Evaluation of the ADHD Rating Scale in Youth with Autism
Open accessAbstract
Scientists and clinicians regularly use clinical screening tools for attention deficit/hyperactivity disorder (ADHD) to assess comorbidity without empirical evidence that these measures are valid in youth with autism spectrum disorder (ASD). We examined the prevalence of youth meeting ADHD criteria on the ADHD rating scale fourth edition (ADHD-RS-IV), the relationship of ADHD-RS-IV ratings with participant characteristics and behaviors, and its underlying factor structure in 386, 7-17 year olds with ASD without intellectual disability. Expected parent prevalence rates, relationships with age and externalizing behaviors were observed, but confirmatory factor analyses revealed unsatisfactory fits for one-, two-, three-factor models. Exploratory analyses revealed several items cross-loading on multiple factors. Implications of screening ADHD in youth with ASD using current diagnostic criteria are discussed.
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No items on the ADI-R adequately differentiate ASD from ADHD.
“none of the items on the gold-standard Autism Diagnostic Inventory – Revised (ADI-R) adequately differentiate ASD from ADHD.11,94”
From Executive function deficits in attention-deficit/hyperactivity disorder and autism spectrum disorder (2024) · cites this paper as [94]
The Methods (Participants; page not provided) say the ADI-R was used to inform ASD diagnosis, but do not evaluate whether its items distinguish ASD from ADHD. The Discussion examines problematic items on the ADHD-RS-IV, a different scale. Searches for ADI-R item-level differentiation found no passage addressing the claim. (LLM, conf=0.75)
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References 47 · Cited by 32
Research works printed but not linked: 3
- American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR Fourth Edition 2000 American Psychiatric Publishing, Inc Arlington, VA 4th
- Elliott CD Differential Ability Scales-II (DAS-II) 2007 Pearson Assessments San Antonio, TX
- Reynolds C Kamphaus R BASC-2: Behavior Assessment Systerm for Children, Second Edition 2004 Psychological Assessment Resources Odessa, FL
- Authors
- Yerys, B. E., Nissley-Tsiopinis, J., de Marchena, A., Watkins, M. W., Antezana, L., Power, T. J., & Schultz, R. T.
- Affiliations
- Children's Hospital of Philadelphia (US)
- Baylor University (US)
- Corresponding author
- Yerys, Benjamin E.
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2016-10-13
- Volume
- 47
- Issue
- 1
- Pages
- 90-100
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- PMC
- PMC5225038
- OpenAlex
- W2530199764
- Cited by
- 32
- References
- 47
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 5 · 2023: 3 · 2022: 6 · 2021: 4 · 2020: 1 · 2019: 4 · 2018: 3 · 2017: 2
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K23MH086111, R21MH092615, RC1MH088791)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P30HD026979)
- Pennsylvania Department of Health (4100042728, 4100047863)
- Pfizer Foundation
- Robert Wood Johnson Foundation (6672)
- Philadelphia Foundation
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- attention deficit hyperactivity disorder, autism spectrum disorder, ADHD-RS-IV, comorbidities, screening, factor structure, externalizing problems, parent ratings, adolescents, children
- MeSH terms
- Autism Spectrum Disorder, Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Factor Analysis, Statistical, Female, Humans, Male, Parents, Psychological Tests, Prevalence
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