ADIS-5
Directionality:
o The ADIS-5 includes dimensional assessments of the key features of anxiety
disorders, which means that higher scores indicate a greater severity of anxiety
symptoms.
Structure:
o The ADIS-5 is divided into different sections, including the initial inquiry,
ratings, current episode, and past episode (ADIS-5L). The initial inquiry section
consists of dichotomous items (yes/no) to assess the key features of the disorder.
The ratings section allows for dimensional assessment and associated features of
the disorders. The current episode section focuses on the current symptoms and
experiences of the individual, while the past episode section (ADIS-5L) assesses
past diagnoses and their temporal sequence.
o The ADIS-5L, which is the Lifetime Version, is designed to establish past
(lifetime) diagnoses in addition to current diagnoses. It includes a Diagnostic
Timeline (DTL) to gather specific information about the age of onset/remission
and the relative sequence of past and current disorders.
Numbering:
o The numbering system used in the initial inquiry section of the ADIS-5 is
typically a sequential numbering system. Each item in the section is assigned a
number, such as Item 1, Item 2, Item 3, and so on. These numbers are used to
refer to specific items when administering the interview and recording the
patient's responses.
o In the ratings subsection, which includes symptom ratings and situation ratings,
the questions are also numbered. These ratings are made on a dimensional scale,
usually ranging from 0 to 8, to capture the severity or intensity of symptoms.
o For the current episode and past episode sections. The scoring system involves
assigning ratings to various symptoms and situations based on the severity and
frequency of the individual's experiences. These ratings help in determining the
presence and severity of the disorder being assessed.
Subscales:
1. Symptom Ratings: These sub-scales assess the severity and frequency of specific
symptoms associated with the disorder.
2. Situation Ratings: These sub-scales evaluate the level of fear or anxiety experienced in
different situations related to the disorder.
3. Interference/Distress Ratings: These sub-scales measure the extent to which the disorder
interferes with daily functioning and causes distress.
4. Fear Ratings: These sub-scales assess the intensity of fear experienced in specific
situations or contexts.
5. Avoidance Ratings: These sub-scales evaluate the degree of avoidance behaviors
exhibited by the individual in relation to the disorder.
6. Duration Ratings: These sub-scales determine the duration of symptoms and episodes
associated with the disorder.
7. Impairment Ratings: These sub-scales assess the overall impairment caused by the
disorder in various areas of life, such as work, relationships, and social functioning.
o There are additional sub-scales included in the Anxiety and Related Disorders Interview Schedule
for DSM-5 (ADIS-5) that were not mentioned. The ADIS-5 contains screening questions for a
variety of other conditions including hoarding disorder, impulse control disorders, eating
disorders, attention deficit disorder, dissociative disorders, and psychotic disorders. These
additional sub-scales allow for a comprehensive assessment of various disorders and their
comorbidity with anxiety and mood disorders.
Scoring:
o The Anxiety and Related Disorders Interview Schedule for DSM-5 (ADIS-5) uses
both dichotomous and dimensional scoring techniques. The initial screening
questions are rated on a dichotomous basis (yes/no), while the symptom ratings
are made dimensionally on a scale of 0-8. This dimensional assessment allows for
a more comprehensive evaluation of the severity and individual differences in
disorder features. The ADIS-5 also includes dimensional ratings that can be used
as treatment outcome variables and indicators of disorder features in research
studies.
Source:
Brown, Timothy A., and David H. Barlow. Anxiety and Related Disorders Interview Schedule
for DSM-5 (ADIS-5L). Oxford University Press, 2014.
