Journal of the American Academy of Child & Adolescent Psychiatry
RESEARCH UPDATE REVIEWTen-Year Review of Rating Scales. V: Scales Assessing Attention-Deficit/Hyperactivity Disorder
Section snippets
General Description.
The Conners Rating Scales-Revised (CRS-R) Conners, 1997) represent a needed update of this popular scale whose long history in the evaluation of ADHD youths has recently been summarized (Gianarris et al., 2001). The Conners scales were developed to assess a wide variety of children's common behavior problems, such as sleep disturbance, eating problems, and peer relationships (Conners, 1970). The scales were later expanded into a 93-item questionnaire, the Conners' Parent Rating Scale-93,
General Comments
These narrow band scales that are based on DSM-IV have good face validity as their items are derived from a clear diagnostic construct for ADHD. Most yield the same core subscales of Inattention and Hyperactivity/Impulsivity, are similar in format, and rely on adults' reports of youths' behavior. Thus it is difficult to glean advantages of one scale over the other, and āhead-to-headā comparisons of these scales are not available. Therefore, choosing a scale largely hinges on the need for
General Considerations
The development of ADHD rating scales based on DSM-IV highlights larger issues relevant to the use of all diagnosis-based, or narrow band, rating scales. First, high scores on rating scales do not equate to diagnosis, and rating scales do not substitute for diagnostic evaluation. Second, the trend toward using DSM-IV criteria in a rating scale format is advantageous in that it utilizes a well-established diagnostic construct and overlaps with other procedures that a clinician uses, such as
REFERENCES (125)
- et al.
Bupropion versus methylphenidate in the treatment of attention-deficit hyperactivity disorder
J Am Acad Child Adolesc Psychiatry
(1995) - et al.
Child Behavior Checklist findings further support comorbidity between ADHD and major depression in a referred sample
J Am Acad Child Adolesc Psychiatry
(1996) - et al.
Identification of elementary school children at risk for disruptive behavioral disturbance: validation of a combined screening method
J Am Acad Child Adolesc Psychiatry
(1999) - et al.
Bupropion sustained release in adolescents with comorbid attention-deficit/hyperactivity disorder and depression
J Am Acad Child Adolesc Psychiatry
(2001) - et al.
Response to methylphenidate in children with ADHD and comorbid anxiety
J Am Acad Child Adolesc Psychiatry
(1999) - et al.
Preschool children with attention-deficit/hyperactivity disorder: impairments in behavioral, social, and school functioning
J Am Acad Child Adolesc Psychiatry
(2001) - et al.
Methylphenidate in aggressive-hyperactive boys, I: effects on peer aggression in public school settings
J Am Acad Child Adolesc Psychiatry
(1990) - et al.
Gender differences in ADHD: a metaanalysis and critical review
J Am Acad Child Adolesc Psychiatry
(1997) - et al.
The Conners' Parent Rating Scales: a critical review of the literature
Clin Psychol Rev
(2001) - et al.
Impairment and deportment responses to different methylphenidate doses in children with ADHD: the MTA titration trial
J Am Acad Child Adolesc Psychiatry
(2001)
Noradrenergic mechanisms in ADHD children with and without reading disabilities: a replication and extension
J Am Acad Child Adolesc Psychiatry
Serotonin, aggression, and parental psychopathology in children with attention-deficit hyperactivity disorder
J Am Acad Child Adolesc Psychiatry
Atomoxetine and methylphenidate treatment in children with ADHD: a prospective, randomized, open-label trial
J Am Acad Child Adolesc Psychiatry
Ten-year review of rating scales, I: overview of scale functioning, psychometric properties, and selection
J Am Acad Child Adolesc Psychiatry
Ten-year review of rating scales, II: scales for internalizing disorders
J Am Acad Child Adolesc Psychiatry
Symptom profiles in children with ADHD: effects of comorbidity and gender
J Am Acad Child Adolesc Psychiatry
Associated psychopathology in children with both ADHD and chronic tic disorder
J Am Acad Child Adolesc Psychiatry
Ten-year review of rating scales: scales assessing trauma and its effects
J Am Acad Child Adolesc Psychiatry
A double-blind, placebo-controlled study of Adderall and methylphenidate in the treatment of attention-deficit/hyperactivity disorder
J Am Acad Child Adolesc Psychiatry
Psychiatric, psychosocial, and cognitive functioning of female adolescents with ADHD
J Am Acad Child Adolesc Psychiatry
Plasma cortisol and aggression in boys with ADHD
J Am Acad Child Adolesc Psychiatry
NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses
J Am Acad Child Adolesc Psychiatry
Familial clustering of symptoms and disruptive behaviors in multiplex families with attention-deficit/hyperactivity disorder
J Am Acad Child Adolesc Psychiatry
Equivalent effects of stimulant treatment for attention-deficit hyperactivity disorder during childhood and adolescence
J Am Acad Child Adolesc Psychiatry
Manual for the ASEBA School-Age Forms & Profiles
Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity
Psychol Bull
Monitoring and measuring drug effects, II: behavioral, emotional, and cognitive effects
Practice parameters for the assessment and treatment of children, adolescents, and adults with attention deficit/hyperactivity disorder
J Am Acad Child Adolesc Psychiatry
The Diagnostic and Statistical Manual of Psychiatric Disorders
The Diagnostic and Statistical Manual of Psychiatric Disorders
Psychometric properties of scales for the measurement of psychosocial variables associated with depression in adolescence
Psychol Rep
Sex differences in ADHD: conference summary
J Abnorm Child Psychol
The differential validity of teacher ratings of inattention/overactivity and aggression
J Abnorm Child Psychol
Defiant Children: A Clinician's Manual for Assessment and Parent Training
Attention-Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment
Familial pathways to early-onset suicide attempt: risk for suicidal behavior in offspring of mooddisordered suicide attempters
Arch Gen Psychiatry
Teaching children school success skills
J Educ Res
Brown Attention-Deficit Disorder Scales for Children and Adolescents
Children's Memory Scale
The factor structure of DSM-IV attention deficit-hyperactivity symptoms: a confirmatory factor analysis of the ADHD-SRS
J Psychoeduc Assess
A teacher rating scale for use in drug studies with children
Am J Psychiatry
Symptom patterns in hyperkinetic, neurotic, and normal children
Child Dev
Conners' Rating Scales-Revised Technical Manual
The revised Conners' Parent Rating Scale (CPRS-R): factor structure, reliability, and criterion validity
J Abnorm Child Psychol
Revision and restandardization of the Conners Teacher Rating Scale (CTRS-R): factor structure, reliability, and criterion validity
J Abnorm Child Psychol
A new self-report scale for assessment of adolescent psychopathology: factor structure, reliability, validity, and diagnostic sensitivity
J Abnorm Child Psychol
Teacher ratings of attention deficit hyperactivity disorder symptoms in Hispanic children
J Psychopathol Behav Assess
Parent and teacher ratings of ADHD symptoms: psychometric properties in a community-based sample
J Clin Child Psychol
Parent ratings of attention-deficit/hyperactivity disorder symptoms: factor structure and normative data
J Psychopathol Behav
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2021, Internet InterventionsCitation Excerpt :The current study has some limitations. First, the outcome measures are based solely on self-reports which may be subject to reporting bias, although rating scales are shown to reliably, validly and efficiently measure DSM-based ADHD symptoms in adolescent samples (Collett et al., 2003). Second, the research study excludes those with signification personality disorders, current substance use, suicidal ideation, and other severe psychiatric problems although these patients represent a significant proportion of the population of adults with ADHD.