Preliminary Normative Data on DSM-IV Attention Deficit Hyperactivity Disorder in College Students
Abstract
Identification of attention deficit hyperactivity disorder (ADHD) in adults presents a number of problems because there is no one specific diagnostic test for the condition. Given this challenge, clinicians often struggle between restrictive and exclusionary diagnostic methods or overinclusive acceptance that ADHD is a prevalent and disabling problem. A modified version of the Attention Deficit Hyperactivity Rating Scale was administered to 468 students at a large midwestern university. Analysis of the results suggested that the degree of ADHD symptoms in college students is modest and indicated that cutoff scores of 4 for current symptoms of inattention and hyperactivity-impulsivity would be sufficient to identify a college student as distinct from the norm. Although it would be premature to accept the calculated thresholds completely, clinicians should be aware of these differences when evaluating college students for ADHD.
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Adult ADHD is associated with diagnoses of comorbid mood, anxiety and substance-use disorder.
“Likewise, adult ADHD is also associated with diagnoses of comorbid mood, anxiety and substance-use disorder [11-17].”
From Advances in understanding and treating ADHD (2011) · cites this paper as [14]
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
BARKLEY, R. A., FISCHER, M., EDELBROCK, C. S., & SMALLISH, L. (1990) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199007000-00007 · Cited by 1,507 · see citing works
(1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.12.1792 · Cited by 950 · see citing works
DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents
(1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.11.1673 · Cited by 935 · see citing works
Parent and Teacher Ratings of ADHD Symptoms: Psychometric Properties in a Community-Based Sample
DuPaul, G. J. (1991) · Journal of Clinical Child Psychology · doi:10.1207/s15374424jccp2003_3 · Cited by 585 · see citing works
Weiss, G. (1986) · Cited by 582 · see citing works
Hyperactive Boys Almost Grown Up: V. Replication of Psychiatric Status
Mannuzza, S. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810250079012 · Cited by 549 · see citing works
Long-Term Outcome of Hyperactive Children: A Review
Klein, R. G., & Mannuzza, S. (1991) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199105000-00005 · Cited by 403 · see citing works
Age-dependent decline of attention deficit hyperactivity disorder.
Hill, J. C., & Schoener, E. (1996) · American Journal of Psychiatry · doi:10.1176/ajp.153.9.1143 · Cited by 367 · see citing works
Low, N. L. (1987) · Neurology · doi:10.1212/wnl.37.4.731-a · Cited by 326 · see citing works
Attention deficit hyperactivity disorder in adults
Olagunju, A. E., & Ghoddusi, F. (1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.5.633 · Cited by 268 · see citing works
Fergusson, D. M., & Horwood, L. J. (1995) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199504000-00015 · Cited by 201 · see citing works
Presentation of unrecognized attention deficit hyperactivity disorder in college students.
Heiligenstein, E., & Keeling, R. P. (1995) · Journal of American College Health · doi:10.1080/07448481.1995.9940481 · Cited by 112 · see citing works
Self-citationDiagnostic decision making in psychiatry
Zarin, D. A., & Earls, F. J. (1993) · American Journal of Psychiatry · doi:10.1176/ajp.150.2.197 · Cited by 83 · see citing works
The Long-Term Outcome of the Attention Deficit Disorder/Hyperkinetic Syndrome
Sagvolden, T. (2013) · Routledge eBooks · doi:10.4324/9781315827643-9 · Cited by 12 · see citing works
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KESSLER, R. C., ADLER, L., AMES, M., DEMLER, O., FARAONE, S., HIRIPI, E., HOWES, M. J., JIN, R., SECNIK, K., SPENCER, T., et al. (2005) · Psychological Medicine · doi:10.1017/s0033291704002892 · Cited by 3,452 · see citing works
Kessler, R. C., Adler, L., Barkley, R., Biederman, J., Conners, C. K., Demler, O., Faraone, S. V., Greenhill, L. L., Howes, M. J., Secnik, K., et al. (2006) · American Journal of Psychiatry · doi:10.1176/ajp.2006.163.4.716 · Cited by 3,886 · see citing works
Prevalence and correlates of adult attention-deficit hyperactivity disorder: meta-analysis
Simon, V., Czobor, P., Bálint, S., Mészáros, Á., & Bitter, I. (2009) · British Journal of Psychiatry · doi:10.1192/bjp.bp.107.048827 · Cited by 1,601 · see citing works
Frazier, T. W., Youngstrom, E. A., Glutting, J. J., & Watkins, M. W. (2007) · Journal of Learning Disabilities · doi:10.1177/00222194070400010401 · Cited by 700 · see citing works
Diagnostic Controversies in Adult Attention Deficit Hyperactivity Disorder
McGough, J. J., & Barkley, R. A. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.11.1948 · Cited by 388 · see citing works
Volkow, N. D., Wang, G.-J., Fowler, J. S., & Ding, Y.-S. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2004.11.006 · Cited by 368 · see citing works
de Graaf, R., Kessler, R. C., Fayyad, J., ten Have, M., Alonso, J., Angermeyer, M., Borges, G., Demyttenaere, K., Gasquet, I., de Girolamo, G., et al. (2008) · Occupational and Environmental Medicine · doi:10.1136/oem.2007.038448 · Cited by 355 · see citing works
Kessler, R. C., Adler, L., Ames, M., Barkley, R. A., Birnbaum, H., Greenberg, P., Johnston, J. A., Spencer, T., & ??st??n, T. B. (2005) · Journal of Occupational and Environmental Medicine · doi:10.1097/01.jom.0000166863.33541.39 · Cited by 335 · see citing works
Faraone, S. V., Biederman, J., Spencer, T., Mick, E., Murray, K., Petty, C., Adamson, J. J., & Monuteaux, M. C. (2006) · American Journal of Psychiatry · doi:10.1176/ajp.2006.163.10.1720 · Cited by 329 · see citing works
Big five dimensions and ADHD symptoms: links between personality traits and clinical symptoms
Nigg, J. T., John, O. P., Blaskey, L. G., Huang-Pollock, C. L., Willcutt, E. G., Hinshaw, S. P., & Pennington, B. (2002) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.83.2.451 · Cited by 315 · see citing works
Birnbaum, H. G., Kessler, R. C., Lowe, S. W., Secnik, K., Greenberg, P. E., Leong, S. A., & Swensen, A. R. (2005) · Current Medical Research and Opinion · doi:10.1185/030079904x20303 · Cited by 237 · see citing works
The estimated prevalence and correlates of adult ADHD in a German community sample
de Zwaan, M., Gruß, B., Müller, A., Graap, H., Martin, A., Glaesmer, H., Hilbert, A., & Philipsen, A. (2012) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-011-0211-9 · Cited by 212 · see citing works
Functional neuroanatomy of working memory in adults with attention-deficit/hyperactivity disorder
Valera, E. M., Faraone, S. V., Biederman, J., Poldrack, R. A., & Seidman, L. J. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2004.11.034 · Cited by 211 · see citing works
A Combined Treatment Approach for Adults With ADHD—Results of an Open Study of 43 Patients
Rostain, A. L., & Ramsay, J. R. (2006) · Journal of Attention Disorders · doi:10.1177/1087054706288110 · Cited by 199 · see citing works
SUHR, J., HAMMERS, D., DOBBINSBUCKLAND, K., ZIMAK, E., & HUGHES, C. (2008) · Archives of Clinical Neuropsychology · doi:10.1016/j.acn.2008.05.003 · Cited by 167 · see citing works
Zucker, M., Morris, M. K., Ingram, S. M., Morris, R. D., & Bakeman, R. (2002) · Psychological Assessment · doi:10.1037/1040-3590.14.4.379 · Cited by 163 · see citing works
Boonstra, A. M., Kooij, J. J. S., Oosterlaan, J., Sergeant, J. A., & Buitelaar, J. K. (2005) · Journal of Clinical and Experimental Neuropsychology · doi:10.1080/13803390490515757 · Cited by 157 · see citing works
Faraone, S. V., Spencer, T. J., Montano, C. B., & Biederman, J. (2004) · Archives of Internal Medicine · doi:10.1001/archinte.164.11.1221 · Cited by 144 · see citing works
Advances in understanding and treating ADHD
Antshel, K. M., Hargrave, T. M., Simonescu, M., Kaul, P., Hendricks, K., & Faraone, S. V. (2011) · BMC Medicine · doi:10.1186/1741-7015-9-72 · Cited by 140 · see citing works
Bond, D. J., Hadjipavlou, G., Lam, R. W., McIntyre, R. S., Beaulieu, S., Schaffer, A., & Weiss, M. (2012) · Annals of Clinical Psychiatry · doi:10.1177/104012371202400104 · Cited by 133 · see citing works
Faraone, S. V., Biederman, J., Feighner, J. A., & Monuteaux, M. C. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.5.830 · Cited by 111 · see citing works
Sleep quality in adult patients with attention deficit hyperactivity disorder (ADHD)
Schredl, M., Alm, B., & Sobanski, E. (2007) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-006-0703-1 · Cited by 109 · see citing works
Van Eck, K., Warren, P., & Flory, K. (2017) · Journal of Youth and Adolescence · doi:10.1007/s10964-016-0542-y · Cited by 63 · see citing works
Attention-Deficit/Hyperactivity Disorder in Adults: Evidence-Based Recommendations for Management
Rostain, A. L. (2008) · Postgraduate Medicine · doi:10.3810/pgm.2008.09.1905 · Cited by 50 · see citing works
Ramsay, J. R. (2007) · Current Psychiatry Reports · doi:10.1007/s11920-007-0056-0 · Cited by 41 · see citing works
- Authors
- Heiligenstein, E., Conyers, L. M., Berns, A. R., & Smith, M. A.
- Affiliations
- University of Wisconsin–Madison (US)
- ORCID
- Conyers, Liza M.
- Venue
- Journal of American College Health
- Publisher
- Informa UK Limited
- Published
- 1998-01
- Volume
- 46
- Issue
- 4
- Pages
- 185-188
- ISSN
- 0164-4300 (ISSN-L)
- 0744-8481
- 1940-3208
- OpenAlex
- W2110914776
- Cited by
- 209
- References
- 15
- Citations by year
- 2026: 2 · 2024: 1 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 5 · 2016: 5 · 2015: 5 · 2014: 14 · 2013: 14 · 2012: 21
- FWCI
- 2.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of American College Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- attention deficit hyperactivity disorder, adult ADHD, university students, reference values, DSM-IV, ADHD Rating Scale, inattention, hyperactivity/impulsivity, diagnostic thresholds, ADHD prevalence
- MeSH terms
- Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Reference Values, Students, Universities
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