The Clinical Utility of ASRS-v1.1 for Identifying ADHD in Alcoholics Using PRISM as the Reference Standard

Maria M. Reyes, Terry D. Schneekloth, Mario J. Hitschfeld, Jennifer R. Geske, David L. Atkinson, Victor M. Karpyak

Research output: Contribution to journalArticle

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Objective: The objective was to assess the clinical utility of the Adult ADHD Self-Report Scale (ASRS-v1.1) in identifying ADHD in alcoholics using the Psychiatric Research Interview for Substance and Mental Disorders (PRISM) as the diagnostic “gold standard.” Method: We performed a secondary analysis of data from 379 treatment-seeking alcoholics who completed the ASRS-v1.1 and the ADHD module of the PRISM. Data analysis included descriptive statistics. Results: The prevalence of ADHD was 7.7% (95% CI = [5.4, 10.8]). The positive predictive value (PPV) of the ASRS-v1.1 was 18.1% (95% CI = [12.4, 25.7]) and the negative predictive value (NPV) was 97.6% (95% CI = [94.9, 98.9]). The ASRS-v1.1 demonstrated a sensitivity of 79.3% (95% CI = [61.6, 90.2]) and a specificity of 70.3% (95% CI = [65.3, 74.8]). Conclusion: The ASRS-v1.1 demonstrated acceptable sensitivity and specificity in a sample of treatment-seeking alcoholics when compared with the PRISM as the reference standard for ADHD diagnosis.

Original languageEnglish (US)
Pages (from-to)1119-1125
Number of pages7
JournalJournal of Attention Disorders
Issue number10
Publication statusPublished - Aug 1 2019



  • ADHD
  • alcohol
  • ASRS-v1.1

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology

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