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Diagnosis and Treatment


Rating Scales and Checklists

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Scales and checklists help clinicians obtain information from parents, teachers, and others about symptoms and functioning in various settings, which is necessary for an appropriate assessment for AD/HD and treatment monitoring. Symptoms must be present in more than one setting (for example, both at home and in school) to meet DSM-IV criteria for the condition. Such instruments are only one component of a comprehensive evaluation, which includes a medical examination and interviews.

According to the American Academy of Child and Adolescent Psychiatry, the most commonly used scales are:

  • Parent-completed Child Behavior Checklist
  • Teacher Report Form (TRF) of the Child Behavior Checklist
  • Conners Parent and Teacher Rating Scales (see below)
  • ADD-H: Comprehensive Teacher Rating Scale (ACTeRS)
  • Barkley Home Situations Questionnaire (HSQ) (see below)
  • Barkley School Situations Questionnaire (SSQ) (see below)

According to the Agency for Healthcare Research and Quality (AHRQ), formerly the Agency for Health Care Policy and Research, AD/HD-specific rating scales are more accurate in distinguishing between children with and without the diagnosis of AD/HD, than global, nonspecific questionnaires and rating scales that assess a variety of behavioral conditions. 

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