OBJECTIVE: The study aim was to assess the psychometric properties of the ASRS in the Czech Republic. Although this screening tool is now frequently used, its validity has not been assessed among the general Czech population. METHODS: The ASRS and WURS were administered online to the general Czech population (N = 1,518). We performed confirmatory and exploratory factor analyses. RESULTS: For the ASRS, confirmatory factor analysis showed good fit for the screening part (SRMR = 0.03, RMSEA = 0.06, CFI = 0.98). For the symptom list, the fit was good according to the SRMR, acceptable according to the RMSEA, and slightly below acceptable according to the CFI. For the WURS, the results showed SRMR = 0.06, RMSEA = 0.07, and CFI = 0.92. CONCLUSION: The Czech translation of the ASRS is appropriate and has acceptable psychometric properties. However, we strongly recommend only using this tool together with clinical judgment.

Children's Psychiatric Hospital Opařany Opařany Czechia

Department of Mathematics College of Polytechnics Jihlava Czechia

Department of Psychiatry 1st Faculty of Medicine Charles University and General University Hospital Prague Prague Czechia

Department of Psychiatry 3rd Faculty of Medicine Charles University Prague Czechia

Department of Psychiatry National Institute of Mental Health Klecany Czechia

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Adler L. A., Faraone S. V., Sarocco P., Atkins N., Khachatryan A. (2019). Establishing US norms for the adult ADHD self-report scale (ASRS-v1. 1) and characterising symptom burden among adults with self-reported ADHD. Int. J. Clinic. Prac. 73:e13260. doi: 10.1111/ijcp.13260 PubMed DOI PMC

Adler L. A., Spencer T., Faraone S. V., Kessler R. C., Howes M. J., Biederman J., et al. . (2006). Validity of pilot adult ADHD self-report scale (ASRS) to rate adult ADHD symptoms. Ann. Clin. Psychiatry 18, 145–148. doi: 10.1080/10401230600801077, PMID: PubMed DOI

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5. 5th Edn. Washington DC: American Psychiatric Association.

Brevik E. J., Lundervold A. J., Haavik J., Posserud M. B. (2020). Validity and accuracy of the adult attention-deficit/hyperactivity disorder (ADHD) self-report scale (ASRS) and the Wender Utah rating scale (WURS) symptom checklists in discriminating between adults with and without ADHD. Brain Behav. 10, 1–10. doi: 10.1002/brb3.1605, PMID: PubMed DOI PMC

Cahová P., Pejčochová J., Ošlejšková H. (2010). Hyperkinetická porucha/ADHD v dospívání a dospělosti: diagnostika, klinický obraz a komorbidity. Neurol. prax 11, 367–371.

Carlucci S., Ivanova I., Bissada H., Tasca G. A. (2017). Validity and reliability of the attention deficit hyperactivity disorder self-report scale (ASRS-v1.1) in a clinical sample with eating disorders. Eat. Behav. 26, 148–154. doi: 10.1016/j.eatbeh.2017.03.010, PMID: PubMed DOI

Efron D. (2017). The role of schools in the diagnosis of ADHD. Lancet Psy. 4, 825–826. doi: 10.1016/S2215-0366(17)30406-6, PMID: PubMed DOI

Green J. G., DeYoung G., Wogan M. E., Wolf E. J., Lane K. L., Adler L. A. (2019). Evidence for the reliability and preliminary validity of the adult ADHD self-report scale v1.1 (ASRS v1.1) screener in an adolescent community sample. Int. J. Methods Psychiatr. Res. 28, e1751–e1759. doi: 10.1002/mpr.1751, PMID: PubMed DOI PMC

Gupta A. (2016). Prevalence and symptomatology of attention deficit hyperactivity disorder in school children. Eur. Neuropsychopharmacol. 26:S718. doi: 10.1016/s0924-977x(16)31862-4 DOI

Hu L. T., Bentler P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct. Equ. Model. Multidis. J. 6, 1–55.

Kessler R. C., Adler L., Ames M., Demler O., Faraone S., Hiripi E., et al. . (2005). The World Health Organization adult ADHD self-report scale (ASRS): a short screening scale for use in the general population. Psychol. Med. 35, 245–256. doi: 10.1017/S0033291704002892, PMID: PubMed DOI

Kessler R. C., Adler L., Barkley R., Biederman J., Conners C. K., Demler O., et al. . (2010). The prevalence and correlates of adult ADHD in the United States. Am. J. Psychiatr. 163, 716–723. doi: 10.1176/appi.ajp.163.4.716 PubMed DOI PMC

Kessler R. C., Adler L. A., Gruber M. J., Sarawate C. A., Spencer T., Van Brunt D. L. (2007a). Validity of the World Health Organization adult ADHD self-report scale (ASRS) screener in a representative sample og health plan members. Int. J. Methods Psychiatr. Res. 16, 52–65. doi: 10.1002/mpr.208, PMID: PubMed DOI PMC

Kessler R. C., Angermeyer M., Anthony J. C., DE Graaf R., Demyttenaere K., Gasquet I., et al. . (2007b). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch. Gen. Psychiatry 6, 168–176. doi: 10.1001/archpsyc.62.6.593, PMID: PubMed DOI

Kiatrungrit K., Putthisri S., Hongsanguansri S., Wisajan P., Jullagate S. (2017). Validity and reliability of adult ADHD self-report scale Thai version (ASRS-V1.1 TH). Shanghai Arch. Psychiatry 29, 218–227. doi: 10.11919/j.issn.1002-0829.217021, PMID: PubMed DOI PMC

Knopf A. (2018). Parent survey finds more than 5% of children have ADHD, with preschool prevalence increasing. Brown Univ. Child Adolescent Behav. Lett. 34, 3–4. doi: 10.1002/cbl.30279 DOI

Knopf H., Hölling H., Huss M., Schlack R. (2012). Prevalence, determinants and spectrum of attention-deficit hyperactivity disorder (ADHD) medication of children and adolescents in Germany: results of the German health interview and examination survey (KiGGS). BMJ Open 2, 1–12. doi: 10.1136/bmjopen-2011-000477, PMID: PubMed DOI PMC

Lai K., Green S. B. (2016). The problem with having two watches: assessment of fit when RMSEA and CFI disagree. Multivar. Behav. Res. 51, 220–239. doi: 10.1080/00273171.2015.1134306, PMID: PubMed DOI

Lüdecke D., Waggoner P. D., Makowski D. (2019). Insight: a unified interface to access information from model objects in R. J. Open Source Software 4:1412. doi: 10.21105/joss.01412 DOI

McCann B. S., Scheele L., Ward N., Roy-Byrne P. (2000). Discriminant validity of the Wender Utah rating scale for attention-deficit/hyperactivity disorder in adults. J. Neuropsy. Clinic. Neurosci. 12, 240–245. doi: 10.1176/jnp.12.2.240 PubMed DOI

Michielsen M., Semeijn E., Comijs H. C., Van De Ven P., Beekman A. T. F., Deeg D. J. H., et al. . (2012). Prevalence of attention-deficit hyperactivity disorder in older adults in the Netherlands. Br. J. Psychiatry 201, 298–305. doi: 10.1192/bjp.bp.111.101196 PubMed DOI

Montejano L., Sasané R., Hodgkins P., Russo L., Huse D. (2011). Adult ADHD: prevalence of diagnosis in a US population with employer health insurance. Curr. Med. Res. Opin. 27, 5–11. doi: 10.1185/03007995.2011.603302 PubMed DOI

Paclt I. (2002). Diagnostika hyperkinetického syndromu v dospě- losti. Pediatr. pro Praxi 3, 115–117.

Paclt I. (2007). a kol.: Hyperkinetická porucha a poruchy chování. Praha: Grada.

Prihodova I., Paclt I., Kemlink D., Skibova J., Ptacek R., Nevsimalova S. (2010). Sleep disorders and daytime sleepiness in children with attention-deficit/hyperactivity disorder: a two-night polysomnographic study with a multiple sleep latency test. Sleep Med. 11, 922–928. doi: 10.1016/j.sleep.2010.03.017, PMID: PubMed DOI

Ptacek R., Kuzelova H., Stefano G. B., Raboch J., Kream R. M., Goetz M. (2014a). ADHD and growth: questions still unanswered. Neuro. Endocrinol. Lett. 35, 1–6. PubMed

Ptacek R., Kuzelova H., Stefano G. B., Raboch J., Sadkova T., Goetz M., et al. . (2014b). Disruptive patterns of eating behaviors and associated lifestyles in males with ADHD. Med. Sci. Monit. 20, 608–613. doi: 10.12659/MSM.890495, PMID: PubMed DOI PMC

R Core Team (2020). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. Available at: https://www.R-project.org/

Ramos-Quiroga J. A., Montoya A., Kutzelnigg A., Deberdt W., Sobanski E. (2013). Attention deficit hyperactivity disorder in the European adult population: prevalence, disease awareness, and treatment guidelines. Curr. Med. Res. Opin. 29, 1093–1104. doi: 10.1185/03007995.2013.812961, PMID: PubMed DOI

Revelle W. (2022). Psych: Procedures for Psychological, Psychometric, and Personality Research. Northwestern University, Evanston, Illinois. R package version 2.2.3. Available at: https://CRAN.R-project.org/package=psych

Rosseel Y. (2012). lavaan: An R package for structural equation modeling. J. Stat. Softw. 48, 1–36. doi: 10.18637/jss.v048.i02 DOI

Rubášová E., Kalina K., Miovský M., Čablová L., Šťastná L. (2015). Výskyt ADHD u’osob závislých na’ilegálních návykových látkách léčených v’terapeutických komunitách v’Č eské republice-pilotní studie. Čes. a Slov. Psychiat. 111, 228–235.

Silverstein M. J., Alperin S., Faraone S. V., Kessler R. C., Adler L. A. (2018). Test-retest reliability of the adult ADHD self- report scale (ASRS) v1.1 screener in non-ADHD controls from a primary care physician practice. Fam. Pract. 35, 336–341. doi: 10.1093/fampra/cmx115, PMID: PubMed DOI

Somma A., Borroni S., Fossati A. (2019). Construct validity and diagnostic accuracy of the Italian translation of the 18-item World Health Organization adult ADHD self-report scale (ASRS-18) Italian translation in a sample of community-dwelling adolescents. Psychiatry Res. 273, 753–758. doi: 10.1016/j.psychres.2019.02.016, PMID: PubMed DOI

Stockdale L. A., Coyne S. M., Padilla-Walker L. M. (2018). Parent and child technoference and socioemotional behavioral outcomes: a nationally representative study of 10-to 20-year-old adolescents. Comput. Hum. Behav. 88, 219–226.

Takeda T., Tsuji Y., Kurita H. (2017). Psychometric properties of the Japanese version of the adult attention-deficit hyperactivity disorder (ADHD) self-report scale (ASRS-J) and its short scale in accordance with DSM-5 diagnostic criteria. Res. Dev. Disabil. 63, 59–66. doi: 10.1016/j.ridd.2017.02.011, PMID: PubMed DOI

Taylor A., Deb S., Unwin G. (2011). Scales for the identification of adults with attention deficit hyperactivity disorder (ADHD): a systematic review. Res. Develop. Disabil. 32, 924–938. doi: 10.1016/j.ridd.2010.12.036 PubMed DOI

Van de Glind G., van den Brink W., Koeter M. W., Carpentier P. J., Emmerik-van Oortmerssen K., Kaye S., et al. . (2013). Validity of the Adult ADHD Self-Report Scale (ASRS) as a screener for adult ADHD in treatment seeking substance use disorder patients. Drug Alcohol Depend. 132, 587–596. PubMed PMC

Vňuková M., Ptáček R., Děchtěrenko F., Weissenberger S., Ptáčková H., Braaten E., et al. . (2021). Prevalence of ADHD symptomatology in adult population in the Czech Republic–A National Study. J. Atten. Disord. 25, 1657–1664. doi: 10.1177/1087054720934042, PMID: PubMed DOI

Ward M. F., Wender P. H., Reimherr F. W. (1993). The Wender Utah Rating Scale: an aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder. Am. J. Psychiatry 150, 885–890. PubMed

Weibel S., Menard O., Ionita A., Boumendjel M., Cabelguen C., Kraemer C., et al. . (2020). Practical considerations for the evaluation and management of attention deficit hyperactivity disorder (ADHD) in adults. Encéphale 46, 30–40. doi: 10.1016/j.encep.2019.06.005, PMID: PubMed DOI

Weissenberger S., Ptacek R., Vnukova M., Raboch J., Klicperova-Baker M., Domkarova L., et al. . (2018). ADHD and lifestyle habits in Czech adults, a national sample. Neuropsychiatr. Dis. Treat. 14, 293–299. doi: 10.2147/NDT.S148921, PMID: PubMed DOI PMC

World Health Organization (2019). ICD-11: International classification of diseases. (11th revision) Available at: https://icd.who.int/

Wyrwich K. W., Shaffer S., Gries K., Auguste P., Mooney K. H., Prasad S., et al. . (2016). Content validity of the ADHD rating scale (ADHD RS-IV) and adult ADHD self-report scale (ASRS) in phenylketonuria. J. Inborn Errors Metabolism Screen. 4, 232640981663931–232640981663939. doi: 10.1177/2326409816639316 DOI

Yallop L., Brownell M., Chateau D., Walker J., Warren M., Bailis D., et al. . (2015). Lifetime prevalence of attention-deficit hyperactivity disorder in young adults: examining variations in the socioeconomic gradient. Can. J. Psychiatry 60, 432–440. doi: 10.1177/070674371506001004, PMID: PubMed DOI PMC

Attention-Deficit/Hyperactivity Disorder (ADHD) and Time Perception in Adults: Do Adults with Different ADHD Symptomatology Severity Perceive Time Differently? Findings from the National Czech Study