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KMID : 0367320190300030116
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Journal of the Korean Academy of Child and Adolescent Psychiatry
2019 Volume.30 No. 3 p.116 ~ p.120
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Clinical Utility and Cut-Off Scores of the Korean Adult Attention-Deficit/Hyperactivity Disorder Rating Scale
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Hong Min-Ha
Lee Young-Sik
Kim Bong-Seog
Joung Yoo-Sook
Yoo Han-Ik
Kim Eui-Jung
Lee So-Young Irene
Bhang Soo-Young
Lee Seung-Yup
Han Doug-Hyun
Bahn Geon-Ho
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Abstract
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Objectives: This study was conducted to re-validate the clinical efficacy of the Korean Adult Attention-Deficit/Hyperactivity Disorder (ADHD) Rating Scale (K-AARS), which is a self-report scale for ADHD in adults, and to determine the clinical utility and cut-off scores of K-AARS.
Methods: The participants were 135 drug naive adults with ADHD and 144 healthy controls. To diagnose ADHD based on the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, two board-certified pediatric psychiatrists interviewed the participants and completed the Mini International Neuropsychiatric Interview. K-AARS was applied to all participants. K-AARS comprises six clinical subscales, one impairment subscale, and one driving behavior subscale. The receiver operating characteristic analysis was conducted to calculate the cut-off scores of K-AARS.
Results: All subscale scores, including six clinical subscale, impairment subscale, and driving behavior subscale scores, were found to be significant in distinguishing adults with ADHD from healthy controls. The sensitivity and specificity of the six clinical subscales were 63.0?77.0% and 66.7?79.9%, respectively. The combined total score of the six clinical subscales, had a sensitivity of 80.0% and specificity of 79.9%.
Conclusion: The discriminative power of K-AARS for the diagnosis of ADHD in adults was excellent, and K-AARS and the empirical diagnosis of adults can be useful in diagnosing ADHD in adulthood.
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KEYWORD
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Attention deficit hyperactivity disorder, Adult, Dysregulation, Disorganization, Impairment, Driving, Korean adult attention-deficit/hyperactivity disorder rating scale
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