DSM-IV Criteria for diagnosis of Attention Deficit Hyperactivity Disorder (ADHD)

Pediatrics, Psychiatry
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DSM-IV Criteria for ADHD
To make diagnosis, need to satisfy either Item 1 or Item 2.

1. Six (or more) of the following symptoms of INATTENTION have persisted for at least six months to a degree that is maladaptive and inconsistent with developmental level:
[select name="Q11" value="no=0|YES=1"] <-- Often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities
[select name="Q12" value="no=0|YES=1"] <-- Often has difficulty sustaining attention in tasks or play activities
[select name="Q13" value="no=0|YES=1"] <-- Often does not seem to listen when spoken to directly
[select name="Q14" value="no=0|YES=1"] <-- Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions)
[select name="Q15" value="no=0|YES=1"] <-- Often has difficulty organizing tasks and activities
[select name="Q16" value="no=0|YES=1"] <-- Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework)
[select name="Q17" value="no=0|YES=1"] <-- Often loses things necessary for tasks or activities (eg, toys, school assignments, pencils, books, or tools)
[select name="Q18" value="no=0|YES=1"] <-- Is often easily distracted by extraneous stimuli
[select name="Q19" value="no=0|YES=1"] <-- Is often forgetful in daily activities

2. Six (or more) of the following symptoms of HYPERACTIVITY-IMPULSIVITY have persisted for at least six months to a degree that is maladaptive and inconsistent with developmental level:
[select name="Q21" value="no=0|YES=1"] <-- Often fidgets with hands or feet or squirms in seat
[select name="Q22" value="no=0|YES=1"] <-- Often leaves seat in classroom or in other situations in which remaining seated is expected
[select name="Q23" value="no=0|YES=1"] <-- Often runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness)
[select name="Q24" value="no=0|YES=1"] <-- Often has difficulty playing or engaging in leisure activities quietly
[select name="Q25" value="no=0|YES=1"] <-- Is often 'on the go' or 'driven by a motor'
[select name="Q26" value="no=0|YES=1"] <-- Often talks excessively
[select name="Q27" value="no=0|YES=1"] <-- Often blurts out answers before questions have been completed
[select name="Q28" value="no=0|YES=1"] <-- Often has difficulty awaiting turn
[select name="Q29" value="no=0|YES=1"] <-- Often interrupts or intrudes on others (eg, butts into conversations or games)

Additional criteria
[select name="Q31" value="no|YES"] <-- Some hyperactive-impulsive or inattentive symptoms that caused impairment were present before age seven years.
[select name="Q32" value="no|YES"] <-- Some impairment from the symptoms is present in two or more settings (eg, at school [or work] and at home).
[select name="Q33" value="no|YES"] <-- Clear evidence of clinically significant impairment in social, academic, or occupational functioning.

Interpretation
ADHD - Inattention --> [calc memo="interpretation" value="score=(Q11)+(Q12)+(Q13)+(Q14)+(Q15)+(Q16)+(Q17)+(Q18)+(Q19);score>5?'MEETS CRITERIA':'Does not meet criteria'"]
ADHD - Hyperactivity/Impulsivity --> [calc memo="interpretation" value="score=(Q21)+(Q22)+(Q23)+(Q24)+(Q25)+(Q26)+(Q27)+(Q28)+(Q29);score>5?'MEETS CRITERIA':'Does not meet criteria'"]
[html]<hr>[/html][checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"][html]
reference: <a href="http://www.fpnotebook.com/peds/neuro/AdhdDgns.htm" target="_blank">FP Notebook</a>[/html][/conditional]
DSM-IV Criteria for ADHD
To make diagnosis, need to satisfy either Item 1 or Item 2.

1. Six (or more) of the following symptoms of INATTENTION have persisted for at least six months to a degree that is maladaptive and inconsistent with developmental level:
<-- Often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities
<-- Often has difficulty sustaining attention in tasks or play activities
<-- Often does not seem to listen when spoken to directly
<-- Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions)
<-- Often has difficulty organizing tasks and activities
<-- Often avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework)
<-- Often loses things necessary for tasks or activities (eg, toys, school assignments, pencils, books, or tools)
<-- Is often easily distracted by extraneous stimuli
<-- Is often forgetful in daily activities

2. Six (or more) of the following symptoms of HYPERACTIVITY-IMPULSIVITY have persisted for at least six months to a degree that is maladaptive and inconsistent with developmental level:
<-- Often fidgets with hands or feet or squirms in seat
<-- Often leaves seat in classroom or in other situations in which remaining seated is expected
<-- Often runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults, may be limited to subjective feelings of restlessness)
<-- Often has difficulty playing or engaging in leisure activities quietly
<-- Is often 'on the go' or 'driven by a motor'
<-- Often talks excessively
<-- Often blurts out answers before questions have been completed
<-- Often has difficulty awaiting turn
<-- Often interrupts or intrudes on others (eg, butts into conversations or games)

Additional criteria
<-- Some hyperactive-impulsive or inattentive symptoms that caused impairment were present before age seven years.
<-- Some impairment from the symptoms is present in two or more settings (eg, at school [or work] and at home).
<-- Clear evidence of clinically significant impairment in social, academic, or occupational functioning.

Interpretation
ADHD - Inattention --> interpretationscore=(Q11)+(Q12)+(Q13)+(Q14)+(Q15)+(Q16)+(Q17)+(Q18)+(Q19);score>5?'MEETS CRITERIA':'Does not meet criteria'
ADHD - Hyperactivity/Impulsivity --> interpretationscore=(Q21)+(Q22)+(Q23)+(Q24)+(Q25)+(Q26)+(Q27)+(Q28)+(Q29);score>5?'MEETS CRITERIA':'Does not meet criteria'

display/hide references
Result - Copy and paste this output:

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