Validity of the Adult ADHD Self-Report Scale (ASRS) as a screener for adult ADHD in treatment seeking substance use disorder patients

Geurt Van de Glind; Wim van den Brink; Maarten W.J. Koeter; Pieter Jan Carpentier; Katelijne van Emmerik-van Oortmerssen; Sharlene Kaye; Arvid Skutle; Eli Torild H. Bu; Johan Franck; Maija Konstenius; Franz Moggi; Geert Dom; Sofie Verspreet; Zsolt Demetrovics; Máté Kapitány-Fövény; Melina Fatséas; Marc Auriacombe; Arild Schillinger; Andrea Seitz; Brian Johnson; Stephen V. Faraone; J. Antoni Ramos-Quiroga; Miguel Casas; Steve Allsop; Susan Carruthers; Csaba Barta; Robert A. Schoevers; Frances R. Levin

doi:10.1016/j.drugalcdep.2013.04.010

Validity of the Adult ADHD Self-Report Scale (ASRS) as a screener for adult ADHD in treatment seeking substance use disorder patients

Geurt Van de Glind
, Wim van den Brink
, Maarten W.J. Koeter
, Pieter Jan Carpentier
, Katelijne van Emmerik-van Oortmerssen
, Sharlene Kaye
, Arvid Skutle
, Eli Torild H. Bu
, Johan Franck
, Maija Konstenius
, Franz Moggi
, Geert Dom
, Sofie Verspreet
, Zsolt Demetrovics
, Máté Kapitány-Fövény
, Melina Fatséas
, Marc Auriacombe
, Arild Schillinger
, Andrea Seitz
, Brian Johnson

Stephen V. Faraone, J. Antoni Ramos-Quiroga, Miguel Casas, Steve Allsop, Susan Carruthers, Csaba Barta, Robert A. Schoevers, Frances R. Levin

Research output: Contribution to journal › Article › peer-review

161 Citations (Scopus)

Abstract

Background: To detect attention deficit hyperactivity disorder (ADHD) in treatment seeking substance use disorders (SUD) patients, a valid screening instrument is needed. Objectives: To test the performance of the Adult ADHD Self-Report Scale V 1.1(ASRS) for adult ADHD in an international sample of treatment seeking SUD patients for DSM-IV-TR; for the proposed DSM-5 criteria; in different subpopulations, at intake and 1-2 weeks after intake; using different scoring algorithms; and different externalizing disorders as external criterion (including adult ADHD, bipolar disorder, antisocial and borderline personality disorder). Methods: In 1138 treatment seeking SUD subjects, ASRS performance was determined using diagnoses based on Conner's Adult ADHD Diagnostic Interview for DSM-IV (CAADID) as gold standard. Results: The prevalence of adult ADHD was 13.0% (95% CI: 11.0-15.0%). The overall positive predictive value (PPV) of the ASRS was 0.26 (95% CI: 0.22-0.30), the negative predictive value (NPV) was 0.97 (95% CI: 0.96-0.98). The sensitivity (0.84, 95% CI: 0.76-0.88) and specificity (0.66, 95% CI: 0.63-0.69) measured at admission were similar to the sensitivity (0.88, 95% CI: 0.83-0.93) and specificity (0.67, 95% CI: 0.64-0.70) measured 2 weeks after admission. Sensitivity was similar, but specificity was significantly better in patients with alcohol compared to (illicit) drugs as the primary substance of abuse (0.76 vs. 0.56). ASRS was not a good screener for externalizing disorders other than ADHD. Conclusions: The ASRS is a sensitive screener for identifying possible ADHD cases with very few missed cases among those screening negative in this population.

Original language	English
Pages (from-to)	587-596
Number of pages	10
Journal	Drug and Alcohol Dependence
Volume	132
Issue number	3
DOIs	https://doi.org/10.1016/j.drugalcdep.2013.04.010
Publication status	Published - 1 Oct 2013
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Addiction
ADHD
ASRS
Attention/deficit hyperactivity disorder
Prevalence
Psychiatry
Substance use disorders
Validity

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10.1016/j.drugalcdep.2013.04.010Licence: In Copyright

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Van de Glind, G., van den Brink, W., Koeter, M. W. J., Carpentier, P. J., van Emmerik-van Oortmerssen, K., Kaye, S., Skutle, A., Bu, E. T. H., Franck, J., Konstenius, M., Moggi, F., Dom, G., Verspreet, S., Demetrovics, Z., Kapitány-Fövény, M., Fatséas, M., Auriacombe, M., Schillinger, A., Seitz, A., ... Levin, F. R. (2013). Validity of the Adult ADHD Self-Report Scale (ASRS) as a screener for adult ADHD in treatment seeking substance use disorder patients. Drug and Alcohol Dependence, 132(3), 587-596. https://doi.org/10.1016/j.drugalcdep.2013.04.010

@article{f2af73cb7d3d4960a9de1f70d1a0e67b,

title = "Validity of the Adult ADHD Self-Report Scale (ASRS) as a screener for adult ADHD in treatment seeking substance use disorder patients",

abstract = "Background: To detect attention deficit hyperactivity disorder (ADHD) in treatment seeking substance use disorders (SUD) patients, a valid screening instrument is needed. Objectives: To test the performance of the Adult ADHD Self-Report Scale V 1.1(ASRS) for adult ADHD in an international sample of treatment seeking SUD patients for DSM-IV-TR; for the proposed DSM-5 criteria; in different subpopulations, at intake and 1-2 weeks after intake; using different scoring algorithms; and different externalizing disorders as external criterion (including adult ADHD, bipolar disorder, antisocial and borderline personality disorder). Methods: In 1138 treatment seeking SUD subjects, ASRS performance was determined using diagnoses based on Conner's Adult ADHD Diagnostic Interview for DSM-IV (CAADID) as gold standard. Results: The prevalence of adult ADHD was 13.0\% (95\% CI: 11.0-15.0\%). The overall positive predictive value (PPV) of the ASRS was 0.26 (95\% CI: 0.22-0.30), the negative predictive value (NPV) was 0.97 (95\% CI: 0.96-0.98). The sensitivity (0.84, 95\% CI: 0.76-0.88) and specificity (0.66, 95\% CI: 0.63-0.69) measured at admission were similar to the sensitivity (0.88, 95\% CI: 0.83-0.93) and specificity (0.67, 95\% CI: 0.64-0.70) measured 2 weeks after admission. Sensitivity was similar, but specificity was significantly better in patients with alcohol compared to (illicit) drugs as the primary substance of abuse (0.76 vs. 0.56). ASRS was not a good screener for externalizing disorders other than ADHD. Conclusions: The ASRS is a sensitive screener for identifying possible ADHD cases with very few missed cases among those screening negative in this population.",

keywords = "Addiction, ADHD, ASRS, Attention/deficit hyperactivity disorder, Prevalence, Psychiatry, Substance use disorders, Validity",

author = "\{Van de Glind\}, Geurt and \{van den Brink\}, Wim and Koeter, \{Maarten W.J.\} and Carpentier, \{Pieter Jan\} and \{van Emmerik-van Oortmerssen\}, Katelijne and Sharlene Kaye and Arvid Skutle and Bu, \{Eli Torild H.\} and Johan Franck and Maija Konstenius and Franz Moggi and Geert Dom and Sofie Verspreet and Zsolt Demetrovics and M{\'a}t{\'e} Kapit{\'a}ny-F{\"o}v{\'e}ny and Melina Fats{\'e}as and Marc Auriacombe and Arild Schillinger and Andrea Seitz and Brian Johnson and Faraone, \{Stephen V.\} and Ramos-Quiroga, \{J. Antoni\} and Miguel Casas and Steve Allsop and Susan Carruthers and Csaba Barta and Schoevers, \{Robert A.\} and Levin, \{Frances R.\}",

year = "2013",

month = oct,

day = "1",

doi = "10.1016/j.drugalcdep.2013.04.010",

language = "English",

volume = "132",

pages = "587--596",

journal = "Drug and Alcohol Dependence",

issn = "0376-8716",

publisher = "Elsevier Ireland Ltd",

number = "3",

}

Van de Glind, G, van den Brink, W, Koeter, MWJ, Carpentier, PJ, van Emmerik-van Oortmerssen, K, Kaye, S, Skutle, A, Bu, ETH, Franck, J, Konstenius, M, Moggi, F, Dom, G, Verspreet, S, Demetrovics, Z, Kapitány-Fövény, M, Fatséas, M, Auriacombe, M, Schillinger, A, Seitz, A, Johnson, B, Faraone, SV, Ramos-Quiroga, JA, Casas, M, Allsop, S, Carruthers, S, Barta, C, Schoevers, RA & Levin, FR 2013, 'Validity of the Adult ADHD Self-Report Scale (ASRS) as a screener for adult ADHD in treatment seeking substance use disorder patients', Drug and Alcohol Dependence, vol. 132, no. 3, pp. 587-596. https://doi.org/10.1016/j.drugalcdep.2013.04.010

TY - JOUR

T1 - Validity of the Adult ADHD Self-Report Scale (ASRS) as a screener for adult ADHD in treatment seeking substance use disorder patients

AU - Van de Glind, Geurt

AU - van den Brink, Wim

AU - Koeter, Maarten W.J.

AU - Carpentier, Pieter Jan

AU - van Emmerik-van Oortmerssen, Katelijne

AU - Kaye, Sharlene

AU - Skutle, Arvid

AU - Bu, Eli Torild H.

AU - Franck, Johan

AU - Konstenius, Maija

AU - Moggi, Franz

AU - Dom, Geert

AU - Verspreet, Sofie

AU - Demetrovics, Zsolt

AU - Kapitány-Fövény, Máté

AU - Fatséas, Melina

AU - Auriacombe, Marc

AU - Schillinger, Arild

AU - Seitz, Andrea

AU - Johnson, Brian

AU - Faraone, Stephen V.

AU - Ramos-Quiroga, J. Antoni

AU - Casas, Miguel

AU - Allsop, Steve

AU - Carruthers, Susan

AU - Barta, Csaba

AU - Schoevers, Robert A.

AU - Levin, Frances R.

PY - 2013/10/1

Y1 - 2013/10/1

N2 - Background: To detect attention deficit hyperactivity disorder (ADHD) in treatment seeking substance use disorders (SUD) patients, a valid screening instrument is needed. Objectives: To test the performance of the Adult ADHD Self-Report Scale V 1.1(ASRS) for adult ADHD in an international sample of treatment seeking SUD patients for DSM-IV-TR; for the proposed DSM-5 criteria; in different subpopulations, at intake and 1-2 weeks after intake; using different scoring algorithms; and different externalizing disorders as external criterion (including adult ADHD, bipolar disorder, antisocial and borderline personality disorder). Methods: In 1138 treatment seeking SUD subjects, ASRS performance was determined using diagnoses based on Conner's Adult ADHD Diagnostic Interview for DSM-IV (CAADID) as gold standard. Results: The prevalence of adult ADHD was 13.0% (95% CI: 11.0-15.0%). The overall positive predictive value (PPV) of the ASRS was 0.26 (95% CI: 0.22-0.30), the negative predictive value (NPV) was 0.97 (95% CI: 0.96-0.98). The sensitivity (0.84, 95% CI: 0.76-0.88) and specificity (0.66, 95% CI: 0.63-0.69) measured at admission were similar to the sensitivity (0.88, 95% CI: 0.83-0.93) and specificity (0.67, 95% CI: 0.64-0.70) measured 2 weeks after admission. Sensitivity was similar, but specificity was significantly better in patients with alcohol compared to (illicit) drugs as the primary substance of abuse (0.76 vs. 0.56). ASRS was not a good screener for externalizing disorders other than ADHD. Conclusions: The ASRS is a sensitive screener for identifying possible ADHD cases with very few missed cases among those screening negative in this population.

AB - Background: To detect attention deficit hyperactivity disorder (ADHD) in treatment seeking substance use disorders (SUD) patients, a valid screening instrument is needed. Objectives: To test the performance of the Adult ADHD Self-Report Scale V 1.1(ASRS) for adult ADHD in an international sample of treatment seeking SUD patients for DSM-IV-TR; for the proposed DSM-5 criteria; in different subpopulations, at intake and 1-2 weeks after intake; using different scoring algorithms; and different externalizing disorders as external criterion (including adult ADHD, bipolar disorder, antisocial and borderline personality disorder). Methods: In 1138 treatment seeking SUD subjects, ASRS performance was determined using diagnoses based on Conner's Adult ADHD Diagnostic Interview for DSM-IV (CAADID) as gold standard. Results: The prevalence of adult ADHD was 13.0% (95% CI: 11.0-15.0%). The overall positive predictive value (PPV) of the ASRS was 0.26 (95% CI: 0.22-0.30), the negative predictive value (NPV) was 0.97 (95% CI: 0.96-0.98). The sensitivity (0.84, 95% CI: 0.76-0.88) and specificity (0.66, 95% CI: 0.63-0.69) measured at admission were similar to the sensitivity (0.88, 95% CI: 0.83-0.93) and specificity (0.67, 95% CI: 0.64-0.70) measured 2 weeks after admission. Sensitivity was similar, but specificity was significantly better in patients with alcohol compared to (illicit) drugs as the primary substance of abuse (0.76 vs. 0.56). ASRS was not a good screener for externalizing disorders other than ADHD. Conclusions: The ASRS is a sensitive screener for identifying possible ADHD cases with very few missed cases among those screening negative in this population.

KW - Addiction

KW - ADHD

KW - ASRS

KW - Attention/deficit hyperactivity disorder

KW - Prevalence

KW - Psychiatry

KW - Substance use disorders

KW - Validity

UR - https://www.scopus.com/pages/publications/84883762803

U2 - 10.1016/j.drugalcdep.2013.04.010

DO - 10.1016/j.drugalcdep.2013.04.010

M3 - Article

C2 - 23660242

AN - SCOPUS:84883762803

SN - 0376-8716

VL - 132

SP - 587

EP - 596

JO - Drug and Alcohol Dependence

JF - Drug and Alcohol Dependence

IS - 3

ER -

Validity of the Adult ADHD Self-Report Scale (ASRS) as a screener for adult ADHD in treatment seeking substance use disorder patients

Abstract

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Keywords

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