Development of a Very Brief Measure of ADHD: The CHAOS Scale

Jess D Levy1, William G Kronenberger1, David W Dunn1

  • 11 Indiana University School of Medicine, Indianapolis, IN, USA.

Insights

The CHAOS scale is a brief, reliable tool for assessing Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms in clinical settings. It effectively measures attention problems, hyperactivity-impulsivity, oppositional behavior, and conduct problems.

Area of Science:

  • Child and Adolescent Psychiatry
  • Behavioral Psychology
  • Clinical Psychology

Background:

  • ADHD rating scales can be lengthy and difficult to use in busy clinical environments.
  • There is a need for brief, user-friendly behavioral checklists for ADHD assessment.

Purpose of the Study:

  • To develop a concise and practical behavior checklist for evaluating Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms.
  • To create a tool that addresses limitations of existing ADHD rating scales in clinical practice.

Main Methods:

  • The Conduct-Hyperactive-Attention Problem-Oppositional Symptom (CHAOS) scale items were derived from DSM-IV criteria by expert clinicians.
  • Principal Components Analysis (PCA) was used to create subscales from data of 205 clinically referred children.
  • Reliability and validity were assessed in a separate sample of 139 children.

Main Results:

  • PCA identified four subscales: Attention Problems, Hyperactivity-Impulsivity, Oppositional Behavior, and Conduct Problems.
  • The CHAOS scale demonstrated moderate to high test-retest and interrater reliability.
  • Subscale scores showed significant correlations with a DSM-referenced behavior checklist and executive functioning tests.

Conclusions:

  • The CHAOS scale is a brief, psychometrically sound instrument.
  • It is suitable for the evaluation and monitoring of ADHD symptoms in clinical settings.
Abstract

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