Appendix D Tables

Tables D.1a. DSM Symptom Count and Criterion Status Score Requirements for DSM ADHD Inattentive Symptoms

DSM Symptom Count Requirements: At least 6 of the 9 symptoms for youth ≤ 16 years of age; at least 5 of the 9 symptoms for youth ≥ 17 years of age.
DSM Criterion A	Parent Item #	Teacher Item #	Parent/Teacher Item Text	Self-Report Item #	Self-Report Item Text	Item Score that Contributes to Symptom Count
1a	62	55	Fails to pay close attention to details.	66	It is hard for me to pay attention to details.	2,3
	-or-	-or-	-or-	-or-	-or-	-or-
	66	59	Makes careless mistakes in schoolwork or other activities.	69	I make careless mistakes.	2,3
1b	107	98	Has trouble staying focused on work or play for a long time.	108	I have trouble focusing for a long time.	2,3
1c	15	13	Doesn’t seem to listen to what people are saying to them.	18	People don’t think I’m listening to them.	2,3
1d	19	17	Doesn’t finish schoolwork, work, or other tasks.	22	I don’t finish things I start, like schoolwork, work, or other tasks.	One item score = 2,3
	-and-	-and-	-and-	-and-	-and-	-and-
	32	29	Fails to follow through on instructions.	35	I have trouble following instructions.	other item score = 1,2,3
1e	57	52	Has trouble organizing tasks or activities.	60	I have trouble keeping my things organized.	2,3
1f	5	5	Avoids or dislikes things that take a lot of effort and are not fun.	6	I don’t like doing things that make me think hard for a long time.	2,3
	-or-	-or-	-or-	-or-	-or-	-or-
	n/a	n/a	n/a	92	I avoid doing things that make me think hard for a long time.	2,3
1g	79	73	Loses or misplaces things that they need.	81	I lose things that I need.	2,3
1h^a	10	10	Is easily distracted.	14	I am easily distracted.	2,3
1i	2	2	Is forgetful in daily activities.	2	I forget to do things.	2,3

^a Criterion A1h states that in older adolescents, the tendency to be easily distracted by extraneous stimuli may include unrelated thoughts as the source of distraction. Follow-up is recommended to check if Criterion A1h has been met for older adolescents.

<< Back to Table D.1b

Tables D.1b. DSM Symptom Count and Criterion Status Score Requirements for DSM ADHD Hyperactive/Impulsive Symptoms

DSM Symptom Count Requirements: At least 6 of the 9 symptoms for youth ≤ 16 years of age; at least 5 of the 9 symptoms for youth ≥ 17 years of age.
DSM Criterion A	Parent Item #	Teacher Item #	Parent/Teacher Item Text	Self-Report Item #	Self-Report Item Text	Item Score that Contributes to Symptom Count
2a	86	80	Has trouble sitting still.	88	It’s hard for me to sit still.	2,3
	-or-	-or-	-or-	-or-	-or-	-or-
	108	99	Fidgets or squirms in their seat.	109	I fidget or squirm in my seat.	2,3
2b	3	3	Leaves their seat when they should stay seated.	3	I get out of my seat when I am not supposed to.	2,3
2c^b	51	47	Runs or climbs when they are not supposed to.	52	I run or climb even when I am not supposed to.	2,3
	-or-	-or-	-or-	-or-	-or-	-or-
	111	102	Is restless.	112	I feel restless.	2,3
2d	60	54	Is unable to be quiet when playing or using free time.	64	I can’t play or do things quietly.	2,3
2e	14	12	Needs to be moving around.	17	I feel like I need to be moving around.	2,3
	-or-	-or-	-or-	-or-	-or-	-or-
	95	89	Acts as if driven by a motor.	98	I feel like I am driven by a motor.	2,3
2f	47	42	Talks too much.	47	I talk too much.	2,3
2g	106	97	Blurts out answers before the question has been completed.	107	I blurt out the answer before the question is finished.	2,3
2h	50	45	Has difficulty waiting for their turn.	50	I have trouble waiting for my turn.	2,3
2i	55	50	Interrupts other people’s conversations, games, or activities.	57	I interrupt people when they are talking or playing games.	2,3
	-or-	-or-	-or-	-or-	-or-	-or-
	75	70	Intrudes on or takes over what others are doing.	n/a	n/a	2,3

^b Criterion A2c states that in adolescents, overactivity may be experienced as subjective feelings of restlessness. Follow-up is recommended to ensure Criterion A2c has been met for the self-report of adolescents.

<< Back to Table D.2

Table D.2. DSM Symptom Count and Criterion Status Score Requirements for DSM Oppositional Defiant Disorder Symptoms

DSM Symptom Count Requirements: At least 4 of the 8 symptoms.
DSM Criterion A	Parent Item #	Teacher Item #	Parent/Teacher Item Text	Self-Report Item #	Self-Report Item Text	Item Score that Contributes to Symptom Count
Angry/Irritable Mood
1	4	4	Loses temper.	4	I lose my temper.	2,3
2	49	44	Is irritable or easily annoyed by others.	49	I am easily annoyed.	2,3
3	37	34	Is angry and resentful.	39	People make me angry.	2,3
Argumentative/Defiant Behavior
4	98	91	Argues with adults.	101	I argue with adults.	2,3
5	16	14	Actively refuses to follow the rules.	19	I refuse to follow the rules.	2,3
	-or-	-or-	-or-	-or-	-or-	-or-
	83	78	Actively refuses to do what adults tell them to do.	85	I refuse to do what adults ask me to do.	2,3
6	59	53	Annoys other people on purpose.	63	I annoy people on purpose.	2,3
7	91	85	Blames their mistakes or misbehavior on others.	94	I blame others for my mistakes or bad behavior.	2,3
Vindictiveness
8^a	45	40	Tries to get even with people.	45	When I get mad at someone, I get even with them.	1,2,3
	-or-	-or-	-or-	-or-	-or-	-or-
	67	61	Upsets or offends others on purpose.	70	I upset or offend others on purpose.	1,2,3

^a In order for Criterion A8 (vindictiveness) to be indicated, the assessor needs to ensure this criterion occurred twice within the past 6 months.

<< Back to Table D.3

Table D.3. DSM Symptom Count and Criterion Status Score Requirements for DSM Conduct Disorder Symptoms

DSM Symptom Count Requirements: At least 3 of the 15 symptoms.
DSM Criterion A	Parent Item #	Teacher Item #	Parent/Teacher Item Text	Self-Report Item #	Self-Report Item Text	Item Score that Contributes to Symptom Count
Aggression to People and Animals
1	33	30	Bullies, threatens, or scares others.	36	I bully, threaten, or scare others.	2,3
2	21	19	Starts fights with people.	24	I start fights with other people.	2,3
3	84	79	Uses a weapon to scare or hurt people.	87	I use a weapon to scare or hurt people.	1,2,3
4	6	6	Physically hurts people.	10	I hurt people by doing things like punching, kicking, or scratching.	1,2,3
5	70	65	Is cruel to animals.	73	I do things to hurt animals.	1,2,3
6	17	15	Steals while confronting a person (for example, mugging, purse snatching, or armed robbery).	20	I steal from people by robbing them.	1,2,3
7	101	94	Has forced someone into sexual activity.	103	I made someone do something sexual against their will.	1,2,3
Destruction of Property
8	29	26	Has intentionally set fires for the purpose of causing damage.	32	I set things on fire to cause damage.	1,2,3
9^a	81	75	Intentionally damages or destroys things that belong to others.	83	I destroy things on purpose that belong to others.	1,2,3
Deceitfulness or Theft
10	44	39	Has broken into someone else’s house, building, or car.	44	I’ve broken into houses, buildings, or cars.	1,2,3
11	68	62	Lies to avoid having to do something or to get things.	71	I tell lies to get out of doing things or to get stuff.	2,3
12	27	25	Steals valuable things secretly (for example, through shoplifting or forgery).	30	I steal valuable things when no one is watching.	1,2,3
Serious Violations of Rules
13^b,^c	61	n/a	Stays out at night, even though it breaks the rules.	65	I stay out at night, even though it breaks the rules.	2,3
14^b,^d	104	n/a	Has run away from home for at least one night.	105	I have run away from home for at least one night.	1,2,3
15^e	90	84	Skips classes.	93	I skip classes.	2,3

^a If both Criterion A8 (fire setting) and A9 (destruction of property) are indicated, in order to meet Criterion A9, the assessor must confirm that property was destroyed other than by fire-setting.

^b The Conners 4 Teacher does not assess Criterion A13 (staying out at night without permission) or Criterion A14 (running away from home), as teachers generally would not be directly aware of these infractions.

^c In order for DSM Criterion A13 (staying out at night without permission) to be indicated, the assessor must ensure that behavior had occurred before the age of 13 years.

^d In order for DSM Criterion A14 (running away from home) to be indicated, the assessor must ensure that the behavior occurred at least twice while living in the parental or parental surrogate home, or once without returning for a lengthy period.

^e In order for DSM Criterion A15 (truancy) to be indicated, the assessor must ensure that the truancy had occurred before the age of 13 years.