Diagnostic Accuracy of the French Version of the Adult Attention Deficit / Hyperactivity Disorder Self-Report Screening Scale for DSM-5 (ASRS-5)
Résumé
Attention Deficit/Hyperactivity Disorder (ADHD) often persists into adulthood. However, few screening tools have been adapted
to assess adult ADHD using the DSM-5 criteria. This study assessed the diagnostic accuracy of a French version of the ADHD
Self-Report Screening for DSM-5 (ASRS-5). This multicentric cross-sectional study included 557 participants: 309 adult ADHD
outpatients without bipolar disorder (BD)/borderline personality disorder (BPD) (n = 236) or with BD/BPD (n = 36) and 285
adults without ADHD who were either healthy volunteers (n = 248) or outpatients with BD or BPD (n = 37). Measures included
ADHD diagnosis and the ASRS-5. The ASRS-5 was a good predictor of ADHD diagnosis (cut-off score ! 13/24: sensitivity =
84.3%, specificity = 91.9%) in the sample of adult outpatients without comorbid disorders/healthy controls. Performances were
lower with this cut-off score in some subgroups, notably low-severity ADHD symptomatology (sensitivity = 63.5%) and participants
with BD or BPD (sensitivity = 91.7%, specificity = 54.1%). The French ASRS-5 had acceptable screening properties,
even if its performance varied according to clinical variables. Further evidence is needed for patients with comorbid disorders
having overlapping symptoms.
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