The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
The reliability and validity of self-and investigator ratings of ADHD in adults
Abstract
OBJECTIVE: Little information is available comparing self- versus investigator ratings of symptoms in adult ADHD. The authors compared the reliability, validity, and utility in a sample of adults with ADHD and also as an index of clinical improvement during treatment of self- and investigator ratings of ADHD symptoms via the Conners Adult ADHD Rating Scale (CAARS). METHOD: We analyzed data from two double-blind, parallel-design studies of 536 adult ADHD patients, randomized to 10-week treatment with atomoxetine or placebo. Outcome variables included ADHD symptom severity (CAARS self- and investigator ratings), psychiatric symptom comorbidity, and functioning. RESULTS: All five CAARS subscales showed good internal consistency at each time point. Similarly, interrater reliability was acceptable for each subscale. Following treatment, CAARS total scores and subscale scores improved significantly from baseline. CAARS subscales also predicted changes in other psychiatric symptoms and functioning. Overall, baseline investigator ratings were stronger predictors of treatment outcome than baseline self-report scores. CONCLUSIONS: The CAARS demonstrated good internal consistency and inter-rater reliability, as well as sensitivity to treatment outcome. The finding of greater predictive power of investigator-rated baseline scores merits further investigation.
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“The CAARS-S:SV has good internal consistency and inter-rater reliability (31), high criterion validity and moderate concurrent validity (32).”
From Trait mindfulness and personality characteristics in a microdosing ADHD sample: a naturalistic prospective survey study (2023) · cites this paper as [31]
In the citing paper
“Although not commonly used in adult ADHD trials [34], there was an absence of formal informant ADHD ratings.”
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 [34]
Citations
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BackgroundSelf-citationSelf-ratings of ADHD symptomas in auts II: reliability, validity, and diagnostic sensitivity
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Self-citationFactor structure of the Conners Adult ADHD Rating Scale (CAARS) for substance users.
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Presenting ADHD symptoms, subtypes, and comorbid disorders in clinically referred adults with ADHD
Wilens, T. E., Biederman, J., Faraone, S. V., Martelon, M., Westerberg, D., & Spencer, T. J. (2009) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.08m04785pur · Cited by 286
Self-citationDistinguishing Sluggish Cognitive Tempo from Attention-Deficit/Hyperactivity Disorder in Adults
Barkley, R. A. (2012) · Journal of Abnormal Psychology · doi:10.1037/a0023961 · Cited by 279
Kessler, R. C., Lane, M., Stang, P. E., & Van Brunt, D. L. (2009) · Psychological Medicine · doi:10.1017/s0033291708003309 · Cited by 183
Living “in the zone”: hyperfocus in adult ADHD
Hupfeld, K. E., Abagis, T. R., & Shah, P. (2019) · ADHD Attention Deficit and Hyperactivity Disorders · doi:10.1007/s12402-018-0272-y · Cited by 157
Taylor, A. C., Deb, S. S., & Unwin, G. (2011) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2010.12.036 · Cited by 131
Metadata
- Authors
- Adler, L. A., Faraone, S. V., Spencer, T. J., Michelson, D., Reimherr, F. W., Glatt, S. J., Marchant, B. K., & Biederman, J.
- Affiliations
- New York University (US)
- SUNY Upstate Medical University (US)
- Massachusetts General Hospital (US)
- Eli Lilly (United States) (US)
- University of Utah (US)
- Center for Behavioral Genomics
- ORCID
- Venue
- Journal of Attention Disorders
- Publisher
- SAGE Publications
- Published
- 2007-05-10
- Volume
- 11
- Issue
- 6
- Pages
- 711-719
- ISSN
- 1087-0547 (ISSN-L)
- 1557-1246
- OpenAlex
- W1980060496
- Cited by
- 108
- References
- 19
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 8 · 2023: 5 · 2022: 4 · 2021: 5 · 2020: 6 · 2019: 5 · 2018: 7 · 2017: 6 · 2016: 11 · 2015: 6 · 2014: 10 · 2013: 5 · 2012: 7
- FWCI
- 2.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Attention Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- adult ADHD, Conners' Adult ADHD Rating Scale, self-ratings, inter-rater reliability, internal consistency, treatment outcome prediction, atomoxetine, psychiatric comorbidity, functioning, symptom severity
- MeSH terms
- Atomoxetine Hydrochloride, Adult, Attention Deficit Disorder with Hyperactivity, Double-Blind Method, Female, Humans, Male, Propylamines, Surveys and Questionnaires, Self-Assessment, Severity of Illness Index, Reproducibility of Results, Adrenergic Uptake Inhibitors, Diagnostic and Statistical Manual of Mental Disorders
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