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DIVA ADHD - Improving Adult ADHD Diagnosis
DIVA is an interview with a semistructured format that was developed to enhance ADHD assessment in adults. This study will evaluate the validity of the criterion used in DIVA 2.0 and its concomitant validity in comparison with Conners Adult ADHD Diagnostic Interview for DSM-IV (CAADID) criteria.
Compared to the top 20 attributes, DIVA attributes that correlate strongest with diagnosis are attention deficit for both childhood and adulthood and hyperactivity/impulsivity for adults, followed by CAARS ADHD TT1 score and IOWA personality disorders evaluation.
Symptoms
The symptoms of ADD/ADHD can affect every aspect of our lives, from relationships and career advancement to the everyday activities that comprise our lives. It is essential that our ADHD assessment takes a comprehensive view, examining how symptoms affect all aspects of our lives. During your evaluation, Dr. Schilling will begin by collecting details about your symptoms as well as health history. She will then conduct an DIVA 5 assessment. This is a semi-structured interview that examines both the primary symptoms and the impact of ADD/ADHD your life.
The DIVA is a diagnostic interview tool created by psychologists and psychiatrists to determine adult ADHD symptoms. It has been found to be highly sensitive and specific. It is highly effective at identifying people suffering from the disorder. It can help raise awareness and help diagnose adult ADHD in Korea because it is the only validated semistructured diagnostic interview available in the country.
A qualified clinician, typically a psychiatrist will inquire about the core symptoms of ADHD. These include inattention, hyperactivity and impulsivity. The doctor will also examine the history of the individual, including their childhood experiences and their influence on their behavior. The symptoms of ADHD are not sudden. They develop over a period of time from childhood through teen years and adulthood.
The DIVA is able to effectively identify people suffering from ADHD because it takes into account both the DSM-IV criteria for ADHD in childhood and adulthood and how the symptoms have affected the individual's daily functioning in five different areas of life - education work, family/partner relationships, family, social activities/leisure time, and self-esteem and confidence in oneself. Other screening tools, for instance the WURS brief that was compared to the CAADID showed poor sensitivity, and negative predictive value.
Diagnosis
In order to determine the presence of ADHD in adults, it is crucial to evaluate the symptoms and their causes. This can be accomplished through conducting a thorough interview about childhood symptoms as well as a neurocognitive assessment. It is crucial to think about the impact that the symptoms have on the person's work and daily life. This can be evaluated by conducting a structured interview, also known as the DIVA and, in certain cases, obtaining information from friends and family members.
The DIVA is an interview that is semi-structured and was initially developed to be used with adults in the Netherlands. It has been re-edited for use in other countries, including Korea. This study evaluated the validity of the criterion used to determine the Korean version of DIVA (DIVA-5) in a clinical sample of adult patients with ADHD.
During the DIVA the doctor asks about the presence of ADHD symptoms in childhood and into adulthood, the time at which the symptoms onset, and the extent of impairment caused by those symptoms. The doctor also collects a diverse set of sociodemographic data and inquires about any psychiatric comorbidity.
Patients were screened for psychiatric comorbidity using the MINI-S plus version 5.0.0, the Brief Alcohol Related Neuropsychological Impairment Screening Instrument (BEARNI) and the Frontal Assessment Battery (FAB). Two experienced psychiatrists employed the structured diagnostic interview DIVA-5 to establish a diagnosis of ADHD. They assessed symptoms both in adulthood and childhood and determined the length of symptoms.
The sensitivity and specificity of DIVA-5 was found to be high for both inattention and hyperactivity/impulsivity symptoms in childhood and adulthood. This diagnostic tool has good concurrent validity when compared with the WURS scale and has fair validity when compared with three self-report ratings instruments which include the ASRS (self-report rating), FAB (self-report rating) and Sheehan's Dysfunction Inventory.
The sensitivity and specificity of the DIVA-5 was found to be high for all subtypes of ADHD in both inattention and hyperactivity/impulsivity in adulthood and during childhood. psychiatry-uk adhd assessment I Am Psychiatry of the DIVA-5 was found to be comparable with that of a clinical diagnosis established by two expert psychiatrists. This was in accordance with the sensitivity and specificity of previous screening tools, such as the ASRS and the WURS.
Treatment
If you're not aware of ADHD it could significantly impact your life. This can affect your relationships, academic performance and work. It can also affect the way you manage your daily life. A diagnosis can help you identify your strengths and weaknesses, and also offer treatment options to improve your symptoms and provide coping mechanisms.
A trained clinician, usually a psychiatrist or psychologist, will conduct an in-depth interview with you regarding your current symptoms using the DIVA-5 assessment tool. It will include standardised questions regarding your levels of hyperactivity, attention deficit and the tendency to be impulsive. It will also examine your personal history including your childhood experiences to create a complete picture of your symptoms.
This approach is essential for a thorough adult ADHD diagnosis. This helps us better understand your symptoms and inform your treatment.
The DIVA assessment can be used to determine adult ADHD with high specificity and sensitivity. It has also been demonstrated to have sound criterion validity when compared to self-report rating scales like the Wender Utah Rating Scale (WURS) and the ADHD-Rating Scale. It has good consistency with these scales, and has fair validity with Sheehan’s Dysfunction Inventory.
Contrary to the more conventional methods of assessing ADHD in adults, the DIVA assessment is focused on identifying and discussing the symptoms that are present in both childhood and adulthood, thereby increasing the accuracy of the diagnosis and enabling an accurate comparison between the sociodemographic characteristics of both groups. The DIVA evaluation also offers an opportunity to look at the effects of co-occurring disorders on manifestation of ADHD symptoms.
If your Psychologist cannot prescribe medication, you might need to make an appointment with a Psychiatrist or a Paediatrician to discuss further assessment and/or treatment. They can then refer you to a specialist Psychologist to conduct an thorough evaluation of your symptoms, and to determine if there are any co-occurring diagnoses and differentials. This includes assessing for co-occurring conditions like anxiety and depression. This will enable your Psychologist the best treatment plan.
Getting Started
Getting diagnosed with ADHD can have a profound impact on your life, offering explanations for long-standing problems and opening the door to effective treatment options. However, a good evaluation requires the expertise of experienced medical professionals. The DIVA ADHD assessment, which is a structured and extensive tool, helps to improve the adult ADHD diagnosis accuracy by analyzing symptoms across different stages of life. It also helps identify patterns of behavior that are persistent and aids in distinguishing between ADHD symptoms and other disorders like depression or anxiety.
In a DIVA ADHD evaluation, a practitioner will conduct a structured interview in order to ask a series questions regarding symptoms such as hyperactivity, inattention, and the tendency to be impulsive. The doctor evaluates the frequency, severity and duration of these symptoms to determine how they impact on the individual's life and functioning in several situations. This information is then used to create an accurate diagnosis.
The DIVA test is validated in comparison to other diagnostic tools. It has a high sensitivity in comparison to WURS-briefs, CAA-DIDs and psychiatrist's assessments. It also has high validity when assessing ADHD symptoms in five areas of daily functioning: education and work; relationships; home and family social interactions; free time and leisure.
For an authentic DIVA assessment, the individual being evaluated, their family and friends need to be present. This will help build trust and create a therapeutic bond that is essential for the success of the evaluation.
A psychiatrist or psychologist with expertise in the DIVA ADHD assessment can give an extensive, professional report. The report will detail the results of the assessment and provide a treatment strategy that is based upon evidence.
Please contact us to set up an appointment if you think you or someone you love might have ADHD. Our doctor Kate Schilling is trained in the DIVA ADHD assessment and is able to provide an assessment. She can then provide an appointment with a specialist to develop an effective treatment plan. Be aware that an amalgamation of medication and psychotherapy is the best treatment.