Discriminant of Validity the Wender Utah Rating Scale in Iranian Adults

  • Farideh Farokhzadi Mail Department of Psychology, Payame Nour University, Tehran, Iran.
  • Mohammad Reza Mohammadi Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
  • Maryam Salmanian Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Attention-Deficit and Hyperactivity Disorder, Wender Utah Rating Scale, Validity, Iranian


The aim of this study is the normalization of the Wender Utah rating scale which is used to detect adults with Attention-Deficit and Hyperactivity Disorder (ADHD). Available sampling method was used to choose 400 parents of children (200 parents of children with ADHD as compared to 200 parents of normal children). Wender Utah rating scale, which has been designed to diagnose ADHD in adults, is filled out by each of the parents to most accurately diagnose of ADHD in parents. Wender Utah rating scale was divided into 6 sub scales which consist of dysthymia, oppositional defiant disorder; school work problems, conduct disorder, anxiety, and ADHD were analyzed with exploratory factor analysis method. The value of (Kaiser-Meyer-Olkin) KMO was 86.5% for dysthymia, 86.9% for oppositional defiant disorder, 77.5% for school related problems, 90.9% for conduct disorder, 79.6% for anxiety and 93.5% for Attention deficit/hyperactivity disorder, also the chi square value based on Bartlett's Test was 2242.947 for dysthymia, 2239.112 for oppositional defiant disorder, 1221.917 for school work problems, 5031.511 for conduct, 1421.1 for anxiety, and 7644.122 for ADHD. Since mentioned values were larger than the chi square critical values (P<0.05), it found that the factor correlation matrix is appropriate for factor analysis. Based on the findings, we can conclude that Wender Utah rating scale can be appropriately used for predicting dysthymia, oppositional defiant disorder, school work problems, conduct disorder, anxiety, in adults with ADHD.


Anderson JC, Williams S, McGee R, et al. DSM-III disorders in preadolescent children. Prevalence in a large sample from the general population. Arch Gen Psychiatry 1987;44(1):69-76.

Costello EJ, Costello AJ, Edelbrock C, et al. Psychiatric disorder in pediatric primary care. Prevalence and risk factors. Arch Gen Psychiatry 1988;45(12):1107-16.

Oftiord DR, Boyle MH, Szatmari P, et al. Ontario child health study. II. Six-month prevalence of disorder and rates of service utilization. Arch Gen Psychiatry 1987;44(9):832-6.

Arcia E, Conners CK. Gender ditferences in ADHD? Dev Behav Pediatr 1998;19(2):77-83.

Biederman J, Faraone SV, Spencer T, et al. Gender differences in a sample of adults with attention deficit hyperactity disorder. Psychiatry Res 1994;53(1):13-29.

American Psychiatric Association, editor. Diagnostic and statistical Manual of mental disorders. 4th ed. Arlington, US: American Psychiatric Association; 2000: p 943.

Ernst M, Zametkin A. The interface of genetics,neuroimageing and neurochemistry in attentiondeficit disorder. In: Bloom FE, Kupfer DJ, editors. Psychophannacology: The Fourth Generation of Progress. New York, NY: Lippincott Williams & Wilkins; 1995: p. 1643-52.

Zamtkin AJ, Rapoport JL. Neurobjology of Attention deficit disorder with hyperactivity: where have we come in 50 years? J Am Acad Child Adolesc Psychiatry 1987;26(5):576-86.

Zamtkin AJ, Liotta W. The neurobiology of attention– deficit hyperactivity disorder. J Clin Psychiatry 1998;59(Suppl 7):17-23.

Biederman J, Faranone SV, Keenan K, et al. Familygenetic and psychoaocial risk factors in DSM-III attention deficit disorder. J Am Acad Chid Adolesc Psychiatry 1990;29(4):526-33.

Shekim WO, Kashani J, Beck N, et al. The prevalence of attention deficit disorders in a rural Midwestern community sample of nine -year-old children. J Am Acad Chid Psychiatry 1985;24(6):765-70.

Rec-Grant N, Thomas BH, Offord DR, et al. Risk, protective factors, and the prevalence of behavioral and emotional disorders in children and adolescents. J Am Acad Child Adolesc Psychiatry 1989;28(2):262-8

Mclntosh DE, Mulkins RS, Dean RS. Utilization maternal perinatal risk indicators in the differential diagnosis of ADHD and UADD children. Int J Neurosci 1995;81(1-2):35-46.

Murphy K, Barkley RA. Prevalence of DSM-IV symptoms of ADHD in adult licensed drivers: Implications for clinical diagnosis. J Atten Disord 1996;1(3):147-61.

Weiss G, Trokenberg Hechtman L, editors. Hyperactive children grown up: ADHD in children, adolescents, and adults. 1st ed. New York: Guilford; 1993: p. 473.

Wender PH, editor. Attention-deficit hyperactivity disorder in adults. 1st ed. Oxford: Oxford Univ Press; 1995: p. 295.

Goldstein S, Goldstein M, editors. Mmanaging attention deficit hyperactivity disorder in children: A guide for practitioners. 2nd ed. New York, NY: Wiley; 1998: p. 876.

Barkley RA, editor. Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment. New York, NY: Guilford Pub; 1990: p. 747.

Faraon SV, Biederman J. Do attention deficit hyperactivity disorder and major depression share familial risk factors? J Nerv Ment Dis 1997;185(9):533-41.

Biederman J, Newcom J, Sprich S. Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders. Am J Psychiatry 1991;148(5):564-77.

Spencer T, Biederman J, Wilens T. Tricyclic antidepressant treatment of children with ADHD and tic disorders. J Am Acad Cild Adolesc Psychiatry 1994;33(8):1203-4.

Hinshaw SP, editor. Attention deficits and hyperactivity in children. 1st ed. Thousand Oaks, CA: sage; 1994: p 155.

Ward MF, Wender PH, Reimherr FW. The Wender Utah Rating Scale: An aid in the retrospective diagnosis of childhood attention deficit disorder. Am J Psychiatry 1993;150(6):885-90.

Retz-Junginger P, Retz W, Blocher D, et al. Reliability and validity of the Wender-Utah-Rating-Scale short form. Retrospective assessment of symptoms for attention deficit/hyperactivity disorder. Nervenarzt 2003;74(11):987-93.

Sadock BJ, Sadock VA, editors. Comprehensive-textbook of psychiatry. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2000: p. 2679-93.

Faraone SV, Biederman J, Milberger S. An exploratory study of ADHD among second-degree relatives of ADHD children. Biol Psychiatry 1994;35(6):398-402.

Biederman J, Faraone SV, Keenak K, et al. Further evidence for family-genetic risk factors in attention deficit hyperactivity disorder: patterns of comorbidity in probands and relatives in psychiatrically and pediatrically referred samples. Arc Gen Psychiatry 1992;49(9):728-38.

Dulcan M. Practice parameters for assessment and treatment of children, adolescents, and adults with ADHD. American Academy of Child and Adolescent Psychiatry. J Am Acad Child Adolesc Psychiatry 1997;36(10 Suppl):85S-121S.

Johnston Ch, Gmesh E. The families of children with attention deficit and hyperactivity disorder. Translated by Ghadir F, Najafi M. J Educ Retard Child 2006;55(1):3-16.

Biederman J, Munir K, Knee D, et al. A family study of patients with the attention-deficit disorder and normal control. J Psychiatr Res 1986;20(4):263-74.

Ghanizadeh A, Mohammadi MR, Moini R. Comorbidity of psychiatric disorders and parental psychiatric disorders in a sample of Iranian children with ADHD. J Atten Disord 2008;12(2):149-55.

Hebrany P, Alaqheband Rad J, Mohammadi, M. Psychiatric disorders in families of children with attention deficit – hyperactivity disorder. Q J 2002;9(1):12-8.

Sadri Kermani K, Shirazi E, Nohesara Sh. Prevalence of attention deficit hyperactivity disorder in the history of parents of children with the same disorder. Iran J Psychiatr Clin Psychol 2006;44(1):55-8.

Biederman J, Petty CR, Wilens TE, et al. Familial risk analysis of attention-deficit / hyperactivity disorder and substance use disorders. Am J Psychiatry 2008;165(1):107-15.

Mohammadi, M., Farokhzadi F, et al. The Comparison of Atecedent Attention-Deficit/Hyperactivity Disorder (ADHD) and Substance Abuse Disorders in the Parents of ADHD Children, and Parents of Normal Children. Acta Medica Iranica 2012 Vol. 50, No. 5 .

Retz-Junginger P, Retz W, Blocher D, et al. Wender Utah rating scale. Wender Utah rating scale. The short-version for the assessment of the attention-deficit hyperactivity disorder in adults. Nervenarzt 2002;73(9):830-8.

Rösler M, Retz W, Retz-Junginger P, et al. Attention deficit hyperactivity disorder in adults. Benchmarking diagnosis using the Wender-Reimherr adult rating scale. Nervenarzt 2008;79(3):320-7.

McCann BS, Scheele L, Ward N, et al. Discriminant validity of the Wender Utah Rating Scale for attentiondeficit/ hyperactivity disorder in adults. J Neuropsychiatry Clin Neurosci 2000;12(2):240-5.

Rodríguez-Jiménez R, Ponce G, Monasor R, et al. Validation in the adult Spanish population of the Wender Utah Rating Scale for the retrospective evaluation in adults of attention deficit/hyperactivity disorder in. Rev Neurol 2001;33(2):138-44.

Oncü B, Olmez S, Sentürk V. Validity and reliability of the Turkish version of the Wender Utah Rating Scale for attention-deficit/hyperactivity disorder in adults. Turk Psikiyatri Derg 2005;16(4):252-9.

How to Cite
Farokhzadi F, Mohammadi MR, Salmanian M. Discriminant of Validity the Wender Utah Rating Scale in Iranian Adults. Acta Med Iran. 52(5):360-369.