ADHD Comprehensive Assessment therapist. Mark Zauss

DIVA-5 - Diagnostic Interview for ADHD in adults (3rd edition; DIVA-5)

J.J.S. Kooij, MD, PhD, M.H. Francken, MSc, & T.I. Bron, MSc March 2019, DIVA Foundation, The Hague, The Netherlands

DIVA-5 is the third edition of the DIVA. This edition includes adjustments made to the DIVA 2.0 following the changes in the DSM-5 criteria for Attention-deficit/hyperactivity disorder. According to the DSM-5, ascertaining the diagnosis of ADHD in adults involves determining the presence of ADHD symptoms during both childhood and adulthood.

The main requirements for the diagnosis are that the onset of ADHD symptoms occurred during childhood and that this was followed by a lifelong persistence of the characteristic symptoms to the time of the current evaluation. The symptoms need to be associated with significant clinical or psychosocial impairments that affect the individual in two or more life situations1. Because ADHD in adults is a lifelong condition that starts in childhood, it is necessary to evaluate the symptoms, course and level of associated impairment in childhood, using a retrospective interview for childhood behaviors. Whenever possible the information should be gathered from the patient and supplemented by information from informants that knew the person as a child (usually parents or close relatives) 2.

Instructions

The DIVA is divided into 3 parts that are each applied to both childhood and adulthood:
• The criteria for Attention Deficit (A1)
• The criteria for Hyperactivity-Impulsivity (A2)
• The Age of Onset and Impairment accounted for by ADHD symptoms
The DIVA is to be completed with the (clinician - Mark) and the clinician must interpret the results.

This interview will be used to ask about the presence of ADHD symptoms that you experienced during your childhood and adulthood. The questions are based on the official criteria for ADHD in the DSM-5. For each question Mark will ask you whether you recognize the problem. To help you during the interview Mark will provide some examples of each symptom, that describe the way that children and adults often experience difficulties related to each of the symptoms of ADHD. First of all, you will be asked the questions, then your partner and family members (if present) will be asked the same questions. Your partner will most likely have known you only since adulthood and will be asked questions about the period of your life that he or she knew you for; your family will have a better idea of your behavour during childhood. Both stages of your life need to be investigated in order to be able to establish the diagnosis of ADHD.

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Sex *

Date of Birth *

Date of interview *

Part 1: Symptoms of attention-deficit (DSM-5 criterion A1)

Do you often fail to give close attention to details, or do you make careless mistakes in your work or during other activities? And how was that during childhood (in schoolwork or during other activities)?

A1 - ADULTHOOD

A1 - Childhood

A2 - Do you often have difficulty sustaining your attention in tasks? And how was that during childhood (in play activities)?

A3 Does it often seem as though you are not listening when you are spoken to directly? And how was that during
childhood?

A4 - Do you often not follow through on instructions and often fail to finish chores or duties in the workplace? And how was that during childhood (in schoolwork)?

Do you often find it difficult to organize tasks and activities? And how was that during childhood?

A5 Adulthood

A5 Childhood

A6 - Do you often avoid (or do you dislike, or are you reluctant to engage in) tasks that require sustained mental effort? And how was that during childhood?

A7 - Do you often lose things that are necessary for tasks or activities? And how was that during childhood?

A8 Are you often easily distracted by extraneous stimuli? And how was that during childhood?

A8 Adulthood

A8 Adulthood - Choose all that Apply *

Difficulty shutting off from external stimuli After being distracted, difficult to pick up the thread again Easily distracted by noises or events Easily distracted by the conversations of others Difficulty in filtering and/or selecting information

Other *

A8 Childhood

A Childhood - Choose all that Apply *

In the classroom, often looking outside Easily distracted by noises or events After being distracted, has difficultly picking up the thread again

Other *

A9 - Are you often forgetful in daily activities? And how was that during childhood?

Part 2: Symptoms of hyperactivity-impulsivity - (DSM-5 criterion A2)

Instructions: the symptoms in adulthood have to have been present for at least 6 months. The symptoms in childhood relate to the age of 5-12 years. For a symptom to be ascribed to ADHD it should have a chronic trait-like course and should not be episodic.

H/I 1 - Do you often fidget with or tap hands or feet, or do you often squirm in your seat? And how was that during childhood?

H/I 2 - Do you often leave your seat in situations where it is expected that you remain seated? And how was that during childhood?

H/I 3 - Do you often feel restless? And how was that during childhood?

H/I 3 Adulthood

H/I 3 Adulthood - Choose all that Apply *

Feeling restless or agitated inside Constantly having the feeling that you have to be doing something Finding it hard to relax

H/I 3 Childhood

H/I 3 Childhood - Choose all that Apply *

Always running around where it is inappropriate Climbing on furniture, or jumping on the sofa Climbing in trees Feeling restless inside

H/I 4 Do you often find it difficult to engage in leisure activities quietly? And how was that during childhood (in play activities)?

H/I 4 Adulthood

H/I 4 Childhood

H/I 4 Adulthood - Choose all that Apply *

Talks during activities when this is not appropriate Becoming quickly too cocky in public Being loud in all kinds of situations Difficulty doing activities quietly Difficultly in speaking softly

Other *

H/I 4 Childhood - Choose all that Apply *

Being loud-spoken during play or in the classroom Unable to watch TV or films quietly Asked to be quieter or calm down Becoming quickly too cocky in public

Other *

H/I 5 - Are you often “on the go” or do you often act as if “driven by a motor”? And how was that during childhood?

H/I 6 - Do you often talk excessively? And how was that during childhood?

H/I 6 Adulthood

H/I 6 Childhood

H/I 7 Do you often blurt out an answer before questions have been completed? And how was that during childhood?

H/I 8 - Do you often find it difficult to await your turn? And how was that during childhood?

H/I 8 Adulthood

H/I 8 Adulthood - Choose all that Apply *

Difficulty waiting in a queue, jumping the queue Difficulty in patiently waiting in the traffic/traffic jams Being impatient Quickly starting relationships/jobs, or ending/leaving these because of impatience

Other *

H/I 8 Childhood

H/I 8 Childhood - Choose all that Apply *

Difficultly waiting turn in group activities Difficultly waiting turn in the classroom Always being the first to talk or act Becomes quickly impatient Crosses the road without looking

Other *

H/I 9 - Do you often interrupt or intrude on others? And how was that during childhood?

Part 3: Impairment on account of the symptoms (DSM-5 criteria B, C and D)

Criterion B

Have you always had these symptoms of attention deficit and/or hyperactivity/impulsivity?

Choose One *

Yes (several symptoms were present prior to the 12th year of age) No

If no is answered above, starting from what age? *

Criterion C

In which areas do you have / have you had problems with these symptoms?

Adulthood - Evidence of impairment in ≥2 areas?

Choose One *

Yes No

Childhood: Evidence of impairment in ≥2 areas?

Choose One *

Yes No

Please click the submit button below and the results will be sent to the Mark - the therapist for scoring. He will contact you with a summary and any diagnosis and treatment recommendations. Thank you!

Submit

DIVA Foundation Diagnostic Interview for adults

The Diagnostic Interview for ADHD in adults is a publication of the DIVA Foundation, The Hague, The Netherlands, August 2010. The original English
translation by Vertaalbureau Boot was supported by Janssen-Cilag B.V. Backtranslation into Dutch by Sietske Helder.
Final revisions and authorization by dr. J.J.S. Kooij DIVA Foundation and prof. Philip Asherson, Institute of Psychiatry, London.
Adjustments based on the DSM-5 criteria by prof.Philip Asherson, Institute of Psychiatry, London, Dr. Josep Antoni Ramos-Quiroga, Servicio de
Psiquiatria. CIBERSAM. Hospital Universitari Valld’Hebron Universitat Autonoma de Barcelona, Dr. J.J. Sandra Kooij, and Drs. T.I. Annet Bron, DIVA
Foundation, 2016.
Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, (5th ed.). American Psychiatric Publishing, 2013.
This publication has been put together with care. However, over the course of time, parts of this publication might change. For that reason, no rights
may be derived from this publication. For more information and future updates of the DIVA please visit www.divacenter.eu.