Academic Journal

Development of a Reliable and Valid DSM-5-Based ADHD Self-Report Scale for 8- and 9-Year-Old Children.

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Τίτλος: Development of a Reliable and Valid DSM-5-Based ADHD Self-Report Scale for 8- and 9-Year-Old Children.
Συγγραφείς: Ercan ES; Department of Child and Adolescent Psychiatry, Ege University, İzmir, Turkey., Tahıllıoğlu A; Department of Child and Adolescent Psychiatry, İzmir Bakırçay University, İzmir, Turkey. tahillioglua@gmail.com., Türkiş FC; Department of Biostatistics, Muğla Sıtkı Koçman University, Muğla, Turkey., Yüzügüldü O; Department of Child and Adolescent Psychiatry, Muğla Education and Research Hospital, Muğla, Turkey., Olcay RK; Department of Child and Adolescent Psychiatry, Baris Psychiatry Hospital, Nicosia, Cyprus.
Πηγή: Research on child and adolescent psychopathology [Res Child Adolesc Psychopathol] 2026 Jun 30; Vol. 54 (4). Date of Electronic Publication: 2026 Jun 30.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Springer US Country of Publication: United States NLM ID: 101773609 Publication Model: Electronic Cited Medium: Internet ISSN: 2730-7174 (Electronic) Linking ISSN: 27307166 NLM ISO Abbreviation: Res Child Adolesc Psychopathol Subsets: MEDLINE
Imprint Name(s): Original Publication: [New York] : Springer US, [2021]-
Ιατρικοί όροι (MeSH): Attention Deficit Disorder with Hyperactivity*/diagnosis , Self Report*/standards , Psychiatric Status Rating Scales*/standards , Diagnostic and Statistical Manual of Mental Disorders*, Humans ; Child ; Female ; Reproducibility of Results ; Male ; Psychometrics
Περίληψη: We examined the validity and reliability of the DSM-5-Based Childhood ADHD Self Report Scale (DSM-5-CASRS), a self-report questionnaire developed to assess Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms in elementary school children. Two-hundred twelve elementary school second-grade children (130 children with ADHD and 82 non-ADHD) derived from an epidemiological sample completed our scale. Parents completed Turgay DSM-IV Disruptive Behavior Disorders Rating Scale. Children completed the DSM-5-CASRS. We also applied a semi-structured psychiatric interview to all the participants and their parents. The DSM-5-CASRS demonstrated satisfactory internal consistency (McDonald's ω = 0.92) and strong item-total correlations (0.51 - 0.74). Confirmatory Factor Analysis confirmed a two-factor structure aligning with DSM-5 symptom domains. The scale showed significant and moderate positive correlations with parent-reported ADHD symptoms (r = .44, p < .001), supporting its convergent validity. Machine learning classification using a Random Forest model yielded high sensitivity (89.7%) and moderate specificity (62.5%), suggesting the scale effectively identifies ADHD cases. Findings indicate that 8- and 9-year-old children can reliably report their ADHD symptoms, challenging previous assumptions regarding young children's self-awareness. The DSM-5-CASRS fills a critical gap in ADHD assessment by providing a structured and developmentally appropriate self-report tool. Future research should expand validation across different age groups and cultural contexts while exploring alternative response formats to enhance usability.
(© 2026. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Competing Interests: Declarations. Ethical Approval: Ethics committee approval for this study was obtained from the Institutional Ethical Board of Ege University, Turkey. Consent to Participate: The participants and their parents were informed of the study and written inform consents were obtained from them. Conflict of Interest: The authors have no competing interests to declare that are relevant to the content of this article.
References: American Psychiatric Association. (2013). DSM-5: diagnostic and statistical manual of mental disorders. American Psychiatric.
Arnett, A. B., Pennington, B. F., Friend, A., Willcutt, E. G., Byrne, B., Samuelsson, S., & Olson, R. K. (2013). The SWAN captures variance at the negative and positive ends of the ADHD symptom dimension. Journal of Attention Disorders, 17(2), 152–162. https://doi.org/10.1177/1087054711427399. (PMID: 10.1177/108705471142739922173148)
Barber, S., Grubbs, L., & Cottrell, B. (2005). Self-perception in children with attention deficit/hyperactivity disorder. Journal of Pediatric Nursing, 20(4), 235–245. https://doi.org/10.1016/j.pedn.2005.02.012. (PMID: 10.1016/j.pedn.2005.02.01216030503)
Becker, A., Hagenberg, N., Roessner, V., Woerner, W., & Rothenberger, A. (2004). Evaluation of the self-reported SDQ in a clinical setting: do self-reports tell us more than ratings by adult informants? European child & adolescent psychiatry, 13(Suppl 2), II17–II24. https://doi.org/10.1007/s00787-004-2004-4. (PMID: 10.1007/s00787-004-2004-4)
Bell, L., Kellison, I., Garvan, C. W., & Bussing, R. (2010). Relationships between child-reported activity level and task orientation and parental attention-deficit/hyperactivity disorder symptom ratings. Journal of Developmental and Behavioral Pediatrics: JDBP, 31(3), 233–237. https://doi.org/10.1097/DBP.0b013e3181d5a328. (PMID: 10.1097/DBP.0b013e3181d5a328204107012890222)
Bergeron, L., Smolla, N., Berthiaume, C., Renaud, J., Breton, J. J., St-Georges, M., Morin, P., Zavaglia, E., & Labelle, R. (2017). Reliability, Validity, and Clinical Utility of the Dominic Interactive for Adolescents-RevisedA DSM-5-Based Self-Report Screen for Mental Disorders, Borderline Personality Traits, and Suicidality. Canadian journal of Psychiatry Revue Canadienne de Psychiatrie, 62(3), 211–222. https://doi.org/10.1177/0706743716670129. (PMID: 10.1177/070674371667012927638424)
Breiman, L. (2001). Random forests. Machine Learning, 45(1), 5–32. https://doi.org/10.1023/A:1010933404324. (PMID: 10.1023/A:1010933404324)
Burton, C. L., Wright, L., Shan, J., Xiao, B., Dupuis, A., Goodale, T., Shaheen, S. M., Corfield, E. C., Arnold, P. D., Schachar, R. J., & Crosbie, J. (2019). SWAN scale for ADHD trait-based genetic research: a validity and polygenic risk study. Journal of Child Psychology and Psychiatry and Allied Disciplines, 60(9), 988–997. https://doi.org/10.1111/jcpp.13032. (PMID: 10.1111/jcpp.1303230908652)
Chang, L. Y., Wang, M. Y., & Tsai, P. S. (2016). Diagnostic Accuracy of Rating Scales for Attention-Deficit/Hyperactivity Disorder: A Meta-analysis. Pediatrics, 137(3), e20152749. https://doi.org/10.1542/peds.2015-2749. (PMID: 10.1542/peds.2015-274926928969)
Conners, C. K., Wells, K. C., Parker, J. D., Sitarenios, G., Diamond, J. M., & Powell, J. W. (1997). A new self-report scale for assessment of adolescent psychopathology: factor structure, reliability, validity, and diagnostic sensitivity. Journal of Abnormal Child Psychology, 25(6), 487–497. https://doi.org/10.1023/a:1022637815797. (PMID: 10.1023/a:10226378157979468109)
Çorbacıoğlu, Ş. K., & Aksel, G. (2023). Receiver operating characteristic curve analysis in diagnostic accuracy studies: A guide to interpreting the area under the curve value. Turkish journal of emergency medicine, 23(4), 195–198. https://doi.org/10.4103/tjem.tjem&#95;182&#95;23. (PMID: 10.4103/tjem.tjem_182_233802418410664195)
De Los Reyes, A., Augenstein, T. M., Wang, M., Thomas, S. A., Drabick, D. A. G., Burgers, D. E., & Rabinowitz, J. (2015). The validity of the multi-informant approach to assessing child and adolescent mental health. Psychological Bulletin, 141(4), 858–900. https://doi.org/10.1037/a0038498. (PMID: 10.1037/a0038498)
Ercan, E. S., Amado, S., Somer, O., & Çıkoğlu, S. (2001). Development of A Test Battery for the Assessment of Attention Deficit Hyperactivity Disorder. Turkish Journal of Child and Adolescent Mental Health, 8(3), 132–144. http://www.scopemed.org/?mno=34211.
Ercan, E. S., Bilaç, Ö., Uysal Özaslan, T., & Akyol Ardic, U. (2016). Prevalence of Psychiatric Disorders Among Turkish Children: The Effects of Impairment and Sociodemographic Correlates. Child Psychiatry and Human Development, 47(1), 35–42. https://doi.org/10.1007/s10578-015-0541-3. (PMID: 10.1007/s10578-015-0541-325846701)
Ercan, E. S., Unsel-Bolat, G., Tufan, A. E., Karakoc Demirkaya, S., Bilac, O., Celik, G., Kılıç, B. G., Ardic, A., Sapmaz, U. Y., Aksu, S., Yolga Tahiroglu, H., Karacetin, A., Tural, G., Aktepe, U., Rodopman Arman, E., Başgül, A., Coşkun, S., Dursun, M., Durukan, O. B., Perdahli, İ., Perdahli Fiş, N., … Ünal, F. (2022) Effect of impairment on the prevalence and comorbidities of attention deficit hyperactivity disorder in a national survey: nation-wide prevalence and comorbidities of ADHD. Journal of Attention Disorders, 26(5), 674–684. https://doi.org/10.1177/10870547211017985.
Evangelista, N. M., Owens, J. S., Golden, C. M., & Pelham, W. E. Jr (2008). The positive illusory bias: do inflated self-perceptions in children with ADHD generalize to perceptions of others? Journal of Abnormal Child Psychology, 36(5), 779–791. https://doi.org/10.1007/s10802-007-9210-8. (PMID: 10.1007/s10802-007-9210-818188536)
Gadow, K. D., Sprafkin, J., Carlson, G. A., Schneider, J., Nolan, E. E., Mattison, R. E., & Rundberg-Rivera, V. (2002). A DSM-IV-referenced, adolescent self-report rating scale. Journal of the American Academy of Child and Adolescent Psychiatry, 41(6), 671–679. https://doi.org/10.1097/00004583-200206000-00006. (PMID: 10.1097/00004583-200206000-0000612049441)
Gökler, B., Ünal, F., Pehlivantürk, B., Eç, K., Akdemir, D., & Taner, Y. (2004). Reliability and validity of schedule for affective disorders and schizophrenia for school age children-present and lifetime version-Turkish version (K-SADS-PL-T). Turkish Journal of Child and Adolescent Mental Health, 11(3), 109–116. https://doi.org/http://www.scopemed.org/?mno=33747.
Hoza, B., Pelham, W. E. Jr, Dobbs, J., Owens, J. S., & Pillow, D. R. (2002). Do boys with attention-deficit/hyperactivity disorder have positive illusory self-concepts? Journal of Abnormal Psychology, 111(2), 268–278. https://doi.org/10.1037/0021-843x.111.2.268. (PMID: 10.1037/0021-843x.111.2.26812004833)
Hoza, B., Gerdes, A. C., Hinshaw, S. P., Arnold, L. E., Pelham, W. E. Jr, Molina, B. S., Abikoff, H. B., Epstein, J. N., Greenhill, L. L., Hechtman, L., Odbert, C., Swanson, J. M., & Wigal, T. (2004). Self-perceptions of competence in children with ADHD and comparison children. Journal of Consulting and Clinical Psychology, 72(3), 382–391. https://doi.org/10.1037/0022-006X.72.3.382. (PMID: 10.1037/0022-006X.72.3.38215279522)
Jaisoorya, T. S., Beena, K. V., Beena, M., Ellangovan, K., George, S., Thennarasu, K., & Srinath, S. (2020). Prevalence and Correlates of Self-Reported ADHD Symptoms in Children Attending School in India. Journal of Attention Disorders, 24(12), 1711–1715. https://doi.org/10.1177/1087054716666951. (PMID: 10.1177/108705471666695127590437)
Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., Williamson, D., Ryan, N., & Version, L. (1997). (K-SADS-PL): initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36(7), 980–988. https://doi.org/10.1097/00004583-199707000-00021 . (PMID: 10.1097/00004583-199707000-000219204677)
Kessler, R. C., Adler, L., Ames, M., Demler, O., Faraone, S., Hiripi, E., Howes, M. J., Jin, R., Secnik, K., Spencer, T., Ustun, T. B., & Walters, E. E. (2005). The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychological Medicine, 35(2), 245–256. https://doi.org/10.1017/s0033291704002892. (PMID: 10.1017/s003329170400289215841682)
Klimkeit, E., Graham, C., Lee, P., Morling, M., Russo, D., & Tonge, B. (2006). Children should be seen and heard: self-report of feelings and behaviors in primary-school-age children with ADHD. Journal of Attention Disorders, 10(2), 181–191. https://doi.org/10.1177/1087054706289926. (PMID: 10.1177/108705470628992617085628)
Kovacs, M. (1981). Rating scales to assess depression in school-aged children. Acta Paedopsychiatrica, 46(5–6), 305–315. (PMID: 7025571)
Leckman, J. F., Sholomskas, D., Thompson, W. D., Belanger, A., & Weissman, M. M. (1982). Best estimate of lifetime psychiatric diagnosis: a methodological study. Archives of General Psychiatry, 39(8), 879–883. https://doi.org/10.1001/archpsyc.1982.04290080001001. (PMID: 10.1001/archpsyc.1982.042900800010017103676)
Owens, J. S., & Hoza, B. (2003). The role of inattention and hyperactivity/impulsivity in the positive illusory bias. Journal of Consulting and Clinical Psychology, 71(4), 680–691. https://doi.org/10.1037/0022-006x.71.4.680. (PMID: 10.1037/0022-006x.71.4.68012924673)
Owens, J. S., Goldfine, M. E., Evangelista, N. M., Hoza, B., & Kaiser, N. M. (2007). A critical review of self-perceptions and the positive illusory bias in children with ADHD. Clinical child and family psychology review, 10(4), 335–351. https://doi.org/10.1007/s10567-007-0027-3. (PMID: 10.1007/s10567-007-0027-317902055)
Oy, B. (1991). Cocuklar icin depresyon olcegi: Gecerlik ve guvenirlik calısmasi. Turk Psikiyatri Dergisi, 2, 132–136.
Parker, J. D., Bond, B. J., Reker, D. L., & Wood, L. M. (2005). Use of the Conners-wells adolescent self-report scale (short form) with children. Journal of Attention Disorders, 8(4), 188–194. https://doi.org/10.1177/1087054705278750. (PMID: 10.1177/108705470527875016110049)
Peterson, B. S., Trampush, J., Brown, M., Maglione, M., Bolshakova, M., Rozelle, M., Miles, J., Pakdaman, S., Yagyu, S., Motala, A., & Hempel, S. (2024). Tools for the Diagnosis of ADHD in Children and Adolescents: A Systematic Review. Pediatrics, 153(4), e2024065854. https://doi.org/10.1542/peds.2024-065854. (PMID: 10.1542/peds.2024-06585438523599)
Polanczyk, G., de Lima, M. S., Horta, B. L., Biederman, J., & Rohde, L. A. (2007). The worldwide prevalence of ADHD: a systematic review and metaregression analysis. The American Journal of Psychiatry, 164(6), 942–948. https://doi.org/10.1176/ajp.2007.164.6.942. (PMID: 10.1176/ajp.2007.164.6.94217541055)
Rizzo, P., Steinhausen, H. C., & Drechsler, R. (2010). Self-perception of self-regulatory skills in children with attention-deficit/hyperactivity disorder aged 8–10 years. Attention Deficit and Hyperactivity disorders, 2(4), 171–183. https://doi.org/10.1007/s12402-010-0043-x. (PMID: 10.1007/s12402-010-0043-x21432604)
Rucklidge, J. J., & Tannock, R. (2002). Validity of the Brown ADD scales: an investigation in a predominantly inattentive ADHD adolescent sample with and without reading disabilities. Journal of Attention Disorders, 5(3), 155–164. https://doi.org/10.1177/108705470200500303. (PMID: 10.1177/10870547020050030311911008)
Sjölander, L., Vadlin, S., Olofsdotter, S., & Sonnby, K. (2016). Validation of the parent version of the World Health Organization Adult ADHD Self-Report Scale for adolescents. Nordic Journal of Psychiatry, 70(4), 255–261. https://doi.org/10.3109/08039488.2015.1085092. (PMID: 10.3109/08039488.2015.108509226624978)
Somma, A., Adler, L. A., Gialdi, G., Arteconi, M., Cotilli, E., & Fossati, A. (2021). The Validity of the World Health Organization Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition in Adolescence. Journal of Child and Adolescent Psychopharmacology, 31(9), 631–638. https://doi.org/10.1089/cap.2020.0158. (PMID: 10.1089/cap.2020.015834166067)
Sonnby, K., Skordas, K., Olofsdotter, S., Vadlin, S., Nilsson, K. W., & Ramklint, M. (2015). Validation of the World Health Organization Adult ADHD Self-Report Scale for adolescents. Nordic Journal of Psychiatry, 69(3), 216–223. https://doi.org/10.3109/08039488.2014.968203. (PMID: 10.3109/08039488.2014.96820325348323)
Tahıllıoğlu, A., Bilaç, Ö., Uysal, T., & Ercan, E. S. (2021a). Who predict ADHD with better diagnostic accuracy? Parents or teachers? Nordic Journal of Psychiatry, 75(3), 214–223. https://doi.org/10.1080/08039488.2020.1867634. (PMID: 10.1080/08039488.2020.186763433612071)
Tahıllıoğlu, A., Dogan, N., Ercan, E. S., & Rohde, L. A. (2021b). Helping Clinicians to Detect ODD in Children with ADHD in Clinical Settings. The Psychiatric Quarterly, 92(2), 821–832. https://doi.org/10.1007/s11126-020-09855-x. (PMID: 10.1007/s11126-020-09855-x33130959)
Turgay, A. (1994). Disruptive Behavior Disorders Child and Adolescent Screening and Rating Scales for Children, Adolescents, Parents and Teachers. West Bloomfield (Michigan). Integrative Therapy Institute Publication.
Ustun, B., Adler, L. A., Rudin, C., Faraone, S. V., Spencer, T. J., Berglund, P., Gruber, M. J., & Kessler, R. C. (2017). The World Health Organization Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5. JAMA Psychiatry, 74(5), 520–527. https://doi.org/10.1001/jamapsychiatry.2017.0298. (PMID: 10.1001/jamapsychiatry.2017.0298283848015470397)
van der Meer, M., Dixon, A., & Rose, D. (2008). Parent and child agreement on reports of problem behaviour obtained from a screening questionnaire, the SDQ. European child & Adolescent Psychiatry, 17(8), 491–497. https://doi.org/10.1007/s00787-008-0691-y. (PMID: 10.1007/s00787-008-0691-y)
Visser, S. N., Danielson, M. L., Bitsko, R. H., Holbrook, J. R., Kogan, M. D., Ghandour, R. M., Perou, R., & Blumberg, S. J. (2014). Trends in the parent-report of health care provider-diagnosed and medicated attention-deficit/hyperactivity disorder: United States, 2003–2011. Journal of the American Academy of Child and Adolescent Psychiatry, 53(1), 34–46e2. https://doi.org/10.1016/j.jaac.2013.09.001. (PMID: 10.1016/j.jaac.2013.09.00124342384)
Contributed Indexing: Keywords: ADHD; Assessment; Rating scales; School-age children; Self-report
Entry Date(s): Date Created: 20260630 Date Completed: 20260630 Latest Revision: 20260630
Update Code: 20260630
DOI: 10.1007/s10802-026-01482-7
PMID: 42377656
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:2730-7174
DOI:10.1007/s10802-026-01482-7