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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 ( IF 1.3 ) Pub Date : 2020-07-02 , DOI: 10.1007/s10862-020-09822-7
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

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.



中文翻译:

法文版DSM-5(ASRS-5)的成人注意缺陷/多动障碍自我报告筛查量表的诊断准确性

注意缺陷/多动症(ADHD)通常持续到成年。但是,很少有筛查工具已经适应使用DSM-5标准评估成人多动症。这项研究评估了DSM-5(ASRS-5)的法文版ADHD自我报告筛查的诊断准确性。这项多中心的横断面研究包括557名参与者:309名患有双相情感障碍(BD)/边界人格障碍(BPD)(n  = 236)或患有BD / BPD(n  = 36)的成人ADHD门诊患者和285名无ADHD的成人健康志愿者(n  = 248)或BD或BPD门诊患者(n = 37)。措施包括多动症诊断和ASRS-5。在无合并症/健康对照的成人门诊患者中,ASRS-5是ADHD诊断的良好预测指标(临界值≥13/24:敏感性= 84.3%,特异性= 91.9%)。在某些亚组中,具有该临界值的表现较低,特别是低严重度的ADHD症状(敏感性= 63.5%)和患有BD或BPD的参与者(敏感性= 91.7%,特异性= 54.1%)。法国ASRS-5具有可接受的筛选特性,即使其性能根据临床变量而有所不同。具有合并症状的合并症患者需要进一步的证据。

更新日期:2020-07-02
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