Skip to main content
SpringerLink
Log in

Reliabilität und Validität der Wender-Utah-Rating-Scale-Kurzform

Retrospektive Erfassung von Symptomen aus dem Spektrum der Aufmerksamkeitsdefizit/Hyperaktivitätsstörung

  • Ergebnisse und Kasuistik
  • Published:
Der Nervenarzt Aims and scope Submit manuscript

Zusammenfassung

Die Diagnosestellung einer Aufmerksamkeitsdefizit/Hyperaktivitätsstörung (ADHS) beim Erwachsenen erfordert in der Regel auch die retrospektive Erfassung kindlicher Krankheitssymptome. Die Wender-Utah-Rating-Scale (WURS) ist eine hierfür entwickelte Selbstbeurteilungsskala, die für den deutschen Sprachraum in einer Kurzversion (WURS-k) vorliegt. Die durchgeführte ROC-Analyse ergab bei einem Cut-off-Wert von 30 Punkten eine Sensitivität von 85% und eine Spezifität von 76%. Alle 7 an einer ADHS-Population extrahierten Faktoren der WURS-k (Emotionalität, Impulsivität, Unreife Persönlichkeitseigenschaften und Verhaltensweisen, Protestverhalten, Konzentrationsstörungen/Überaktivität, Störung der sozialen Adaptation und Schulerfolg) tragen zur diagnostischen Differenzierung bei und unterscheiden sich bezüglich ihrer diagnostischen Güte nicht wesentlich. Die signifikanten Korrelationen der WURS-k mit der Skala Impulsivität des Impulsivitätsfragebogens sowie den Merkmalsbereichen Erregbarkeit, Aggressivität, emotionale Labilität und Lebenszufriedenheit des revidierten Freiburger Persönlichkeitsinventars belegen unter Zugrundelegung der Persistenz der ADHS-Symptomatik bei 30%–50% der Betroffenen die Validität des Verfahrens. Die Split-half-Reliabilität beträgt r12=0,85 und Cronbachs α als Maß für die innere Konsistenz α=0,91.

Summary

The diagnosis of adult attention deficit/hyperactivity disorder (ADHD) requires the retrospective assessment of ADHD symptoms in childhood. The Wender Utah Rating Scale (WURS) is helpful in detecting ADHD-associated symptomatology in childhood. A German short version (WURS-k) of this instrument has been made available recently. In the present study, we investigated the validity of the WURS-k. In a population of 63 adult ADHD patients (according to ICD-10 and DSM-IV criteria) and 1,303 male controls, ROC analysis indicated a sensitivity of 85% and specificity of 76% at a cutoff of 30 points. In ADHD patients, seven individual factors explained 70.3% of the variance. The highest diagnostic precision was demonstrated using the WURS-k total score. The seven extracted factors of the WURS-k did not differ in diagnostic value. Significant correlations were found between impulsivity according to Eysenck's Impulsivity Questionnaire (EIQ) and excitability, aggression, emotional lability, and satisfaction on the Freiburg Personality Inventory (FPI-R) in ADHD patients. Concerning a 30–50% persistence of ADHD symptomatology in adults, these correlations underline the diagnostic validity of the WURS-k. The scale manifested excellent internal consistence (α=0.91) and a split-half correlation of r12=0.85.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1.

Literatur

  1. Biederman J, Faraone SV, Spencer T, Wilens T, Norman D, Lapey KA, Mick E, Lehman BK, Doyle A (1993) Patterns of psychiatric comorbidity, cognition, and psychosocial functioning in adults with attention deficit hyperactivity disorder. Am J Psychiatry 150: 1792–1798

    CAS  PubMed  Google Scholar 

  2. Danckaerts M, Heptinstall E, Chadwick O, Taylor E (1999) Self-Report of Attention Deficit and Hyperactivity Disorder in Adolescents. Psychopathology 32: 81–92

    Article  CAS  PubMed  Google Scholar 

  3. DeLong ER, DeLong DM, Clarke-Pearson DL (1988) Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics 44: 837–845

    CAS  PubMed  Google Scholar 

  4. De Quiros GB, Kinsbourne M (2001) Adult ADHD Analysis of Self-ratings on a Behavior Questionnaire. In: Wasserstein J, Wolf LE, LeFever FF (Hrsg) Adult Attention Deficit Disorder Brain Mechanisms and Life Outcomes. ANYAA 9, 931, New York, S 140–147

  5. Eysenck SBG, Daum I, Schugens MM, Diehl JM (1990) A cross-cultural study of impulsiveness, venturesomeness and empathy: Germany and England. Z Dif Diagn Psychologie 11: 209–213

    Google Scholar 

  6. Fahrenberg J, Hampel R, Selg H (1984) Die Revidierte Form des Freiburger Persönlichkeitsinventars. Diagnostica 31: 1–21

    Google Scholar 

  7. Groß J, Blocher D, Trott G-E, Rösler M (1999) Erfassung des hyperkinetischen Syndroms bei Erwachsenen. Nervenarzt 70: 20–25

    Article  PubMed  Google Scholar 

  8. Hanley JA, McNeil BJ (1983) The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 143: 29–36

    Google Scholar 

  9. Hechtmann L (1992) Long-term outcome in attention-deficit hyperactivity disorder. Psychiatr. Clin North Am 1: 553–565

    Google Scholar 

  10. Holm S (1979) A simple sequentially rejective multiple test procedure. Scand J Statistics 6: 65–70

    Google Scholar 

  11. Mannuzza S, Klein RG, Bonagura N, Malloy P, Giampino TL, Addalli KA (1991) Hyperactive boys almost grow up, V: replication of psychiatric status. Arch Gen Psychiatry 48: 77–83

    CAS  PubMed  Google Scholar 

  12. Mannuzza S, Klein RG, Bessler A, Malloy P, LaPadula M (1993) Adult outcome of hyperactive boys: educational achievement, occupational rank, and psychiatric status. Arch Gen Psychiatry 50: 565–576

    CAS  PubMed  Google Scholar 

  13. McCann BS, Scheele L, Ward N, Roy-Byrne P (2000) Discriminant Validity of the Wender Utah Rating Scale for Attention-Deficit/Hyperactivity Disorder in Adults. J Neuropsychiatatry Clin Neurosci 12: 240–245

    Article  CAS  Google Scholar 

  14. Milberger S, Biederman J, Faraone SV, Murphy J, Tsuang MT (1995) Attention deficit hyperactivity disorder and comorbid disorders: issuues of overlapping symptoms. Am J Psychiatry 152: 1793–1799

    CAS  PubMed  Google Scholar 

  15. Retz-Junginger P, Retz W, Blocher D, Weijers H-G, Trott GE, Wender PH, Rösler M (2002) Wender Utah Rating Scale (WURS-k): Die deutsche Kurzform zur retrospektiven Erfassung des hyperkinetischen Syndroms bei Erwachsenen. Nervenarzt 73: 830–838

    Google Scholar 

  16. Sachs L (2002) Angewandte Statistik. Springer, Berlin

  17. Shekim WO, Asarnow RF, Hess E, Zaucha K, Wheeler N (1990) A clinical and demographic profile of a sample of adults with attention deficit hyperactivity disorders, residual state. Compr Psychiatry 31: 416–425

    CAS  PubMed  Google Scholar 

  18. Stein MA, Sandoval R, Szumowski E, Roizen N, Reinecke MA, Blondis TA, Klein Z (1995) Psychometric Characteristics of the Wender Utah Rating Scale (WURS): Reliability and Factor Structure for Men and Women. Psychopharmacol Bull 31: 425–433

    CAS  PubMed  Google Scholar 

  19. Trott GE (1993) Das hyperkinetische Syndrom und seine Behandlung. Barth, Leipzig

  20. Ward MF, Wender PH, Reimherr FW. (1993) The Wender Utah Ating Scale: an aid in the retrospective diagnosis of childhood attention deficit hyeractivity disorder. Am J Psychiatry 150: 885–890

    CAS  PubMed  Google Scholar 

  21. Wender PH (1995) Attention-Deficit Hyperactivity Disorder in Adults. Oxford Univ Press, New York

  22. Zweig MH, Campbell G (1993) Receiver-operating characteristic (ROC) plots. A fundamental evaluation tool in clinical medicine. Clin Chemistry 39: 561–577

    CAS  Google Scholar 

Download references

Author information

Author notes

  1. P. Retz-Junginger

    Present address: Institut für Gerichtliche Psychologie und Psychiatrie der Universität des Saarlandes, Kirrberger Straße Gebäude 90.3, 66421 Homburg/Saar,

Authors and Affiliations

  1. Institut für Gerichtliche Psychologie und Psychiatrie der Universität des Saarlandes

    P. Retz-Junginger, W. Retz & M. Rösler

  2. Praxis für Psychiatrie und Psychotherapie, Würzburg

    D. Blocher

  3. Psychiatrische Universitätspoliklinik Basel

    R.-D. Stieglitz

  4. Institut für Medizinische Biometrie, Epidemiologie und Medizinische Informatik, Universitätskliniken des Saarlandes

    T. Georg

  5. Psychiatrische Universitätsklinik Homburg/Saar

    T. Supprian

  6. Harward Medical School, Boston, USA

    P. H. Wender

Authors
  1. P. Retz-Junginger
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. W. Retz
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. D. Blocher
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. R.-D. Stieglitz
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. T. Georg
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. T. Supprian
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. P. H. Wender
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. M. Rösler
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to P. Retz-Junginger.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Retz-Junginger, P., Retz, W., Blocher, D. et al. Reliabilität und Validität der Wender-Utah-Rating-Scale-Kurzform. Nervenarzt 74, 987–993 (2003). https://doi.org/10.1007/s00115-002-1447-4

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00115-002-1447-4

Schlüsselwörter

Keywords

Search

Navigation