Please ensure Javascript is enabled for purposes of website accessibility
REVIEW PAPER
Psychological diagnosis of ADHD symptoms in adults: a review of selected diagnostic tools
 
More details
Hide details
1
Institute of Psychology, Faculty of Educational Sciences, University of Lodz, Poland
 
 
Submission date: 2024-07-26
 
 
Final revision date: 2024-10-08
 
 
Acceptance date: 2024-11-20
 
 
Publication date: 2025-09-30
 
 
Corresponding author
Monika E. Talarowska
Monika E. Talarowska Institute of Psychology Faculty of Educational Sciences University of Lodz Lodz, Poland
 
 
Medical Studies 2025;41(3):189-200
 
KEYWORDS
TOPICS
ABSTRACT
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder that has its onset in childhood and whose symptoms can persist into adulthood. On the one hand, ADHD symptoms in adults often go untreated, while on the other hand, there is a risk of overdiagnosis of the disorder. One of the reasons for this phenomenon is the lack of accurate and reliable diagnostic tools. The purpose of this article is to provide an introduction to the available scales, interviews, and psychological diagnostic tools that can be used to diagnose ADHD in adults. An accurate psychological diagnosis of attention deficit hyperactivity disorder is not an easy task. It requires not only specialized knowledge based on the latest classifications of disorders, but also the expertise and ability to appropriately apply a range of diagnostic tools that allow a holistic assessment of the subject’s functioning. A holistic psychological diagnosis that includes the areas of patient mental functioning covered in this paper seems to be a necessity.
REFERENCES (69)
1.
Sedgwick-Müller JA, Müller-Sedgwick U, Adamou M, Catani M, Champ R, Gudjónsson G, Hank D, Pitts M, Young S, Asherson P. University students with attention deficit hyperactivity disorder (ADHD): a consensus statement from the UK Adult ADHD Network (UKAAN). BMC Psychiatry. 2022; 22: 292.
 
2.
Thomas R, Sanders S, Doust J, Beller E, Glasziou P. Prevalence of attention-deficit/hyperactivity disorder: a systematic review and meta-analysis. Pediatrics. 2015; 135: e994-e1001.
 
3.
Kessler RC, Adler LA, Barkley R, Biederman J, Conners CK, Faraone SV, Greenhill LL, Jaeger S, Secnik K, Spencer T, Bedirhan Üstün T, Zaslavsky AM. Patterns and predictors of attention-deficit/hyperactivity disorder persistence into adulthood: results from the National Comorbidity Survey Replication. Biol Psychiatry. 2005; 57: 1442-1451.
 
4.
Song P, Zha M, Yang Q, Zhang Y, Li X, Rudan I. The prevalence of adult attention-deficit hyperactivity disorder: a global systematic review and meta-analysis. J Global Health. 2021; 11: 04009.
 
5.
Prakash J, Chatterjee K, Guha S, Srivastava K, Chauhan VS. Adult attention-deficit hyperactivity disorder: from clinical reality toward conceptual clarity. Ind Psychiatry J. 2021; 30: 23-28.
 
6.
World Health Organization. International Classification of Diseases 11th Revision. The global standard for diagnostic health information. Available at: https://icd.who.int/en (9.07.2024).
 
7.
Wallin K, Alehagen S, Hanberger L, Lundell IW, Hultsjö S. Sexual and reproductive health in young women with ADHD from the view of health care professionals. BMC Womens Health. 2024; 24: 389.
 
8.
Sobanski E, Brüggemann D, Alm B, Kern S, Philipsen A, Schmalzried H, Heblinger B, Waschkowski H, Rietschel M. Subtype differences in adults with attention-deficit/hyperactivity disorder (ADHD) with regard to ADHD-symptoms, psychiatric comorbidity and psychosocial adjustment. Eur Psychiatry. 2008; 23: 142-149.
 
9.
Orm S, Andersen PN, Teicher MH, Fossum IN, Øie MG, Skogli EW. Childhood executive functions and ADHD symptoms predict psychopathology symptoms in emerging adults with and without ADHD: a 10-year longitudinal study. Res Child Adolesc Psychopathol. 2023; 51: 261-271.
 
10.
Cadman T, Findon J, Eklund H, Hayward H, Howley D, Cheung C, Kuntsi J, Glaser K, Murphy D, Asherson P. Six-year follow-up study of combined type ADHD from childhood to young adulthood: predictors of functional impairment and comorbid symptoms. Eur Psychiatry. 2016; 35: 47-54.
 
11.
London AS, Landes SD. Attention deficit hyperactivity disorder and adult mortality. Prev Med. 2016; 90: 8-10.
 
12.
Pawaskar M, Fridman M, Grebla R, Madhoo M. Comparison of quality of life, productivity, functioning and self-esteem in adults diagnosed with ADHD and with symptomatic ADHD. J Atten Disord. 2020; 24(1): 136-144.
 
13.
Adamis D, West S, Singh J, Hanley L, Coada I, McCarthy G, Langan N, Gavin B, McNicholas F. Functional impairment and quality of life in newly diagnosed adults attending a tertiary ADHD clinic in Ireland. Ir J Med Sci. 2024; 193(5): 2433-2441.
 
14.
Pedersen AB, Edvardsen BV, Messina SM, Volden MR, Weyandt LL, Lundervold AJ. Self-esteem in adults with ADHD using the Rosenberg Self-Esteem Scale: a systematic review. J Atten Disord. 2024; 28(7): 1124-1138.
 
15.
DSM-5-TR Desk reference to the Diagnostic criteria from DSM-5-TR. APA, 2022.
 
16.
ICD-10. Klasyfikacja zaburzeń psychicznych i zaburzeń zachowania w ICD-10. Badawcze kryteria diagnostyczne. IPiN: Warszawa; 1998.
 
17.
Weisler RH, Goodman DW. Ocena i rozpoznawanie ADHD u dorosłych: wyzwania kliniczne i możliwości poprawy opieki nad chorymi. Psych po Dypl. 2009; 2(6): 31-41.
 
18.
Vidal-Estrada R, Bosch-Munso R, Nogueira-Morais M, Casas-Brugue M, Ramos-Quiroga JA. Psychological treatment of attention deficit hyperactivity disorder in adults: a systematic review. Actas Esp Psiquiatr. 2012; 40(3): 147-154.
 
19.
Kessler RC, Adler L, Ames M, Delmer O, Faraone S, Hiripi E, Howes MJ, Jin R, Boye KS, Spencer T, Ustun TB, Walters EE. The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychol Med. 2005; 35: 245-256.
 
20.
Kessler RC, Green JG, Adler LA, Barkley RA, Chatterji S, Faraone SV, Finkelman M, Greenhill LL, Gruber MJ, Jewell M, Russo LJ, Sampson NA, Van Brunt DL. Structure and diagnosis of adult attention-deficit/hyperactivity disorder: analysis of expanded symptom criteria from the Adult ADHD Clinical Diagnostic Scale. Arch Gen Psychiatry. 2010; 67(11): 1168-1178.
 
21.
Adler LA, Faraone SV, Sarocco P, Atkins N, Khachatryan A. Establishing US norms for the Adult ADHD Self-Report Scale (ASRS-v1.1) and characterising symptom burden among adults with self-reported ADHD. Int J Clin Pract. 2019; 73(1): e13260.
 
22.
Green JG, DeYoung G, Wogan ME, Wolf EJ, Lane KL, Adler LA. Evidence for the reliability and preliminary validity of the Adult ADHD Self-Report Scale v1.1 (ASRS v1.1) Screener in an adolescent community sample. Int J Methods Psychiatr Res. 2019; 28(1): e1751.
 
23.
Ustun B, Adler LA, Rudin C, Faraone SV, Spencer TJ, Berglund P, Gruber MJ, Kessler RC. The World Health Organization Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5. JAMA Psychiatry. 2017; 74(5): 520-527.
 
24.
Todd RD, Huang H, Henderson CA. Poor utility of the age of onset criterion for DSM-IV attention deficit/hyperactivity disorder: recommendations for DSM-V and ICD-11. J Child Psychol Psychiatry. 2008; 49(9): 942-949.
 
25.
Pettersson R, Soderstrom S, Nilsson K. Diagnosing ADHD in adults: an examination of the discriminative validity of neuropsychological tests and diagnostic assessment instruments. J Attent Disord. 2018; 22(11): 1019-1031.
 
26.
Lundervold AJ, Vartiainen H, Jensen D, Haavik J. Test-Retest Reliability of the 25-item version of Wender Utah Rating Scale. Impact of current ADHD severity on retrospectively assessed childhood symptoms. J Atten Disord. 2021; 25(7): 1001-1009.
 
27.
Ward MF, Wender PH, Reimherr FW. The Wender Utah Rating Scale: an aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder. Am J Psychiatry. 1993; 150(6): 885-890.
 
28.
Gift TE, Reimherr ML, Marchant BK, Steans TA, Reim- herr FW. Wender Utah Rating Scale: psychometrics, clinical utility and implications regarding the elements of ADHD. J Psychiatr Res. 2021; 135: 181-188.
 
29.
Hanley C, Saleem F, Graffeo I, McCarthy G, Gavin B, McNicholas F, Adamis D. Association of Wender Utah Rating Scale (WURS)-61 items with clinical psychiatric diagnosis in adulthood. Ir J Med Sci. 2022; 191(1): 327-335.
 
30.
Reimherr FW, Marchant BK, Gift TE, Steans TA, Reim- herr ML. Psychometric data and versions of the Wender Utah Rating Scale including the WURS-25 & WURS-45. Data Brief. 2021; 37: 107232.
 
31.
Das D, Vélez JI, Acosta MT, Muenke M, Arcos-Burgos M, Easteal S. Retrospective assessment of childhood ADHD symptoms for diagnosis in adults: validity of a short 8-item version of the Wender-Utah Rating Scale. Atten Defic Hyperact Disord. 2016; 8(4): 215-223.
 
32.
Marshall P, Hoelzle J, Nikolas M. Diagnosing Attention-Deficit/Hyperactivity Disorder (ADHD) in young adults: a qualitative review of the utility of assessment measures and recommendations for improving the diagnostic process. Clin Neuropsychol. 2021; 35(1): 165-198.
 
33.
Smyth AC, Meier ST. Evaluating the psychometric properties of the conners adult ADHD Rating Scales. J Atten Disord. 2019; 23(10): 1111-1118.
 
34.
Kwan D, Davin N, Harrison AG, Gillie S. Determining cutoff scores on the Conners’ adult ADHD rating scales that can definitively rule out the presence of ADHD in a clinical sample. Appl Neuropsychol Adult. 2024; 3: 1-11.
 
35.
Harrison AG, Nay S, Armstrong IT. Diagnostic accuracy of the Conners’ Adult ADHD Rating Scale in a postsecondary population. J Atten Disord. 2019; 23(14): 1829-1837.
 
36.
Alexander L, Liljequist L. Determining the accuracy of self-report versus informant-report using the Conners’ Adult ADHD Rating Scale. J Atten Disord. 2016; 20(4): 346-352.
 
37.
Adler L, Cohen J. Diagnosis and evaluation of adults with attention-deficit/hyperactivity disorder. Psychiatr Clin North Am. 2004; 27(2): 187-201.
 
38.
First MB, Williams JBW, Karg RS, Spitzer RL. User’s Guide for the Structured Clinical Interview for DSM-5 Disorders, Research Version (SCID-5-RV). Arlington, VA, American Psychiatric Association; 2015.
 
39.
Gorlin EI, Dalrymple K, Chelminski I, Zimmerman M. Reliability and validity of a semi-structured DSM-based diagnostic interview module for the assessment of Attention Deficit Hyperactivity Disorder in adult psychiatric outpatients. Psychiatry Res. 2016; 242: 46-53.
 
40.
Epstein JN, Johnson DE, Conners CK. Conners Adult ADHD Diagnostic Interview for DSM-IV. Multi-Health Systems, 1999.
 
41.
Epstein JN, Kollins SH. Psychometric properties of an adult ADHD diagnostic interview. J Atten Disord. 2006; 9(3): 504-514.
 
42.
Wujcik R, Wrocławska-Warchala E. CONNERS 3, Zestaw Kwestionariuszy do Diagnozy ADHD i zaburzeń współwystępujących. PTP, Warszawa 2018.
 
43.
Kooij JJS, Francken MH, Bron TI, Wynchank D. Diagnostisch Interview Voor ADHD bij volwassenen. DIVA Foundation, Haga 2019.
 
44.
Hong M, Kooij JJS, Kim B, Joung YS, Yoo HK, Kim EJ, Lee SI, Bhang SY, SY, Han DH, Lee YS, Bahn GH. Validity of the Korean Version of DIVA-5: a semi-structured diagnostic interview for adult ADHD. Neuropsychiatr Dis Treat. 2020; 16: 2371-2376.
 
45.
Li C, Delgado-Gómez D, Sujar A, Wang P, Martin-Moratinos M, Bella-Fernández M, Masó-Besga AE, Peñuelas-Calvo I, Ardoy-Cuadros J, Hernández-Liebo P, Blasco-Fontecilla H. Assessment of ADHD subtypes using motion tracking recognition based on Stroop Color-Word Tests. Sensors (Basel). 2024; 24(2): 323.
 
46.
Miller M, Ho J, Hinshaw SP. Executive functions in girls with ADHD followed prospectively into young adulthood. Neuropsychology. 2012; 26(3): 278-287.
 
47.
Yang Y, Shields GS, Zhang Y, Wu H, Chen H, Romer AL. Child executive function and future externalizing and internalizing problems: a meta-analysis of prospective longitudinal studies. Clin Psychol Rev. 2022; 97: 102194.
 
48.
Krieger V, Amador-Campos JA, Gallardo-Pujol D. Temperament, executive function, and attention-deficit/hyperactivity disorder (ADHD) in adolescents: the mediating role of effortful control. J Clin Exp Neuropsychol. 2019; 41(6): 615-633.
 
49.
Kostyrka-Allchorne K, Wass SV, Yusuf H, Rao V, Bertini C, Sonuga-Barke EJS. Inhibitory deficits and symptoms of attention-deficit hyperactivity disorder: how are they related to effortful control? Br J Dev Psychol. 2023; 41(1): 50-65.
 
50.
Christiansen H, Hirsch O, Albrecht B, Chavanon ML. Attention-Deficit/Hyperactivity Disorder (ADHD) and emotion regulation over the life span. Curr Psychiatry Rep. 2019; 21(3): 17.
 
51.
Hirsch O, Chavanon M, Riechmann E, Christiansen H. Emotional dysregulation is a primary symptom in adult Attention-Deficit/Hyperactivity Disorder (ADHD). J Affect Disord. 2018; 232: 41-47.
 
52.
Hwang S, White SF, Nolan ZT, Craig Williams W, Sinclair S, Blair RJ. Executive attention control and emotional responding in attention-deficit/hyperactivity disorder--a functional MRI study. Neuroimage Clin. 2015; 9: 545-554.
 
53.
Lundervold AJ, Halmøy A, Nordby ES, Haavik J, Meza JI. Current and retrospective childhood ratings of emotional fluctuations in adults with ADHD. Front Psychol. 2020; 11: 571101.
 
54.
Soler-Gutiérrez AM, Pérez-González JC, Mayas J. Evidence of emotion dysregulation as a core symptom of adult ADHD: a systematic review. PLoS One. 2023; 18(1): e0280131.
 
55.
Shaw P, Stringaris A, Nigg J, Leibenluft E. Emotion dysregulation in attention deficit hyperactivity disorder. Am J Psychiatry. 2014; 171(3): 276-293.
 
56.
Riley AW, Spiel G, Coghill D, Döpfner M, Falissard B, Lorenzo MJ, Preuss U, Ralston SJ, ADORE Study Group. Factors related to health-related quality of life (HRQoL) among children with ADHD in Europe at entry into treatment. Eur Child Adolesc Psychiatry. 2006; 15 (Suppl 1): I38-I45.
 
57.
Oettingen J, Chodkiewicz J, Mącik D, Gruszczyńska E. Polish adaptation of the Young Schema Questionnaire 3 Short Form (YSQ-S3-PL). Psych Pol. 2018; 52(4): 707-718.
 
58.
Kiraz S, Sertçelik S. Adult attention deficit hyperactivity disorder and early maladaptive schemas. Clin Psychol Psychother. 2021; 28(5): 1055-1064.
 
59.
Philipsen A, Lam AP, Breit S, Lücke C, Müller HH, Matthies S. Early maladaptive schemas in adult patients with attention deficit hyperactivity disorder. Atten Defic Hyperact Disord. 2017; 9(2): 101-111.
 
60.
Schein J, Cloutier M, Gauthier-Loiselle M, Bungay R, Arpin E, Guerin A, Childress A. Risk factors associated with newly diagnosed attention-deficit/hyperactivity disorder in adults: a retrospective case-control study. BMC Psychiatry. 2023; 23(1): 870.
 
61.
Adamis D, Kasianenko D, Usman M, Saleem F, Wrigley M, Gavin B, McNichols F. Prevalence of personality disorders in adults with attention deficit hyperactivity disorder (ADHD). J Atten Disord. 2023; 27(7): 658-668.
 
62.
Brevik EJ, Lundervold AJ, Halmøy A, Posserud MB, Instanes JT, Bjorvatn B, Haavik J. Prevalence and clinical correlates of insomnia in adults with attention-deficit hyperactivity disorder. Acta Psychiatr Scand. 2017; 136(2): 220-227.
 
63.
Leman TY, Barden S, Swisher VS, Joyce DS, Kaplan KA, Zeitzer JM, Loo SK, Ricketts EJ. Sleep insufficiency and bedtime irregularity in children with ADHD: a population-based analysis. Sleep Med. 2024; 121: 117-126.
 
64.
Gammoh O, Alqudah A, Qnais E, Aljabali AAA, Bin- saleh AY, Shilbayeh SAR. Are sleep aids associated with the severity of attention deficit hyperactivity disorder symptoms in adults screened for insomnia? A Cross-Sectional Study. J Clin Med. 2024; 13(6): 1682.
 
65.
Fadeuilhe C, Daigre C, Grau-López L, Richarte V, Palma-Álvarez RF, Corrales M, Saez B, Baz m, Ramos-Quiroga JA. The impact of insomnia disorder on adult attention-deficit/hyperactivity disorder severity: a six-month follow-up study. Psychiatry Res. 2022; 308: 114349.
 
66.
First MB. DSM-5-TR Handbook of Differential Diagnosis. New York 2014.
 
67.
Bloo J, Arntz A, Schouten E. Lista kontrolna zaburzeń osobowości z pogranicza (BPD): ocena psychometryczna i struktura czynnikowa w próbie klinicznej i nieklinicznej. Rocz Psychol. 2017; XX(2): 281-309.
 
68.
Oltmanns JR, Widiger TA. A self-report measure for the ICD-11dimensional trait model proposal: the personality inventory for ICD-11. Psychol. Assess. 2018; 30(2): 154-169.
 
69.
Cieciuch J, Łakuta P, Strus W, Oltmanns JR, Widiger T. Assessment of personality disorder in the ICD-11 diagnostic system: Polish validation of the Personality Inventory for ICD-11. Psychiatr Pol. 2022; 56(6): 1185-1202.
 
eISSN:2300-6722
ISSN:1899-1874
Journals System - logo
Scroll to top