Wender Utah Rating Scale for the Attention Deficit Hyperactivity Disorder

Overview: The Wender Utah Rating Scale can be used to assess adults for Attention Deficit Hyperactivity Disorder with a subset of 25 questions associated with that diagnosis. Wender Utah Rating Scale 61 questions answered by the adult patient recalling his or her childhood behavior 5 possible responses scored from 0 to 4 points not at all mildly moderor very ately slightly active restless always on the 0 1 2 go afraid of things 0 1 2 concentration problems 0 1 2 easily distracted anxious worrying 0 1 2 nervous fidgety 0 1 2 inattentive daydreaming 0 1 2 hot- or short-tempered low 0 1 2 boiling point shy sensitive 0 1 2 temper outbursts tantrums 0 1 2 trouble with stick-to-it0 1 2 tiveness not following through. failing to finish things started stubborn strong-willed 0 1 2 sad or blue depressed 0 1 2 unhappy incautious. dare-devilish 0 1 2 involved in pranks not getting a kick out of 0 1 2 things dissatisfied with life disobedient with parents 0 1 2 rebellious sassy low opinion of myself 0 1 2 irritable 0 1 2 As a child I was (or had): quite a bit 3 3 3 3 3 3 3 3 3 3 very much 4 4 4 4 4 4 4 4 4 4

1 2 3 4 5 6 7 8 9 10

11 12 13 14 15 16 17

3 3 3 3 3 3 3

4 4 4 4 4 4 4

18 19 20 21 22 23 24 25 26 27 28 29

30 31 32 33 34 35 36 37 38 39 40 41

42

outgoing friendly enjoyed company of people sloppy disorganized moody ups and downs angry friends popular well-organized tidy neat acting without thinking impulsive tendency to be immature guilty feelings regretful losing control of myself tendency to be or act irrational unpopular with other children didn't keep friends for long didn't get along with other children poorly coordinated did not participate in sports afraid of losing control of self well-coordinated picked first in games tomboyish (for women only) running away from home getting into fights teasing other children leader bossy difficulty getting awake follower led around too much trouble seeing things from someone else's point of view trouble with authorities trouble with school visits to principal's office trouble with police booked convicted

not at all mildly moderor very ately slightly 0 1 2 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2

quite a bit 3 3 3 3 3 3 3 3 3 3 3 3

very much 4 4 4 4 4 4 4 4 4 4 4 4

0 0 0 0 0 0 0 0 0 0 0 0

1 1 1 1 1 1 1 1 1 1 1 1

2 2 2 2 2 2 2 2 2 2 2 2

3 3 3 3 3 3 3 3 3 3 3 3

4 4 4 4 4 4 4 4 4 4 4 4

Medical problems as a child 43 44 45 46 47 48 49 headaches stomachaches constipation diarrhea food allergies other allergies bedwetting As a child in school I was (or had) overall a good student fast overall a poor student slow learner slow in learning to read slow reader trouble reversing letters problems with spelling trouble with mathematics or numbers bad handwriting able to read pretty well but never really enjoyed reading not achieving up to potential repeating grades suspended or expelled

50 51 52 53 54 55 56 57 58 59 60 61

not at all mildly moderor very ately slightly 0 1 2 0 1 2 0 1 2 0 1 2 0 1 2 0 1 2 0 1 2 not at all mildly moderor very ately slightly 0 1 2 0 1 2 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2

quite a bit 3 3 3 3 3 3 3 quite a bit 3 3 3 3 3 3 3 3 3 3 3 3

very much 4 4 4 4 4 4 4 very much 4 4 4 4 4 4 4 4 4 4 4 4

Questions Associated with ADHD

3 4 5 6 7 9 10 11 12 15 16 17 20 21 24 25 26 27 28 29 40 41 51 56 59

25 of the questions were associated with ADHD as follows:

As a child I was (or had): concentration problems easily distracted anxious worrying nervous fidgety inattentive daydreaming hot- or short-tempered low boiling point temper outbursts tantrums trouble with stick-to-it-tiveness not following through. failing to finish things started stubborn strong-willed sad or blue depressed unhappy disobedient with parents rebellious sassy low opinion of myself irritable moody ups and downs angry acting without thinking impulsive tendency to be immature guilty feelings regretful losing control of myself tendency to be or act irrational unpopular with other children didn't keep friends for long didn't get along with other children trouble seeing things from someone else's point of view trouble with authorities trouble with school visits to principal's office As a child in school I was (or had) overall a poor student slow learner trouble with mathematics or numbers not achieving up to potential

Wender Utah rating scale subscore = ________(sum of 25 questions associated with ADHD) Interpretation: minimum score for the 25 questions is 0 maximum score 100 if a cutoff score of 46 was used 86 of patients with ADHD 99 of normal persons and 81% of depressed subjects were correctly classified

References: Ward MF Wender PH Reimherr FW. The Wender Utah Rating Scale: An aid in the retrospective diagnosis of childhood Attention Deficit Hyperactivity Disorder. Am J Psychiatry. 1993; 150: 885-890.