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Diagnostic Interview for ADHD in adults (DIVA) - PsyQ

Diagnostic Interview for ADHD in adults (DIVA) - PsyQ

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Name of the patient<br />

Date of birth<br />

Sex:<br />

Date of <strong>in</strong>terview<br />

Name of researcher<br />

Patient number<br />

Part 1: Symptoms of attention-deficit (DSM-IV criterion A1)<br />

Instructions: the symptoms <strong>in</strong> adulthood have to have been present <strong>for</strong> at least 6 months. The symptoms <strong>in</strong> childhood<br />

relate to the age of 5-12 years. For a symptom to be ascribed to <strong>ADHD</strong> it should have a chronic trait-like course and<br />

should not be episodic.<br />

A1<br />

❑ M / ❑ F<br />

Do you often fail to give close attention to detail, or do you make careless mistakes <strong>in</strong> your work or<br />

dur<strong>in</strong>g other activities? And how was that dur<strong>in</strong>g childhood?<br />

Examples dur<strong>in</strong>g adulthood:<br />

❑ Makes careless mistakes<br />

❑ Works slowly to avoid mistakes<br />

❑ Does not read <strong>in</strong>structions carefully<br />

❑ Difficulty work<strong>in</strong>g <strong>in</strong> a detailed way<br />

❑ Too much time needed to complete detailed tasks<br />

❑ Gets easily bogged down by details<br />

❑ Works too quickly and there<strong>for</strong>e makes mistakes<br />

❑ Other:<br />

Symptom present: ❑ Yes / ❑ No<br />

<strong>DIVA</strong> 2.0 <strong>Diagnostic</strong> <strong>Interview</strong> <strong>for</strong> <strong>ADHD</strong> <strong>in</strong> <strong>adults</strong><br />

Examples dur<strong>in</strong>g childhood:<br />

❑ Careless mistakes <strong>in</strong> schoolwork<br />

❑ Mistakes made by not read<strong>in</strong>g questions properly<br />

❑ Leaves questions unanswered by not read<strong>in</strong>g them<br />

properly<br />

❑ Leaves the reverse side of a test unanswered<br />

❑ Others comment about careless work<br />

❑ Not check<strong>in</strong>g the answers <strong>in</strong> homework<br />

❑ Too much time needed to complete detailed tasks<br />

❑ Other:<br />

Symptom present: ❑ Yes / ❑ No<br />

5

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