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Tools to Assess Common ADHD Comorbid Conditions

The AAP recommends the use of validated tools and rating scales when evaluating conditions that mimic or are comorbid with ADHD.

Condition

Validated Screening Tool or Rating Scale

Anxiety

Screen for Child Anxiety-Related Emotional Disorders (SCARED)—Child, Parent and Child, and Adult versions (in English and other languages) with scoring information available on the Resources-Instruments page of the University of Pittsburg Web site available at: https://www.pediatricbipolar.pitt.edu/resources/instruments.

Aggression

Modified Overt Aggression Scale (MOAS) available in many languages using the Translate Page tab on the top of the page. See ProjectTEACH Child Rating Scales Web page, click on “Aggression” available at: https://projectteachny.org/child-rating-scales/

Depression

Patient Health Questionnaires (PHQs) including PHQ-9 and PHQ-A modified for adolescents to screen for depression available in many languages with accompanying instruction manual including information on scoring the PHQ-9 available at: https://www.phqscreeners.com.

 

Internalizing and Externalizing Issues and Inattention

Pediatric Symptom Checklist-17 as a general screen when specific symptoms have not been expressed. Available with scoring instructions and in several languages, click on General Psychosocial Screens: https://projectteachny.org/child-rating-scales/.

Substance Use

See Example Substance Use Screening and Assessment Tools (S2BI and CRAFFT). (Also see the EQIPP course, Substance Use—Screening, Brief Intervention, and Referral to Treatment.)

Suicidal Ideation

Adolescent Suicidal Questionnaire (ASQ) and Toolkit available with informational materials and many translations on the National Institute of Mental Health (NIH) Web site at: https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials/index.shtml.

Trauma

  • Child and Adolescent Trauma Screen (CATS) Caregiver Report (Ages 3–6); also available in Spanish
  • Child and Adolescent Trauma Screen (CATS) Caregiver Report (Ages 7–17); also available in Spanish
  • Child and Adolescent Trauma Screen (CATS) Youth Self Report (Ages 7–17); also available in Spanish
Available at: https://depts.washington.edu/hcsats/PDF/TF-%20CBT/pages/assessment.html.

Be aware that screening tools and rating scales are not diagnostic. Rather, they help identify the possible presence of a condition. Additional information and/or tests may be necessary to confirm or rule out a diagnosis.

Also, see the Mental Health Tools for Pediatrics from the AAP Mental Health Toolkit, which provides a more comprehensive listing of mental health screening and assessment tools.