of a clinical diagnosis of ADHD (the current gold standard for diagnosis).
• Items in the scale are frequently seen in other psychiatric disorders, and can even be normal variants in the general population. This scale is best used as a preliminary step in a more comprehensive clinical evaluation that includes assessment of the patient’s level of impairment in various domains of functioning.

usecase

• Primary care and mental health providers can rapidly screen to detect patients who warrant further evaluation for adult ADHD.
• The ASRS can determine initial symptom severity and monitor symptom changes/treatment effect over time.

reasons

Adult ADHD is thought to be relatively common (4.4% prevalence inone study) and underdiagnosed. The ASRS provides an overview of symptoms that can guide further assessment.

next_advice

The screener is meant to detect cases that warrant further clinical assessment, and cannot be used alone for diagnosis.

next_actions

Symptoms of inattention and hyperactivity are relatively nonspecific and are encountered in many psychiatric and some medical disorders. Comprehensive clinical evaluation should include consideration of mood, anxiety, learning or substance use disorders as underlying cause or comorbid condition. Workup for underlying organic disorders, if there is clinical suspicion, should be considered.

next_management

• Presence of ≥4 points indicates symptoms highly consistent with adult ADHD; these cases warrant further clinical assessment.
• Further clinical assessment includes:
  • Clinical interview
  • Mental status examination
  • Neuropsychological testing may be considered (e.g., subthreshold symptoms, diagnostic uncertainty)
  • Labs and medical work-up when clinically warranted
• Clinical interview may be guided by questions in the screener and the remaining DSM criteria. Assess the level of impairment associated with each symptom (including at work, school and in social situations) and evaluate for presence of symptoms in childhood.

diseases

[ "ADHD" ]

input_schema

[ { "inct": null, "option_fhir_rules": null, "subheading": "Select the response that best describes how the patient has felt and conducted his/herself over the past 6 months.", "subheading_instructions": "", "type": "subheading" }, { "conditionality": "", "default": 0, "label_en": "<p>How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?</p>", "mdcalc_info_concept": null, "name": "wrapping_up", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Never", "value": 0 }, { "label": "Rarely", "value": 0 }, { "label": "Sometimes", "value": 1 }, { "label": "Often", "value": 1 }, { "label": "Very often", "value": 1 } ], "show_points": false, "tips_en": "", "type": "radio" }, { "conditionality": "", "default": 0, "label_en": "How often do you have difficulty getting things in order when you have to do a task that requires organization?", "mdcalc_info_concept": null, "name": "organization", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Never", "value": 0 }, { "label": "Rarely", "value": 0 }, { "label": "Sometimes", "value": 1 }, { "label": "Often", "value": 1 }, { "label": "Very often", "value": 1 } ], "show_points": false, "tips_en": "", "type": "radio" }, { "conditionality": "", "default": 0, "label_en": "How often do you have problems remembering appointments or obligations?", "mdcalc_info_concept": null, "name": "remembering", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Never", "value": 0 }, { "label": "Rarely", "value": 0 }, { "label": "Sometimes", "value": 1 }, { "label": "Often", "value": 1 }, { "label": "Very often", "value": 1 } ], "show_points": false, "tips_en": "", "type": "radio" }, { "conditionality": "", "default": 0, "label_en": "When you have a task that requires a lot of thought, how often do you avoid or delay getting started?", "mdcalc_info_concept": null, "name": "delay_task", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Never", "value": 0 }, { "label": "Rarely", "value": 0 }, { "label": "Sometimes", "value": 0 }, { "label": "Often", "value": 1 }, { "label": "Very often", "value": 1 } ], "show_points": false, "tips_en": "", "type": "radio" }, { "conditionality": "", "default": 0, "label_en": "How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?", "mdcalc_info_concept": null, "name": "fidget", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Never", "value": 0 }, { "label": "Rarely", "value": 0 }, { "label": "Sometimes", "value": 0 }, { "label": "Often", "value": 1 }, { "label": "Very often", "value": 1 } ], "show_points": false, "tips_en": "", "type": "radio" }, { "conditionality": "", "default": 0, "label_en": "How often do you feel overly active and compelled to do things, like you were driven by a motor?", "mdcalc_info_concept": null, "name": "overly_active", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Never", "value": 0 }, { "label": "Rarely", "value": 0 }, { "label": "Sometimes", "value": 0 }, { "label": "Often", "value": 1 }, { "label": "Very often", "value": 1 } ], "show_points": false, "tips_en": "", "type": "radio" } ]

instructions

This is intended for patients ≥18 years old.

published

2022-04-21T20:28:59.104Z

purpose

[ "Diagnosis" ]

search_terms

[ "add", "adhd" ]

seo

{ "keywords_en": "adult ADHD, adhd screen, adult adhd screen, ASRS screen, ASRS adult, rule out ADHD, rule out adult ADHD, rule out adhd, asrs, do i have adhd, attention span screen, calc adhd, asrs for adhd, adult self-report calc, 6 month screen ADHD, ADD self screen for adults, self-report adult add, asrs add", "meta_description_en": "The Adult Self Report Scale (ASRS) for ADHD screens and diagnoses adult ADHD via questionnaire completed by patient." }

specialty

[ "Family Practice", "Internal Medicine", "Primary Care", "Psychiatry" ]

departments

[ "Psychiatric" ]

tags

[]

version_number

1

versions

[]

related

[ { "calcId": 10515, "short_title_en": "SMAST-G", "slug": "short-michigan-alcoholism-screening-test-geriatric-version-smast-g" }, { "calcId": 1985, "short_title_en": "COWS Score", "slug": "cows-score-opiate-withdrawal" }, { "calcId": 1843, "short_title_en": "Hamilton Anxiety Scale", "slug": "hamilton-anxiety-scale" } ]

ismed

true

section

[ "whenToUseViewed", "pearlsPitfallsViewed", "whyUseViewed", "nextStepsViewed", "evidenceViewed" ]

cleaned_departments

[ "psychiatry" ]

cleaned_use

[ "Primary care and mental health providers can rapidly screen to detect patients who warrant further evaluation for adult ADHD.", "The ASRS can determine initial symptom severity and monitor symptom changes/treatment effect over time." ]

pub

true