day profile of adhd symptoms, parent version (dayas-p)
DESCRIPTION
Day Profile of ADHD Symptoms, Parent Version (DAYAS-P) + Teacher Version (DAYAS-T)TRANSCRIPT
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180560/#CR9
Supplementary material
Day Profile of ADHD Symptoms, Parent Version (DAYAS-P)
Name of the child ________________________ Rater: mother, father, other: ________
Date: _________________
How problematic was the behaviour of the child throughout the daily routine at different times during the last week (school days only)?
Problem intensitymorning
(wake up, getting dressed etc.)
afternoon until 4 pm
(lunch, homework)
late afternoon until 7 pm
evening and going to bed
1. Hyperactivity: Is restless, hyperactive, always on the go, can’t sit still 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3
2. Inattention: Is inattentive, distracted, can’t concentrate, fails to sustain attention 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3
3. Impulsivity: Is impulsive, can’t wait, interrupts others, acts without thinking 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3
4. Defies rules or instructions, argues with adults 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3
5. Is angry or resentful, shows aggressive behaviour or has temper tantrums 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3
6. Overall behaviour problems 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3
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Please rate the intensity of the following problem behaviour or symptoms in the last week
1. Worries, anxious 0 1 2 3 2. Tearful, sad, depressed 0 1 2 33. Dull, tired, listless 0 1 2 34. Socially withdrawn, decreased interaction with others 0 1 2 35. Crabby, irritable 0 1 2 36. Twitches, nervous movements, tics (i.e. eye blinking, facial twitching) 0 1 2 37. Picking at skin, nail-biting, lip chewing 0 1 2 38. Headaches 0 1 2 39. Stomach ache 0 1 2 310. Loss of appetite 0 1 2 311. Sleep problems 0 1 2 3
Thank you © M. Döpfner, Dept. of Psychiatry and Psychotherapy of Childhood and Adolescence at the University of Cologne,
Germany ([email protected])
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Day Profile of ADHD Symptoms, Teacher Version (DAYAS-T)
Name of the pupil________________________ Class: ______________________
School: _________________________________ Rater:_____________________
Date: _________________
How problematic was the behaviour of the pupil in the first and in the second half of the school morning during the last week?
Problem behaviour problem intensitymorning first half
morning second half
1. Hyperactivity: Is restless, hyperactive, always on the go, can’t sit still 0 1 2 3 0 1 2 3
2. Inattention: Is inattentive, distracted, can’t concentrate, fails to sustain attention 0 1 2 3 0 1 2 3
3. Impulsivity: Is impulsive, can’t wait, interrupts others, acts without thinking 0 1 2 3 0 1 2 3
4. Defies rules or instructions, argues with adults 0 1 2 3 0 1 2 3 5. Is angry or resentful, shows aggressive behaviour or has
temper tantrums 0 1 2 3 0 1 2 3 6. Overall behaviour problems 0 1 2 3 0 1 2 3
Please rate the intensity of the following problem behaviour or symptoms in the last week
1. Worries, anxious 0 1 2 3 2. Tearful, sad, depressed 0 1 2 33. Dull, tired, listless 0 1 2 34. Socially withdrawn, decreased interaction with others 0 1 2 35. Crabby, irritable 0 1 2 36. Twitches, nervous movements, tics (i.e. eye blinking, facial twitching) 0 1 2 37. Picking at skin, nail-biting, lip chewing 0 1 2 3
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8. Headaches 0 1 2 39. Stomach ache 0 1 2 3
Thank you © M. Döpfner, Dept. of Psychiatry and Psychotherapy of Childhood and Adolescence at the University of Cologne,
Germany ([email protected])