User:Ongmianli/ADHD Rating Scale

The ADHD Rating Scale (ADHD-RS) is a parent-report or teacher-report inventory created by DuPaul and colleagues consisting of 18 questions regarding a child’s behavior over the past 6 months. It is used to aid in the diagnosis of attention deficit hyperactivity disorder (ADHD) in children ranging from ages 5-17.

The ADHD-RS is currently in its fifth version in correlation with DSM-V.

Overview
The ADHD-RS, a 18-question self-report assessment, takes about five minutes to complete. Each question measures the frequency of the behavior, in which the respondent is asked to indicate whether the behavior occurs “always or very often”, “often”, “somewhat”, or “rarely or never”. The questionnaire is intended to be filled out by parents and teachers of the child or adolescent. The first nine items ask questions about behavior related to inattention (e.g., "has difficulty organizing task and activities"). The second set of nine items ask questions about behavior related to symptoms of hyperactivity and impulsivity (e.g., "talks excessively"). The last question asks if the behaviors were present before age seven. The ADHD Rating scale has impacted the world of clinical psychology by providing an accurate and valid measure that is able to identify the presence of ADHD in children. It is also helpful in identifying the subtype (inattention or hyperactive) of the disorder.

Development and history
Attention Deficit/ Hyperactivity Disorder (ADHD) is one of the most prevalent behavior disorders found in children. Children with ADHD are at an increased risk for poor scholastic performance, problems with personal conduct, and maintaining social relationships.

The ADHD-RS was created to address the need for an effective evaluation for children and adolescents that are suspected of having ADHD, especially given the disorder's prevalence. The assessment also serves an additional purpose of matching parent and teacher observations of ADHD symptoms to DSM-IV criteria of ADHD.

DSM-IV outlines three subtypes of ADHD: ADHD combined type, ADHD predominantly inattentive, and ADHD predominantly hyperactive-impulsive. The ADHD-RS separates domain scores of “Inattention” and “Hyperactivity-Impulsivity” which ultimately results in three scores for “Inattention,” Hyperactivity-Impulsivity,” and “Total”. DSM-IV also organizes diagnostic criteria into two categories of Inattention and Hyperactivity-Impulsivity, each of which includes nine symptoms. The eighteen questions of the ADHD-RS were written to reflect each symptom of both categories.

ADHD-RS Home Version: Child
This version of the ADHD Rating Scale is intended to be completed at home by a parent or guardian of the child being assessed. This version is for children ages 5-10 years and asks questions about Hyperactivity and Inattention that are age appropriate. The questions are also specific to situations and activities that the child would be participating in, in the home setting.

ADHD-RS Home Version: Adolescent
This version of the ADHD Rating Scale is intended to be completed at home by a parent or guardian of the adolescent being assessed. This version is for adolescents ages 11-17 years and asks questions about Hyperactivity and Inattention that are age appropriate. The questions are also specific to situations and activities that the adolescent would be participating in, in the home setting.

ADHD-RS School Version: Child
This version of the ADHD Rating Scale is intended to be completed at school by the teacher of the child being assessed. This version is for children ages 5-10 years and asks questions about Hyperactivity and Inattention that are age appropriate. The questions are also specific to situations and activities that the child would be participating in, in the school setting such as staying in ones seat or completing schoolwork.

ADHD-RS School Version: Adolescent
This version of the ADHD Rating Scale is intended to be completed at school by the teacher of the adolescent being assessed. This version is for adolescents ages 11-17 years. and asks questions about Hyperactivity and Inattention that are age appropriate. The questions are also specific to situations and activities that the adolescent would be participating in, in the school setting such as staying in ones seat or completing schoolwork

Validity
* Table from Youngstrom et al., extending Hunsley & Mash, 2008;[12] *indicates new construct or category

Impact
The ADHD Rating Scale has provided a quick and easy assessment for clinicians to use in order to diagnose ADHD according to the DSM criteria. The creation of this assessment also provided a consistent way for clinicians to diagnose ADHD in children. This assessment is used in both clinical and school settings to measure presence of ADHD as well as the subtype that may be present. The measure can also be used to measure the presence and continuation of symptoms throughout treatment.

ADHD Rating Scale- IV
The ADHD RS- IV is widely used in the U.S. in english, however because of the increasing population of Latino-Americans in the U.S. the ADHD Rating Scale was also translated into Spanish to accommodate to those who speak Spanish as their first language.

Limitations
Ratings of ADHD symptoms on rating scales in general are subjective. Teachers and parents may use different subjective criteria to define symptoms, and may not take context of symptoms into account when making ratings. Furthermore, the validity of the ARS is acceptable,[1] but the normative sample used to calculate this statistic was composed of children aged 5 to 14, and thus it cannot be generalized beyond age range.

There are also questions about how well items on the ARS follow explicit DSM criteria. Specifically, one of the hyperactivity items does not specify that in adolescents, thoughts of restlessness are sufficient, rather than excessive behavioral movement. This lack of specification does not map directly onto DSM criteria.

This assessment can be accessed by purchasing the ADHD Rating Scale handbook which includes copies of the Teacher and Parent versions with permission to photocopy for clinical use.