Adult ADHD Self-Report Scale

Adult ADHD Self-Report Scale

The Adult ADHD Self-Report Scale (ASRS) is a widely used screening tool designed to identify symptoms of Attention Deficit Hyperactivity Disorder (ADHD) in adults. Developed by the World Health Organization (WHO) in collaboration with the Workgroup on Adult ADHD, the ASRS is a self-administered questionnaire that helps in the preliminary assessment of ADHD symptoms in adults.

Development and Structure

The ASRS was developed to address the need for a reliable and valid tool to screen for ADHD in adults, as ADHD was traditionally considered a childhood disorder. The scale consists of 18 questions that reflect the diagnostic criteria for ADHD as outlined in the DSM-IV and later versions.

The ASRS is divided into two parts:

• Part A: Consists of 6 questions that are considered the most predictive of ADHD. These questions focus on the frequency of symptoms such as inattention, hyperactivity, and impulsivity.
• Part B: Contains the remaining 12 questions that provide additional context and detail about the individual's symptoms.

Scoring and Interpretation

Each question on the ASRS is rated on a 5-point Likert scale ranging from "Never" to "Very Often." The responses are scored to determine the likelihood of ADHD. A higher score indicates a greater likelihood of ADHD symptoms.

The ASRS provides a quick and efficient way to screen for ADHD, but it is not a diagnostic tool. A positive screening result should be followed by a comprehensive evaluation by a qualified healthcare professional.

Clinical Use

The ASRS is used in various clinical settings, including primary care, psychiatry, and psychology. It is particularly useful for:

• Identifying individuals who may benefit from a full ADHD evaluation.
• Monitoring symptom changes over time.
• Assisting in the development of treatment plans.

Limitations

While the ASRS is a valuable screening tool, it has limitations:

• It relies on self-reporting, which can be influenced by the individual's insight and honesty.
• It does not account for other psychiatric conditions that may mimic or coexist with ADHD.
• It should not be used as the sole basis for diagnosing ADHD.

Research and Validation

Numerous studies have validated the ASRS, demonstrating its reliability and validity in diverse populations. Research continues to refine the scale and explore its applications in different cultural and clinical contexts.

Also see

• Attention Deficit Hyperactivity Disorder
• Diagnostic and Statistical Manual of Mental Disorders
• Psychological Assessment
• World Health Organization