ADHD Diagnosis

Adult ADHD Diagnostic Evaluator (Bayesian Analysis)

Adult ADHD Diagnostic Evaluator

Bayesian analysis using ASRS-v1.1 scores and patient risk factors.

Step 1: Determine Pre-test Probability

Baseline US Prevalence assumed at 7%. Check all factors that apply to the patient.

Step 2: Enter ASRS Screener Score

Enter the total score from the patient's ASRS-v 1.1 measurement.

Evaluation Results

Calculation Summary

Metric Value
Calculated Pre-test Probability -
ASRS Score (Cut-off Used) -
Positive Likelihood Ratio (+LR) Applied -
Final Post-Test Probability -

Reference: ASRS-v 1.1 Likelihood Ratios

ASRS Cut-Off Sensitivity Specificity +LR -LR

Summary of ADHD Evaluation

 

Alternative Explanations: Check if any of the following are true

-Negative childhood ADHD symptoms from collateral

-Negative academic problems 

-Presence of anxiety or mood disorder that explains the presentation

-Presence of Avoidant traits or perfectionism that explains the presentation 

-Lack of response to classic stimulants in the past 

 

References: 

 

Kessler RC, Adler LA, Gruber MJ, Sarawate CA, Spencer T, Van Brunt DL. Validity of the World Health Organization Adult ADHD Self‐Report Scale (ASRS) Screener in a representative sample of health plan members. Int J Methods Psych Res. 2007;16(2):52-65. doi:10.1002/mpr.208

Brevik EJ, Lundervold AJ, Haavik J, Posserud M. Validity and accuracy of the Adult Attention‐Deficit/Hyperactivity Disorder (ADHD) Self‐Report Scale (ASRS) and the Wender Utah Rating Scale (WURS) symptom checklists in discriminating between adults with and without ADHD. Brain and Behavior. 2020;10(6):e01605. doi:10.1002/brb3.1605