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* Attention Deficit Hyperactivity Disorder
J Neuropsychiatry Clin Neurosci 12:240-245, May 2000
© 2000 American Psychiatric Press, Inc.

Discriminant Validity of the Wender Utah Rating Scale for Attention-Deficit/Hyperactivity Disorder in Adults

Barbara S. McCann, Ph.D., Leonard Scheele, M.D., Nicholas Ward, M.D. and Peter Roy-Byrne, M.D.

Received March 16, 1999; revised June 10, 1999; accepted July 30, 1999. From the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington. Address correspondence to Dr. McCann, Harborview Medical Center, 325 Ninth Avenue, Box 359911, Seattle, WA 98104–2499.

The authors examined the factor structure and discriminant validity of the Wender Utah Rating Scale (WURS) in adults seeking evaluation for attention-deficit/hyperactivity disorder (ADHD). Three factors (Dysthymia, Oppositional/Defiant Behavior, and School Problems) accounted for 59.4% of the variance. In a stepwise discriminant function analysis, age and childhood school problems emerged as significant variables. The classification procedure correctly classified 64.5% of patients. Among those who did not have ADHD, only 57.5% were correctly classified compared with 72.1% among those with ADHD. The WURS is sensitive in detecting ADHD, but it misclassifies approximately half of those who do not have ADHD.

Key Words: Attention-Deficit/Hyperactivity Disorder • Rating Instruments




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