Reliability and validity of proposed DSM-5 ADHD symptoms in a clinical sample of adults

Breno Matte, Luis Augusto Rohde, J. Blake Turner, Prudence W. Fisher, Sa Shen, Claiton H.D. Bau, Joel T. Nigg, Eugenio H. Grevet

Research output: Contribution to journalArticlepeer-review


The DSM-5 ADHD and Disruptive Behaviors Work Group proposed two major changes for diagnosis of attention deficit hyperactivity disorder (ADHD) in adults: 1) inclusion of four new impulsivity symptoms and 2) reduction in the number of symptoms required for assigning an ADHD diagnosis. In this case-control study, the performance of these modifications was assessed in a clinical sample of 133 adult subjects (68 ADHD cases and 65 non-ADHD control subjects). The proposed new impulsivity symptoms for adults do not improve ADHD diagnosis enough to overcome potential negative effects of changing the criteria. However, fewer symptoms than the six-of-nine threshold required by DSM-IV provided the best cutoff point for identifying adults who are impaired.

Original languageEnglish (US)
Pages (from-to)228-236
Number of pages9
JournalJournal of Neuropsychiatry and Clinical Neurosciences
Issue number3
StatePublished - Aug 26 2015
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health


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