DIVA 2.0: Diagnostic Interview for ADHD in Adults
This document outlines the DIVA 2.0, a structured interview designed to assess the presence of Attention Deficit Hyperactivity Disorder (ADHD) in adults, based on the DSM-5 criteria. It helps clinicians and individuals explore symptoms across various life areas, including childhood and adulthood.
Introduction to ADHD and DIVA 2.0
Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by persistent patterns of inattention and/or hyperactivity-impulsivity that interfere with functioning or development. The DIVA 2.0 (Diagnostic Interview for ADHD in adults) is a tool to systematically gather information about these symptoms.
Childhood Symptoms
This section explores symptoms experienced during childhood, as many adult ADHD symptoms have their roots in early development. The interview asks about the frequency and impact of specific behaviors.
Inattention Symptoms (Childhood)
Questions in this section assess difficulties with:
- Failing to give close attention to details or making careless mistakes.
- Trouble holding attention on tasks or play activities.
- Seeming not to listen when spoken to directly.
- Not following through on instructions and failing to finish tasks.
- Difficulty organizing tasks and activities.
- Avoiding or disliking tasks requiring sustained mental effort.
- Losing things necessary for tasks or activities.
- Being easily distracted by extraneous stimuli.
- Being forgetful in daily activities.
Hyperactivity-Impulsivity Symptoms (Childhood)
Questions in this section assess behaviors such as:
- Fidgeting with or tapping hands or feet, or squirming in seat.
- Leaving seat when remaining seated is expected.
- Running about or climbing in situations where it is inappropriate.
- Unable to play or engage in leisure activities quietly.
- Often "on the go," acting as if "driven by a motor."
- Talking excessively.
- Blurting out answers before questions are completed.
- Difficulty waiting turn.
- Interrupting or intruding on others.
Adult Symptoms
This section focuses on how ADHD symptoms manifest and impact functioning in adulthood. It covers similar symptom clusters but with an adult context.
Inattention Symptoms (Adulthood)
Adult inattention symptoms may include:
- Difficulty managing time and organizing tasks.
- Procrastination and difficulty completing projects.
- Forgetfulness in daily routines, appointments, and commitments.
- Losing items like keys, wallet, or phone frequently.
- Being easily distracted by external stimuli or internal thoughts.
- Trouble focusing during conversations or meetings.
- Making careless errors in work or other activities.
- Avoiding tasks that require sustained mental effort, such as paperwork or long reports.
Hyperactivity-Impulsivity Symptoms (Adulthood)
Adult hyperactivity-impulsivity symptoms can present as:
- Feeling restless, fidgety, or having an inner sense of restlessness.
- Difficulty staying seated for extended periods (e.g., in meetings, restaurants).
- Feeling "driven by a motor" or constantly needing to be active.
- Excessive talking or interrupting others.
- Impulsive decisions, such as spending money or making commitments without full consideration.
- Difficulty waiting for one's turn.
- Acting without thinking through consequences.
Impact on Life Domains
The interview also assesses the impact of these symptoms on various areas of life, such as work, relationships, and self-esteem. This helps determine the functional impairment caused by ADHD.
Conclusion
The DIVA 2.0 provides a structured framework for diagnosing ADHD in adults by systematically evaluating core symptoms and their impact across the lifespan. It is a valuable tool for clinicians in making an accurate diagnosis.
