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Am J Psychiatry 1993; 150:885-890
Copyright © 1993 by American Psychiatric Association
The Wender Utah Rating Scale: an aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder [published erratum appears in Am J Psychiatry 1993 Aug;150(8):1280]
MF Ward, PH Wender and FW Reimherr
Department of Psychiatry, University of Utah School of Medicine, Salt Lake City 84132.
OBJECTIVE: In an attempt to surmount the problem of retrospectively
establishing the childhood diagnosis of attention deficit hyperactivity
disorder, the authors constructed the 61-item Wender Utah Rating Scale
(WURS) for adults to use to describe their own childhood behavior. In this
paper they present their initial data collection and evaluation of the
instrument's validity. METHOD: The scale was administered to 81 adult
outpatients with attention deficit hyperactivity disorder, 100 "normal"
adults, and 70 psychiatric adult outpatients with unipolar depression. The
authors analyzed data from the 25 items of the scale that showed the
greatest difference between the patients with attention deficit
hyperactivity disorder and the normal comparison subjects and the
relationship between the WURS and the patients' parents' judgment of
childhood activity as measured by the Parents' Rating Scale. RESULTS: The
patients with attention deficit hyperactivity disorder had significantly
higher mean scores on all 25 items than did the two comparison groups. The
difference between the mean total scores of the patients with attention
deficit hyperactivity disorder and the normal subjects was also highly
significant. A cutoff score of 46 or higher correctly identified 86% of the
patients with attention deficit hyperactivity disorder, 99% of the normal
subjects, and 81% of the depressed subjects. Correlations obtained between
WURS scores and Parents' Rating Scale scores were moderate but impressive.
The ability of WURS scores to predict response to methylphenidate
replicated the authors' finding regarding the ability of Parents' Rating
Scale scores to predict response to pemoline. CONCLUSIONS: The WURS is
sensitive in identifying childhood attention deficit hyperactivity disorder
and may be useful in recognizing attention deficit hyperactivity disorder
in patients with ambiguous adult psychopathology.
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