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German validation of the Conners Adult ADHD Rating Scales (CAARS) II: Reliability, validity, diagnostic sensitivity and specificity
Abstract
Background: The German version of the Conners Adult ADHD Rating Scales (CAARS) has proven to show very high model fit in confirmative factor analyses with the established factors inattention/memory problems, hyperactivity/restlessness, impulsivity/emotional lability, and problems with self-concept in both large healthy control and ADHD patient samples. This study now presents data on the psychometric properties of the German CAARS-self-report (CAARS-S) and observer-report (CAARS-O) questionnaires. Methods: CAARS-S/O and questions on sociodemographic variables were filled out by 466 patients with ADHD, 847 healthy control subjects that already participated in two prior studies, and a total of 896 observer data sets were available. Cronbach's-alpha was calculated to obtain internal reliability coefficients. Pearson correlations were performed to assess test-retest reliability, and concurrent, criterion, and discriminant validity. Receiver Operating Characteristics (ROC-analyses) were used to establish sensitivity and specificity for all subscales. Results: Coefficient alphas ranged from .74 to .95, and test-retest reliability from .85 to .92 for the CAARS-S, and from .65 to .85 for the CAARS-O. All CAARS subscales, except problems with self-concept correlated significantly with the Barrett Impulsiveness Scale (BIS), but not with the Wender Utah Rating Scale (WURS). Criterion validity was established with ADHD subtype and diagnosis based on DSM-IV criteria. Sensitivity and specificity were high for all four subscales. Conclusion: The reported results confirm our previous study and show that the German CAARS-S/O do indeed represent a reliable and cross-culturally valid measure of current ADHD symptoms in adults.
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“The CAARS-L: S thus represents a reliable and cross-culturally valid measure of current ADHD symptoms in adults [64].”
From Assessing ADHD symptoms in children and adults: evaluating the role of objective measures (2018) · cites this paper as [64]
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Metadata
- Authors
- Christiansen, H., Kis, B., Hirsch, O., Matthies, S., Hebebrand, J., Uekermann, J., Abdel-Hamid, M., Kraemer, M., Wiltfang, J., Graf, E., Colla, M., Sobanski, E., Alm, B., Rösler, M., Jacob, C., Jans, T., Huss, M., Schimmelmann, B. G., & Philipsen, A.
- Affiliations
- Philipps University of Marburg (DE)
- University of Duisburg-Essen (DE)
- University of Freiburg (DE)
- Alfried Krupp Hospital (DE)
- University Medical Center Freiburg (DE)
- Charité – Universitätsmedizin Berlin (DE)
- Central Institute of Mental Health (DE)
- Saarland University (DE)
- University of Würzburg (DE)
- Johannes Gutenberg University Mainz (DE)
- University of Bern (CH)
- Corresponding author
- Christiansen, H.
- ORCID
- Venue
- European Psychiatry
- Publisher
- Cambridge University Press (CUP)
- Published
- 2012-07
- Volume
- 27
- Issue
- 5
- Pages
- 321-328
- ISSN
- 0924-9338 (ISSN-L)
- 1778-3585
- OpenAlex
- W2006919243
- Cited by
- 103
- References
- 30
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 7 · 2023: 5 · 2022: 7 · 2021: 3 · 2020: 3 · 2019: 8 · 2018: 2 · 2017: 9 · 2016: 9 · 2015: 11 · 2014: 5 · 2013: 8 · 2012: 5
- FWCI
- 4.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- BORIS (University Library Bern) (submittedVersion)
- Funders
- Bundesministerium für Bildung und Forschung
- Universität Duisburg-Essen
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- Conners' Adult ADHD Rating Scale, adult ADHD, German translation, psychometric validation, self-report questionnaire, observer reports, inattention, hyperactivity, impulsivity, emotional lability, self-concept, sensitivity and specificity, cross-cultural validity
- MeSH terms
- Adult, Attention Deficit Disorder with Hyperactivity, Cross-Sectional Studies, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Psychometrics, Sensitivity and Specificity, Reproducibility of Results, Diagnostic Self Evaluation
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