PDF herunterladen
Psychiatr Prax 2017; 44(07): 400-405
DOI: 10.1055/s-0042-111041
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Psychometrische Güte der Selbst- und Fremdbeurteilungsinstrumente ADHS-SB und Wender-Reimherr-Interview bei Senioren mit Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung

Psychometric Properties of the Self- and Observer-Ratings ADHD-SR and Wender-Reimherr-Interview in the Assessment of ADHD Symptoms in Old Age
Florence Philipp-Wiegmann
1   Institut für Gerichtliche Psychologie und Psychiatrie, Universität des Saarlandes, Homburg
,
Toivo Zinnow
1   Institut für Gerichtliche Psychologie und Psychiatrie, Universität des Saarlandes, Homburg
,
Wolfgang Retz
2   Klinik für Forensische Psychiatrie und Psychotherapie, Universitätsmedizin der Johannes Gutenberg-Universität Mainz
,
Michael Rösler
1   Institut für Gerichtliche Psychologie und Psychiatrie, Universität des Saarlandes, Homburg
,
Petra Retz-Junginger
1   Institut für Gerichtliche Psychologie und Psychiatrie, Universität des Saarlandes, Homburg
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
12. September 2016 (online)

Auch verfügbar auf
    Lizenzen und Reprints

Zusammenfassung

Ziel der Studie und Methodik Die Anwendbarkeit der etablierten ADHS-Verfahren für Erwachsene, ADHS-SB und Wender-Reimherr-Interview, im Senium wurde an einer Stichprobe von 324 Personen im Alter zwischen 60 und 99 Jahren überprüft.

Ergebnisse Die beiden Verfahren weisen für den Einsatz bei SeniorInnen eine geringere psychometrische Güte auf im Vergleich zur Anwendung bei Erwachsenen im jungen und mittleren Lebensalter. Es zeigt sich eine hohe Korrelation beider Verfahren mit der klinischen Beurteilung der Experten bei Personen im Seniorenalter.

Schlussfolgerung Als Ergänzung zur ausführlichen klinischen Exploration können die ADHS-SB und das WRI auch im Senium als valide Diagnoseinstrumente eingesetzt werden.

Abstract

Objective and Methods The aim of the study was to explore the psychometric properties of the ADHD self-rating ADHD-SR and the observer-rating Wender-Reimherr-Interview WRI for the assessment of ADHD symptoms in old age by using a sample of 324 subjects between 60 and 99 years.

Results In the sample of older people the psychometric properties of the ADHD-SR and the WRI were adequate. Evidence for construct validity is provided through the WRI. Results of logistic analysis’s showed a good discrimination of ADHD for both, the ADHD-SR (89.5 % correct classification; OR = 25.91) and the WRI (86.1 % correct classification; OR = 4.7); specificity ranged between 81 % and 94 %.

Conclusion The study shows that both, the ADHD-SR and the WRI, are reliable and valid as tools for the assessment of ADHD in older adults.

Schlüsselwörter

ADHS - Senium - Diagnostik - psychometrische Verfahren

Keywords

ADHD - old age - diagnostic - psychometric measurements
 

  • Literatur

  • 1 Barkley RA, Fischer M, Edelbrock CS. et al. The Adolescent Outcome of Hyperactive Children Diagnosed by Research Criteria: I. An 8-Year Prospective Follow-up Study. J Am Acad Child Adolesc Psychiatry 1990; 29: 546-557
    CrossrefPubMedGoogle Scholar
  • 2 Biederman J, Faraone SV. Attention-deficit hyperactivity disorder. Lancet 2005; 366: 237-248
    CrossrefPubMedGoogle Scholar
  • 3 Biederman J, Kwon A, Aleardi M. et al. Absence of Gender Effects on Attention Deficit Hyperactivity Disorder: Findings in Nonreferred Subjects. Am J Psychiatry 2005; 162: 1083-1089
    CrossrefPubMedGoogle Scholar
  • 4 Guldberg-Kjär T, Sehlin S, Johansson B. ADHD symptoms across the lifespan in a population-based Swedish sample aged 65 to 80. Int Psychogeriatr 2013; 25: 667-675
    CrossrefPubMedGoogle Scholar
  • 5 Philipsen A, Hesslinger B, Tebartz van Elst L. Attention deficit hyperactivity disorder in adulthood: diagnosis, etiology and therapy. Dtsch Arztebl Int 2008; 105: 311-317
    PubMedGoogle Scholar
  • 6 Sobanski E, Brüggemann D, Alm B. et al. Psychiatric comorbidity and functional impairment in a clinically referred sample of adults with attention-deficit/hyperactivity disorder (ADHD). Eur Arch Psychiatry Clin Neurosci 2007; 257: 371-377
    CrossrefPubMedGoogle Scholar
  • 7 Young S, Myanthi Amarasinghe J. Practitioner Review: Non-pharmacological treatments for ADHD: A lifespan approach. J Child Psychol Psychiatry 2010; 51: 116-133
    CrossrefPubMedGoogle Scholar
  • 8 Fayyad J, De Graaf R, Kessler RC. et al. Cross-national prevalence and correlates of adult attention-deficit hyperactivity disorder. Br J Psychiatry 2007; 190: 402-409
    CrossrefPubMedGoogle Scholar
  • 9 de Zwaan M, Gruß B, Müller A. et al. The estimated prevalence and correlates of adult ADHD in a German community sample. Eur Arch Psychiatry Clin Neurosci 2012; 267: 79-86
    PubMedGoogle Scholar
  • 10 Guldberg-Kjär T, Johansson B. Old people reporting childhood AD/HD symptoms: retrospectively self-rated AD/HD symptoms in a population-based Swedish sample aged 65–80. Nord J Psychiatry 2009; 63: 375-382
    CrossrefPubMedGoogle Scholar
  • 11 Michielsen M, Semeijn E, Comijs HC. et al. Prevalence of attention-deficit hyperactivity disorder in older adults in The Netherlands. Br J Psychiatry 2012; 201: 298-305
    CrossrefPubMedGoogle Scholar
  • 12 Philipp-Wiegmann F, Retz-Junginger P, Retz W. et al. The intraindividual impact of ADHD in the transition of adulthood into seniority. Eur Arch Psychiatry Clin Neurosci 2016; 266: 367-371
    CrossrefPubMedGoogle Scholar
  • 13 Rösler M, Retz W, Thome J. et al. Psychopathological rating scales for diagnostic use in adults with attention-deficit/hyperactivity disorder (ADHD). Eur Arch Psychiatry Clin Neurosci 2006; 256: 3-11
    CrossrefPubMedGoogle Scholar
  • 14 Jensen P, Rubio-Stipec M, Canino G. et al. Parent and child contributions to diagnosis of mental disorder: are both informants always necessary?. J Am Acad Child Adolesc Psychiatr 1999; 38: 1569-1579
    CrossrefPubMedGoogle Scholar
  • 15 Gittelman R, Mannuzza S. Diagnosing ADD-H in adolescents. Psychopharmacol Bull 1985; 21: 237-242
    PubMedGoogle Scholar
  • 16 Zucker M, Morris M, Ingram S. et al. Concordance of self- and informant ratings of adults’ current and childhood attention-deficit/hyperactivity disorder symptoms. Psychol Assessment 2002; 14: 379-389
    CrossrefPubMedGoogle Scholar
  • 17 Murphy P, Schachar R. Use of Self-Ratings in the Assessment of Symptoms of Attention Deficit Hyperactivity Disorder in Adults. Am J Psychiatry 2000; 157: 1156-1159
    CrossrefPubMedGoogle Scholar
  • 18 Rösler M, Retz W, Retz-Junginger P. et al. Tools for the diagnosis of attention-deficit/hyperactivity disorder in adults. Self-rating behaviour questionnaire and diagnostic checklist. Nervenarzt 2004; 75: 888-895
    PubMedGoogle Scholar
  • 19 Rösler M, Retz-Junginger P, Retz W. et al. HASE – Hombuger ADHS-Skalen für Erwachsene. Göttingen, Bern, Wien, Paris, Oxford, Prag, Toronto, Cambridge, Amsterdam, Kopenhagen: Hogrefe; 2008
    Google Scholar
  • 20 Brod M, Pohlman B, Lasser R. et al. Comparison of the burden of illness for adults with ADHD across seven countries: a qualitative study. Health Qual Life Outcomes 2012; 10: 47
    CrossrefPubMedGoogle Scholar
  • 21 Ginsberg Y, Beusterien KM, Amos K. et al. The unmet needs of all adults with ADHD are not the same: a focus on Europe. Expert Rev Neurother 2014; 14: 799-812
    CrossrefPubMedGoogle Scholar
  • 22 Michielsen M, Comijs HC, Semeijn EJ. et al. Attention deficit hyperactivity disorder and personality characteristics in older adults in the general Dutch population. Am J Geriat Psychiat 2014; 22: 1623-1632
    CrossrefPubMedGoogle Scholar
  • 23 Semeijn EJ, Comijs HC, Kooij JJ. et al. The role of adverse life events on depression in older adults with ADHD. J Affect Disord 2014; 174: 574-579
    PubMedGoogle Scholar
  • 24 Philipp-Wiegmann F, Supprian T. Wenn Zappelphilipp in Rente geht – ADHS im höheren Lebensalter. VPP 2015; 47: 913-919
    PubMedGoogle Scholar
  • 25 Mitchell A, Cottler L, Shapiro S. Effect of questionnaire design on recall of drug exposure in pregnancy. Am J Epidemiol 1968; 123: 670-676
    PubMedGoogle Scholar
  • 26 Supprian T, Rösler M, Retz-Junginger P. et al. Aufmerksamkeitsdefizit-/Hyperaktivitätssyndrom im höheren Lebensalter. PiD 2011; 12: 228-230
    PubMedGoogle Scholar