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Scientific background: Vanderbilt (Parent, ADHD)

About this test

The Vanderbilt scales were developed by Mark Wolraich and colleagues based on DSM-IV criteria and validated in a large sample of referred children (Wolraich et al., 2003). They're among the most widely used ADHD screening instruments in U.S. pediatric primary care.

Dimensions

Inattention

9 items on inattention symptoms (criterion: 6 of 9).

Hyperactivity/Impulsivity

9 items on hyperactivity and impulsivity symptoms (criterion: 6 of 9).

Oppositional Defiant

8 items on oppositional, defiant behavior (criterion: 4 of 8).

Conduct

14 items on aggressive or rule-breaking behavior (criterion: 3 of 14).

Anxiety/Depression

7 items on anxious or low mood (criterion: 3 of 7).

Performance (School, Family, Social)

8 performance items on school, family, and social relationships. In the original procedure, at least one of these must be elevated for a symptom domain to count as clinically relevant.

Sources & license

  • Wolraich, M. L., Lambert, W., Doffing, M. A., Bickman, L., Simmons, T., & Worley, K. (2003). Psychometric properties of the Vanderbilt ADHD diagnostic parent rating scale in a referred population. Journal of Pediatric Psychology, 28(8), 559–567.

    The NICHQ Vanderbilt Assessment Scale (1st edition, © 2002 American Academy of Pediatrics and the National Initiative for Children's Healthcare Quality) may be used freely with attribution. Item wording, subscale structure, and DSM-IV-aligned symptom thresholds were verified verbatim against the official 1st-edition Parent Informant form.

    https://nichq.org/downloadable/nichq-vanderbilt-assessment-scales/
This questionnaire is meant as a starting point for a conversation with a pediatrician or a child and adolescent therapist -- on its own, it is not a diagnosis. The original scale is explicitly not recommended for diagnosis by itself; that always requires information from multiple sources (e.g. an additional rating from teachers). If scores are elevated -- especially in the oppositional behavior or conduct domains -- talk to a professional promptly.
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