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02-07-2020 | Uitgave 2/2021

Journal of Psychopathology and Behavioral Assessment 2/2021

Diagnostic Accuracy of the French Version of the Adult Attention Deficit / Hyperactivity Disorder Self-Report Screening Scale for DSM-5 (ASRS-5)

Journal of Psychopathology and Behavioral Assessment > Uitgave 2/2021
Stéphanie Baggio, Sophie Bayard, Clémence Cabelguen, Martin Desseilles, Marie Gachet, Charlotte Kraemer, Hélène Richard-Lepouriel, Rosetta Nicastro, Stéphanie Bioulac, Anne Sauvaget, Sébastien Weibel, Nader Perroud, Régis Lopez
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The online version of this article (https://​doi.​org/​10.​1007/​s10862-020-09822-7) contains supplementary material, which is available to authorized users.
Nader Perroud and Régis Lopez contributed equally to this work.

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Attention Deficit/Hyperactivity Disorder (ADHD) often persists into adulthood. However, few screening tools have been adapted to assess adult ADHD using the DSM-5 criteria. This study assessed the diagnostic accuracy of a French version of the ADHD Self-Report Screening for DSM-5 (ASRS-5). This multicentric cross-sectional study included 557 participants: 309 adult ADHD outpatients without bipolar disorder (BD)/borderline personality disorder (BPD) (n = 236) or with BD/BPD (n = 36) and 285 adults without ADHD who were either healthy volunteers (n = 248) or outpatients with BD or BPD (n = 37). Measures included ADHD diagnosis and the ASRS-5. The ASRS-5 was a good predictor of ADHD diagnosis (cut-off score ≥ 13/24: sensitivity = 84.3%, specificity = 91.9%) in the sample of adult outpatients without comorbid disorders/healthy controls. Performances were lower with this cut-off score in some subgroups, notably low-severity ADHD symptomatology (sensitivity = 63.5%) and participants with BD or BPD (sensitivity = 91.7%, specificity = 54.1%). The French ASRS-5 had acceptable screening properties, even if its performance varied according to clinical variables. Further evidence is needed for patients with comorbid disorders having overlapping symptoms.

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