Wender Utah Rating Scale for the Attention Deficit Hyperactivity Disorder Name: _______________________________________ Gender: ___________ Date: ____________ For each of the 61 items, check the box that best describes your behavior: As a child I was (or had): 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 Active, restless, always on the go Afraid of things Concentration problems, easily distracted Anxious, worrying Nervous, fidgety Inattentive, daydreaming Hot- or short-tempered, low boiling point Shy, sensitive 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 Incautious, dare-devilish, involved in pranks Not getting a kick out of things, dissatisfied with life Disobedient with parents, rebellious, sassy Low opinion of myself Irritable 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 Not at all or very slightly 0 0 0 0 0 0 0 0 0 0 Mildly Moderately Quite a bit Very much 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 0 0 0 0 1 1 1 1 2 2 2 2 3 3 3 3 4 4 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 0 1 2 3 4 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 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. 39 40 41 42 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 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) 50 51 52 53 54 55 56 57 58 59 60 61 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 0 0 1 1 2 2 3 3 4 4 0 1 2 3 4 0 1 2 3 4 Not at all or very slightly 0 0 0 0 0 0 0 Mildly Moderately Quite a bit Very much 1 1 1 1 1 1 1 2 2 2 2 2 2 2 3 3 3 3 3 3 3 4 4 4 4 4 4 4 Not at all or very slightly 0 0 0 0 0 0 0 0 0 Mildly Moderately Quite a bit Very much 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 0 0 0 1 1 1 2 2 2 3 3 3 4 4 4 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. Questions Associated with ADHD • 25 of the questions were associated with ADHD as follows: 3 4 5 6 7 9 10 11 12 15 16 17 20 21 24 25 26 27 28 29 40 41 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 51 56 59 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 Interpretation: • • 61 questions answered by the adult patient recalling his or her childhood behavior 5 possible responses scored from 0 to 4 points • • • Wender Utah rating scale score = ________ 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. • • Wender Utah rating scale subscore = ________(sum of 25 questions associated with ADHD) Minimum score for the 25 questions is 0 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.