Abstract
Objectives
This study was conducted in order to determine the validity and reliability of the Korean Version of the Conners Adult ADHD Rating Scales-42 items & 26 items (K-CAARS-42 & K-CAARS-26) in nonclinical adult subjects.
Methods
The K-CAARS-42 & K-CAARS-26 was tested in non-clinical (n=270) native Korean-speakers. Internal consistency reliability was calculated using Cronbach's alpha and test-retest reliability was measured using Pearson correlations. To see validity, we performed the confirmatory factor analysis for determination of whether the four-factor model fit the data.
Results
The results showed that the subscales had acceptable internal consistency reliability and high test-retest reliability ; and the second-order scores showed significant correlation with the Korean version of the Barratt Impulsiveness Scale-11-Revised and Prospective and Retrospective Memory Questionnaire. The Confirmatory factor analysis revealed a four-factor structure of both K-CAARS-42 and K-CAARS-26.
Conclusion
The K-CAARS-42 & K-CAARS-26 is reliable and has possible utility for symptom assessment of attention deficit and hyperactivity disorder in nonclinical adult subjects. Further research is needed in order to determine the cutoff score for administration of the K-CAARS-42 & K-CAARS-26 to clinical adult subjects.
Figures and Tables
Table 3
*: p<0.05, **: p<0.01. K-CAARS-42 : Korean version of the Conners Adult ADHD Rating Scale-42, K-CAARS-26 : Korean version of the Conners Adult ADHD Rating Scale-26, ADHD : Attention deficit hyperactivity disorder, K-BIS-11-R : Korean version of the Barratt Impulsiveness Scale-11-Revised, PRMQ : Prospective and Retrospective Memory Questionnaire
References
1. Davidson MA. ADHD in adults. A review of the literature. J Atten Disord. 2008; 11:628–641.
2. Teeter PA. Intervention for ADHD: Treatment in developmental context. New York: Guilford Press;1998.
3. Willoughby MT. Developmental course of ADHD symptomatology during the transition from childhood to adolescence: a review with recommendations. J Child Psychol Psychiatry. 2003; 44:88–106.
4. Johnson DE, Conners CK. The Assessment process: conditions and comorbidities. Clinician's guide to adult ADHD: Assessment and intervention. San Diego: Academic Press;2002. p. 71–83.
5. Ward MF, Wender PH, Reimherr FW. The Wender Utah Rating Scale: an aid in the retrospective diagnosis of childhood attention deficit disorder. Am J Psychiatry. 1993; 150:885–890.
6. Wender PH. Attention deficit hyperactivity disorder in adults. New York: Oxford University Press;1995.
7. Barkley RA. Attention Deficit hyperactivity disorder: A handbook for diagnosis and treatment. New York: Guilford Press;1998.
8. Mannauzza S, Klein R, Bessler A, Shrout P. Acuuracy of adult recall of childhood attention deficit hyperactivity disorder. Am J Psychiatry. 2002; 159:1882–1888.
9. Murphy P, Schachar R. Use self-ratings in the assessment of symptoms of attention deficit hyperactivity disorder in adults. Am J Psychiatry. 2000; 157:1156–1159.
10. Conners CK, Erhart D, Sparrow EP. Conners' adult ADHD rating scales, technical manual. New York: Multi-Health Systems;1999.
11. Conners CK, Erhart D, Epstein JN, Parker JDA, Sitarenious G. Self-ratings of ADHD symptoms in adults II: Reliability, validity, and diagnostic sensitivity. J Atten Disord. 1999; 3:153–158.
12. Christiansen H, Kis B, Hirsch O, Philipsen A, Henneck M, Panczuk A, et al. German validation of the Conners Adult ADHD Rating Scales-self-report (CAARS-S) I: Factor structure and normative data. Eur Psychiatry. 2011; 26:100–107.
13. Kim HY, Lee JY, Cho SS, Lee IS, Kim JH. A preliminary study on reliability and validity of the Conners Adult ADHD Rating Scales-Korean version in college students. Korean J Clin Psychol. 2005; 24:171–185.
14. Chang MS. The Validation of Conners' Adult ADHD Scale-Korean (Short Version). Korean J Clin Psychol. 2008; 27:499–513.
15. Patton JH, Stanford MS, Barratt ES. Factor Structure of the Barratt Impulsiveness Scale. J Clin Psychol. 1995; 51:768–774.
16. Lee SR, Lee WH, Park JS, Kim SM, Kim JW. The Study on Reliability and Validity of Korean Version of the Barratt impulsiveness Scale-11-Revised in Nonclinical Adult Subjects. J Korean Neuropsychiar Assoc. 2012; 51:378–386.
17. Smith G, Sala SD, Logie RH, Mayor E. Prospective and Retrospective memory in normal ageing and dementia: A questionnaire study. Memory. 2000; 8:311–321.
18. Lee WH. A study on episodic memory features and everyday memory enhancement of healthy older adults[dissertation]. Seoul: Korea Univ.;2008.
19. Kim JH, Hong SH, Kim MG. Writing A paper using Structural Equation Modeling. Seoul: Communication Books;2009. p. 74.
20. Kim EJ. The Validation of Korean Adult ADHD Scale (K-AADHDS). Korean J Clin Psychol. 2003; 22:897–911.