[{"data":1,"prerenderedAt":1186},["ShallowReactive",2],{"assessment-wurs-61":3,"all-assessments-nav":367,"related-assessments-query":1032},{"id":4,"title":5,"body":6,"category":354,"categoryTitle":355,"clinicalCitations":354,"copyright":354,"description":332,"disclaimer":354,"downloadLink":354,"extension":356,"faqs":354,"i18nReady":357,"icon":354,"lastReviewed":354,"meta":358,"navigation":359,"path":360,"permissionsNote":354,"recommendedFrequency":354,"relatedConditions":354,"reviewedBy":354,"seo":361,"slug":362,"stem":363,"summary":364,"takeaways":354,"type":365,"usedToDiagnose":354,"__hash__":366},"assessments\u002Fhelp\u002Fassessment-library\u002Fwurs-61.md","WURS-61: Wender Utah Rating Scale",{"type":7,"value":8,"toc":331},"minimark",[9,14,18,21,25,33,38,72,76,79,105,111,115,142,146,172,176,196,201,209,213,216,220,223,226,229,232,235,238,242,245,248,252,255,259,262,265,268,272,276,293,297,311,314,317,321,324,328],[10,11,13],"h3",{"id":12},"foundational-context","Foundational Context",[15,16,17],"p",{},"Developed by Ward, Wender, and Reimherr (1993), the Wender Utah Rating Scale (WURS) was created to evaluate childhood behaviors associated with ADHD in adults. It supports the DSM-5-TR requirement that ADHD symptoms were present before age 12.",[15,19,20],{},"The WURS is unique in its focus on the \"Utah Criteria\" for ADHD, which includes emotional dysregulation and mood lability in addition to classic core symptoms of inattention and hyperactivity.",[10,22,24],{"id":23},"what-the-assessment-measures","What the Assessment Measures",[15,26,27,28,32],{},"The full WURS-61 consists of 61 retrospective items. However, clinical scoring typically uses a specific subset of 25 items (the ",[29,30,31],"strong",{},"WURS-25","). Adults rate how they experienced symptoms during childhood (approximately ages 5–10) on a 5-point scale (0 = Not at all\u002FSlightly to 4 = Very much).",[15,34,35],{},[29,36,37],{},"Core Childhood Symptom Domains:",[39,40,41,48,54,60,66],"ul",{},[42,43,44,47],"li",{},[29,45,46],{},"Attention & Concentration",": Trouble concentrating, daydreaming, difficulty completing work.",[42,49,50,53],{},[29,51,52],{},"Impulsivity",": Acting before thinking, getting into trouble, impulsive planning.",[42,55,56,59],{},[29,57,58],{},"Behavior & Conduct",": Fighting with children, being rebellious, trouble at school.",[42,61,62,65],{},[29,63,64],{},"Academic & Learning",": Trouble with reading or arithmetic, underachieving.",[42,67,68,71],{},[29,69,70],{},"Emotional Dysregulation",": Moody, irritability, hot temper, low frustration tolerance.",[10,73,75],{"id":74},"interpretation-guidelines","Interpretation Guidelines",[15,77,78],{},"Sum only the 25 WURS-25 items for the clinical score (maximum 100).",[39,80,81,87,93,99],{},[42,82,83,86],{},[29,84,85],{},"0–24",": Not consistent with childhood ADHD.",[42,88,89,92],{},[29,90,91],{},"25–45",": Borderline, clinical judgment required. Consider collateral history.",[42,94,95,98],{},[29,96,97],{},"≥36",": Elevated, higher sensitivity cutoff (used in some settings).",[42,100,101,104],{},[29,102,103],{},"≥46",": Consistent with childhood ADHD. Validated threshold achieving 86% sensitivity and 99% specificity vs. depressed adults (Ward et al., 1993).",[15,106,107,110],{},[29,108,109],{},"Important",": The WURS establishes childhood onset; the ASRS (Adult ADHD Self-Report Scale) should be used to screen for current symptoms.",[10,112,114],{"id":113},"administration-considerations","Administration Considerations",[116,117,118,124,130,136],"ol",{},[42,119,120,123],{},[29,121,122],{},"Format",": Self-administered, typically 10 minutes.",[42,125,126,129],{},[29,127,128],{},"Instructions",": Rate symptoms based on childhood experience (ages 5–10) only.",[42,131,132,135],{},[29,133,134],{},"Scoring",": Sum only the designated 25 items for the WURS-25 total.",[42,137,138,141],{},[29,139,140],{},"Integration",": Best used alongside the ASRS. Corroborate with childhood records or parent reports where possible.",[10,143,145],{"id":144},"psychometric-properties","Psychometric Properties",[39,147,148,154,160,166],{},[42,149,150,153],{},[29,151,152],{},"Internal consistency",": Cronbach’s α ≈ 0.94.",[42,155,156,159],{},[29,157,158],{},"Sensitivity",": 86% (at cutoff ≥ 46).",[42,161,162,165],{},[29,163,164],{},"Specificity",": 99% (at cutoff ≥ 46 vs. depressed adults).",[42,167,168,171],{},[29,169,170],{},"Validation",": Ward et al. (1993).",[10,173,175],{"id":174},"limitations","Limitations",[39,177,178,184,190],{},[42,179,180,183],{},[29,181,182],{},"Recall Bias",": Current mood (especially depression) can distort retrospective reporting.",[42,185,186,189],{},[29,187,188],{},"Not Diagnostic Alone",": Requires a full clinical interview and collateral history.",[42,191,192,195],{},[29,193,194],{},"Utah Criteria",": Some items may not map directly to current DSM-5-TR ADHD symptom descriptions.",[197,198,200],"h2",{"id":199},"references","References",[15,202,203,204,208],{},"Ward, M. F., Wender, P. H., & Reimherr, F. W. (1993). The Wender Utah Rating Scale: an aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder. ",[205,206,207],"em",{},"American Journal of Psychiatry",", 150(6), 885-890.",[197,210,212],{"id":211},"additional-context","Additional Context",[15,214,215],{},"Retrospective self-report scale for assessing childhood ADHD symptoms in adults. Establishes\nthe early onset required for a DSM-5-TR ADHD diagnosis.",[197,217,219],{"id":218},"wurs-61-vs-wurs-25","WURS-61 vs WURS-25",[15,221,222],{},"The full 61-item scale vs the 25-item validated scoring subset",[15,224,225],{},"The full scale",[15,227,228],{},"The complete 61-item questionnaire administered to the patient. Covers all childhood\nsymptom domains including attention, impulsivity, conduct, academics, and mood. Provides\nfull clinical context but is not used in its entirety for scoring.",[15,230,231],{},"The validated scoring subset",[15,233,234],{},"A specific subset of 25 items drawn from the full scale. These 25 items are summed for\nthe clinical score (range 0–100). The WURS-25 cutoff of ≥46 is the validated threshold\nfrom Ward et al. (1993) and is what clinicians mean when referencing \"WURS scoring.\"",[15,236,237],{},"When clinicians say \"WURS score\" they mean WURS-25",[197,239,241],{"id":240},"wurs-25-scoring-guide","WURS-25 Scoring Guide",[15,243,244],{},"Each of the 25 scored items is rated 0–4. Maximum score: 100.",[15,246,247],{},"Scoring note: The rating scale is 0 = Not at all\nor Slightly, 1 = Mildly, 2 = Moderately, 3 = Quite a bit, 4 = Very much. Sum only the 25\ndesignated WURS-25 items. The remaining 36 items are not included in the scored total but\nmay be reviewed clinically.",[197,249,251],{"id":250},"five-childhood-symptom-domains","Five Childhood Symptom Domains",[15,253,254],{},"The WURS-61 assesses retrospective childhood symptoms across five core areas.",[197,256,258],{"id":257},"wurs-61-vs-asrs-using-both-together","WURS-61 vs ASRS: Using Both Together",[15,260,261],{},"These two tools measure different time frames and together support a full adult\nADHD evaluation",[15,263,264],{},"Recommended Workflow",[15,266,267],{},"Administer the ASRS at intake to screen for current ADHD symptoms. If Part A is positive\n(4+ responses), follow up with the WURS-61 to assess childhood onset. A positive ASRS\ncombined with a WURS-25 score ≥46 provides the strongest support for an adult ADHD\ndiagnosis, satisfying both the current impairment and childhood onset criteria in DSM-5-TR.",[197,269,271],{"id":270},"administration-limitations","Administration & Limitations",[10,273,275],{"id":274},"administration","Administration",[39,277,278,281,284,287,290],{},[42,279,280],{},"Self-administered, typically 10 minutes",[42,282,283],{},"Complete before or during clinical intake",[42,285,286],{},"Rate symptoms from approximately ages 5–10",[42,288,289],{},"Public domain, no licensing required",[42,291,292],{},"Validated in English, Dutch, Italian, Spanish",[10,294,296],{"id":295},"key-limitations","Key Limitations",[39,298,299,302,305,308],{},[42,300,301],{},"Recall bias: Current mood (especially depression) can distort\nretrospective reporting",[42,303,304],{},"No diagnosis alone: WURS is a screening aid, diagnosis requires\nclinical interview and collateral history",[42,306,307],{},"Utah criteria: Based on pre-DSM-5-TR Utah criteria; some items do not\nmap directly to current DSM-5-TR ADHD symptom descriptions",[42,309,310],{},"Corroborate when possible: Childhood records, parent\u002Fsibling\ninformants strengthen validity",[15,312,313],{},"Documenting WURS-61 results in clinical notes?",[15,315,316],{},"Record the WURS-25 total score in the Objective section of your note, with the interpretation (e.g., \"WURS-25: 52, consistent with childhood ADHD onset\"). See our SOAP notes guide and intake notes guide for templates and examples.",[197,318,320],{"id":319},"related-assessments","Related Assessments",[15,322,323],{},"ADHD and related tools commonly used alongside WURS-61",[197,325,327],{"id":326},"automate-wurs-61-in-your-clinic","Automate WURS-61 in Your Clinic",[15,329,330],{},"HiBoop delivers WURS-61 and ASRS together as a linked intake protocol, automated scoring,\nlongitudinal tracking, and DSM-5-TR childhood onset documentation in one workflow.",{"title":332,"searchDepth":333,"depth":333,"links":334},"",2,[335,337,338,339,340,341,342,343,344,345,346,347,348,352,353],{"id":12,"depth":336,"text":13},3,{"id":23,"depth":336,"text":24},{"id":74,"depth":336,"text":75},{"id":113,"depth":336,"text":114},{"id":144,"depth":336,"text":145},{"id":174,"depth":336,"text":175},{"id":199,"depth":333,"text":200},{"id":211,"depth":333,"text":212},{"id":218,"depth":333,"text":219},{"id":240,"depth":333,"text":241},{"id":250,"depth":333,"text":251},{"id":257,"depth":333,"text":258},{"id":270,"depth":333,"text":271,"children":349},[350,351],{"id":274,"depth":336,"text":275},{"id":295,"depth":336,"text":296},{"id":319,"depth":333,"text":320},{"id":326,"depth":333,"text":327},null,"Neurodivergence","md",false,{},true,"\u002Fhelp\u002Fassessment-library\u002Fwurs-61",{"title":5,"description":332},"wurs-61","help\u002Fassessment-library\u002Fwurs-61","Retrospective childhood ADHD assessment. 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