Diagnosis and evaluation of adults with attention-deficit/hyperactivity disorder

Adler, Lenard; Cohen, Julie

doi:10.1016/j.psc.2003.12.003

Cited by 290Attention Deficit Hyperactivity DisorderSchizophrenia research and treatmentDevelopmental and Educational Neuropsychology

Diagnosis and evaluation of adults with attention-deficit/hyperactivity disorder

Adler, Lenard, Cohen, Julie·2004·Psychiatric Clinics of North America

DOI 10.1016/j.psc.2003.12.003

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Abstract

Although some areas of adult ADHD knowledge remain unclear, there isa strong sense of how to proceed with diagnosis using current DSM-IV criteria as a guide. Thorough clinical interview, aided by the use of rating scales for current symptoms and collateral information about childhood from parents or siblings, forms the backbone of the assessment. The poor psychosocial outcomes of patients with ADHD. often a consequence of unrecognized,untreated disorder manifestation, also can serve as a diagnostic indicator. Diagnostic and symptom assessment scales also can be a significant helpin diagnosing and establishing the symptoms of ADHD in adults. It is important to remember that according to DSM-IV, the cardinal criteria for making the diagnosis are the presence of sufficient current symptoms and impairment in two realms (home, school/work, and social interactions). Accordingly, adult ADHD remains a clinical diagnosis, and the clinician-administered interview remains the cornerstone of diagnostic evaluation.

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ADHD symptoms may extend late into the day.
“Since ADHD symptoms may extend late into the day [20], the availability of treatments that provide efficacy throughout the day, is important.”
From Randomized, double-blind, placebo-controlled, crossover study of the efficacy and safety of lisdexamfetamine dimesylate in adults with attention-deficit/hyperactivity disorder: novel findings using a simulated adult workplace environment design (2010) · cites this paper as [20]
The ACDS v1.2 is a validated, structured diagnostic scale for adult ADHD.
“The ACDS v1.2 is a validated, structured diagnostic scale for adult ADHD, containing separate modules of assessment of childhood and adulthood ADHD symptoms and impairments, which establishes whether a DSM-IV-TR diagnosis of adult ADHD is present or not [17].”
From Atomoxetine Effects on Executive Function as Measured by the BRIEF-A in Young Adults with ADHD: A Randomized, Double-Blind, Placebo-Controlled Study (2014) · cites this paper as [17]
A probability subsample of 154 US respondents with childhood ADHD symptoms was administered blinded clinical follow-up interviews to assess DSM-IV adult ADHD using the validated ACDS Version 1.2.
“A probability subsample of 154 such respondents in the US sample was administered blinded clinical follow-up interviews to assess DSM-IV adult ADHD using the validated form of the Adult ADHD Clinical Diagnostic Scale (ACDS) Version 1.2 (Adler and Cohen 2004; Adler and Spencer 2004)”
From The descriptive epidemiology of DSM-IV adult ADHD in the world health organization world mental health surveys (2017) · cites this paper as Adler and Cohen 2004

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Authors: Adler, L., & Cohen, J.
Affiliations: NYU Langone Health (US)
New York University (US)
Corresponding author: Adler, Lenard
ORCID: Adler, Lenard
Venue: Psychiatric Clinics of North America
Publisher: Elsevier BV
Published: 2004-06
Volume: 27
Issue: 2
Pages: 187-201
ISSN: 0193-953X (ISSN-L)
DOI: 10.1016/j.psc.2003.12.003
OpenAlex: W2047554178
Cited by: 290
References: 6
Citations by year: 2025: 10 · 2024: 4 · 2023: 10 · 2022: 8 · 2021: 13 · 2020: 3 · 2019: 8 · 2018: 18 · 2017: 21 · 2016: 18 · 2015: 7 · 2014: 23 · 2013: 16 · 2012: 19
FWCI: 1.56
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Psychiatric Clinics of North America (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
Keywords: adult ADHD, attention deficit hyperactivity disorder, diagnosis, DSM-IV diagnostic criteria, clinical interview, rating scales, psychosocial outcomes, functional disability, history of childhood, collateral information
MeSH terms: Adaptation, Psychological, Adult, Attention Deficit Disorder with Hyperactivity, Bipolar Disorder, Culture, Major Depressive Disorder, Female, Humans, Male, Sex Factors, Comorbidity, Dysthymic Disorder, Diagnostic and Statistical Manual of Mental Disorders

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Diagnosis and evaluation of adults with attention-deficit/hyperactivity disorder

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