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Evaluation of the German Version of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5 as a Screening Tool for Adult Attention-Deficit/Hyperactivity Disorder in Primary Care

Adult attention-deficit/hyperactivity disorder (ADHD) is common, but often undiagnosed. A valid and time-efficient screening tool for primary care is needed. Objective of this study is to evaluate the German version of the Adult ADHD Self-Report Scale for DSM-5 (ASRS-5) and its feasibility, acceptab...

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Autores principales: Ballmann, Cora, Kölle, Markus Alexander, Bekavac-Günther, Ines, Wolf, Florian, Pargent, Florian, Barzel, Anne, Philipsen, Alexandra, Gensichen, Jochen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9075696/
https://www.ncbi.nlm.nih.gov/pubmed/35529560
http://dx.doi.org/10.3389/fpsyg.2022.858147
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author Ballmann, Cora
Kölle, Markus Alexander
Bekavac-Günther, Ines
Wolf, Florian
Pargent, Florian
Barzel, Anne
Philipsen, Alexandra
Gensichen, Jochen
author_facet Ballmann, Cora
Kölle, Markus Alexander
Bekavac-Günther, Ines
Wolf, Florian
Pargent, Florian
Barzel, Anne
Philipsen, Alexandra
Gensichen, Jochen
author_sort Ballmann, Cora
collection PubMed
description Adult attention-deficit/hyperactivity disorder (ADHD) is common, but often undiagnosed. A valid and time-efficient screening tool for primary care is needed. Objective of this study is to evaluate the German version of the Adult ADHD Self-Report Scale for DSM-5 (ASRS-5) and its feasibility, acceptability, and reliability as a screening tool for adult ADHD in primary care. A multi-centered prospective, diagnostic study was performed. We recruited 262 patients in primary care practices and at an ADHD Outpatient Service of a department of psychiatry in Germany. Patients from 18 to 65 years with suspected or diagnosed ADHD were included by medical doctors, as well as non-ADHD patients as “negative controls.” Participants filled in the ASRS-5 and a sociodemographic questionnaire. The Integrated Diagnosis of Adult ADHD, revised version (IDA-R) performed by trained interviewers was used for validation. Feasibility, acceptability, and credibility in primary care practices were examined through a semi-structured interview. The German version of the ASRS-5 showed comparable psychometric properties to the English original version (sensitivity 95.6% and specificity 72.3%). For factor structure, a parallel analysis suggested one latent dimension. Performing confirmatory factor analysis, the best fit was achieved for a general factor with one correlated error. Internal consistency results in Raykovs Omega = 0.86 and Cronbach’s α = 0.88. The ASRS-5 was assessed positively in terms of feasibility, acceptability, and credibility by interviewed general practitioners. Potential problems were raised for “treatment options,” “stigmatization,” and “knowledge gaps.” In conclusion, the German version of the ASRS-5 offers a promising tool to improve adult ADHD patients’ diagnosis and healthcare.
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spelling pubmed-90756962022-05-07 Evaluation of the German Version of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5 as a Screening Tool for Adult Attention-Deficit/Hyperactivity Disorder in Primary Care Ballmann, Cora Kölle, Markus Alexander Bekavac-Günther, Ines Wolf, Florian Pargent, Florian Barzel, Anne Philipsen, Alexandra Gensichen, Jochen Front Psychol Psychology Adult attention-deficit/hyperactivity disorder (ADHD) is common, but often undiagnosed. A valid and time-efficient screening tool for primary care is needed. Objective of this study is to evaluate the German version of the Adult ADHD Self-Report Scale for DSM-5 (ASRS-5) and its feasibility, acceptability, and reliability as a screening tool for adult ADHD in primary care. A multi-centered prospective, diagnostic study was performed. We recruited 262 patients in primary care practices and at an ADHD Outpatient Service of a department of psychiatry in Germany. Patients from 18 to 65 years with suspected or diagnosed ADHD were included by medical doctors, as well as non-ADHD patients as “negative controls.” Participants filled in the ASRS-5 and a sociodemographic questionnaire. The Integrated Diagnosis of Adult ADHD, revised version (IDA-R) performed by trained interviewers was used for validation. Feasibility, acceptability, and credibility in primary care practices were examined through a semi-structured interview. The German version of the ASRS-5 showed comparable psychometric properties to the English original version (sensitivity 95.6% and specificity 72.3%). For factor structure, a parallel analysis suggested one latent dimension. Performing confirmatory factor analysis, the best fit was achieved for a general factor with one correlated error. Internal consistency results in Raykovs Omega = 0.86 and Cronbach’s α = 0.88. The ASRS-5 was assessed positively in terms of feasibility, acceptability, and credibility by interviewed general practitioners. Potential problems were raised for “treatment options,” “stigmatization,” and “knowledge gaps.” In conclusion, the German version of the ASRS-5 offers a promising tool to improve adult ADHD patients’ diagnosis and healthcare. Frontiers Media S.A. 2022-04-22 /pmc/articles/PMC9075696/ /pubmed/35529560 http://dx.doi.org/10.3389/fpsyg.2022.858147 Text en Copyright © 2022 Ballmann, Kölle, Bekavac-Günther, Wolf, Pargent, Barzel, Philipsen and Gensichen. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Ballmann, Cora
Kölle, Markus Alexander
Bekavac-Günther, Ines
Wolf, Florian
Pargent, Florian
Barzel, Anne
Philipsen, Alexandra
Gensichen, Jochen
Evaluation of the German Version of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5 as a Screening Tool for Adult Attention-Deficit/Hyperactivity Disorder in Primary Care
title Evaluation of the German Version of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5 as a Screening Tool for Adult Attention-Deficit/Hyperactivity Disorder in Primary Care
title_full Evaluation of the German Version of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5 as a Screening Tool for Adult Attention-Deficit/Hyperactivity Disorder in Primary Care
title_fullStr Evaluation of the German Version of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5 as a Screening Tool for Adult Attention-Deficit/Hyperactivity Disorder in Primary Care
title_full_unstemmed Evaluation of the German Version of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5 as a Screening Tool for Adult Attention-Deficit/Hyperactivity Disorder in Primary Care
title_short Evaluation of the German Version of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5 as a Screening Tool for Adult Attention-Deficit/Hyperactivity Disorder in Primary Care
title_sort evaluation of the german version of the adult attention-deficit/hyperactivity disorder self-report screening scale for dsm-5 as a screening tool for adult attention-deficit/hyperactivity disorder in primary care
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9075696/
https://www.ncbi.nlm.nih.gov/pubmed/35529560
http://dx.doi.org/10.3389/fpsyg.2022.858147
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