Table 3.
Comparison of Diagnostic and Statistical Manual (4th ed., Text Rev.) and Adult-Specific Attention-Deficit/Hyperactivity Disorder Items
Self-report |
Parent report |
||||||||
---|---|---|---|---|---|---|---|---|---|
Symptom | ADHD % | Control % | χ2(1) | OR | ADHD % | Control % | χ2(1) | OR | Correlation (r) with impairmenta |
DSM–IV–TR symptoms | |||||||||
Makes careless mistakesb | 9.2 | 5.8 | 1.19 | 1.65 | 37.4 | 5.4 | 31.18* | 10.52 | .47* |
Difficulty sustaining attentionb | 11.8 | 5.8 | 3.14 | 2.18 | 24.5 | 1.1 | 23.95* | 29.84 | .48* |
Does not listen | 9.3 | 1.7 | 7.29 | 6.09 | 18.4 | 0.0 | 19.25* | — | .44* |
Difficulty following instructions | 14.9 | 1.7 | 14.75* | 10.40 | 37.4 | 2.2 | 39.12* | 27.20 | .57* |
Difficulty organizing tasksc | 10.2 | 6.6 | 1.20 | 1.61 | 38.4 | 2.2 | 40.09* | 28.00 | .46* |
Dislikes tasks requiring attention | 12.8 | 4.2 | 6.39 | 3.36 | 37.2 | 2.2 | 35.99* | 17.80 | .57* |
Loses things | 14.9 | 6.6 | 4.93 | 2.47 | 32.7 | 1.1 | 35.96* | 44.61 | .34* |
Easily distracted | 29.1 | 17.4 | 5.55 | 1.95 | 41.5 | 1.1 | 48.58* | 65.26 | .54* |
Forgetful in daily activities | 15.3 | 5.0 | 7.96 | 3.46 | 29.9 | 1.1 | 31.14* | 39.30 | .42* |
Fidgets | 29.6 | 17.4 | 5.99 | 2.00 | 32.0 | 1.1 | 33.99* | 43.24 | .35* |
Difficulty remaining seated | 12.2 | 0.8 | 13.43* | 16.74 | 12.6 | 1.1 | 10.09* | 13.25 | .48* |
Restless | 23.0 | 6.6 | 14.36* | 4.21 | 28.8 | 0.0 | 32.46* | — | .44* |
Difficulty doing things quietlyc | 13.8 | 0.8 | 15.58* | 19.17 | 13.7 | 1.1 | 11.30* | 14.60 | .43* |
On the go, driven by motor | 19.0 | 8.3 | 6.63 | 2.58 | 25.7 | 0.0 | 28.32* | — | .34* |
Talks excessively | 18.9 | 10.0 | 4.48 | 2.09 | 24.5 | 3.2 | 18.93* | 9.73 | .33* |
Blurts out answers | 12.8 | 6.6 | 3.03 | 2.07 | 17.0 | 1.1 | 14.97* | 18.85 | .41* |
Difficulty waiting turn | 15.4 | 2.5 | 13.15* | 7.09 | 22.4 | 1.1 | 21.40* | 26.63 | .45* |
Interrupts or intrudes | 10.3 | 2.5 | 6.75 | 4.52 | 25.9 | 3.2 | 20.58* | 10.46 | .50* |
Adult-specific symptoms | |||||||||
Easily distracted during concentrationc | 27.6 | 19.0 | 2.70 | 1.62 | 42.2 | 7.6 | 32.93* | 8.86 | .50* |
Makes decisions impulsivelyc | 24.5 | 18.2 | 1.73 | 1.46 | 40.8 | 5.4 | 36.23* | 12.14 | .47* |
Difficulty doing things in proper orderc | 12.8 | 9.1 | 1.00 | 1.46 | 23.3 | 1.1 | 22.43* | 27.93 | .42* |
Starts projects without directionsc | 25.0 | 17.4 | 2.54 | 1.59 | 46.3 | 6.5 | 42.32* | 12.48 | .46* |
Difficulty stopping activitiesc | 10.8 | 9.1 | .25 | 1.21 | 29.7 | 2.2 | 28.13* | 19.25 | .46* |
Poor follow-throughc | 7.7 | 8.3 | .03 | .93 | 33.3 | 3.2 | 30.42* | 15.00 | .57* |
Prone to daydreamingd | 25.5 | 23.1 | .23 | 1.14 | 27.9 | 3.2 | 23.15* | 11.60 | .34* |
Lacks self-disciplined | 11.2 | 9.0 | .13 | 1.15 | 52.4 | 6.5 | 53.00* | 15.97 | .58* |
Trouble doing what tells selfd | 15.3 | 5.8 | 6.58 | 2.94 | 25.9 | 1.1 | 25.69* | 32.07 | .50* |
Cannot defer gratificationd | 17.3 | 9.1 | 4.19 | 2.10 | 38.8 | 7.5 | 28.44* | 7.78 | .48* |
Trouble thinking clearlyd | 15.4 | 4.1 | 9.60 | 4.22 | 29.5 | 2.2 | 27.10* | 19.00 | .48* |
Cannot hold things in memoryd | 16.8 | 8.3 | 4.69 | 2.25 | 31.3 | 1.1 | 33.03* | 41.90 | .44* |
Difficulty persisting on uninteresting tasksd | 32.1 | 29.8 | .20 | 1.12 | 57.8 | 11.8 | 50.21* | 10.22 | .41* |
Trouble organizing thoughtsd | 17.4 | 9.1 | 4.26 | 2.11 | 33.3 | 1.1 | 35.57* | 45.50 | .52* |
Difficulty prioritizing workb | 14.3 | 7.4 | 3.40 | 2.07 | 46.3 | 3.2 | 50.64* | 25.82 | .54* |
Trouble planning aheadb | 15.8 | 6.6 | 5.88 | 2.65 | 40.8 | 5.4 | 36.23* | 12.14 | .46* |
Cannot complete tasks on timeb | 16.3 | 6.6 | 6.40 | 2.76 | 34.0 | 4.3 | 28.84* | 11.47 | .52* |
Cannot work unless under deadlineb | 16.4 | 14.0 | .32 | 1.20 | 47.6 | 8.6 | 39.53* | 9.66 | .39* |
Note. OR = odds ratio.
Impairment r represents the relationship between parent endorsed symptom severity and parent rated overall impairment (Impairment Rating Scale; Fabiano et al., 2006).
Items suggested by Kessler et al., 2010.
Items suggested by Barkley et al., 2008.
Items suggested by Faraone et al., 2010.
p < .001.