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BAARS Scoring

The Barkley Adult ADHD Rating Scale-IV (BAARS-IV) uses specific cut-off scores to indicate potential overreporting of ADHD symptoms, with various thresholds for current inattention, sluggish cognitive tempo, and total scores. A clinically significant score suggests a higher likelihood of ADHD, warranting further evaluation, particularly if 5 or more symptoms are reported. The document emphasizes that 8 or more symptoms in both childhood and adulthood are associated with significant impairment.

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7K views1 page

BAARS Scoring

The Barkley Adult ADHD Rating Scale-IV (BAARS-IV) uses specific cut-off scores to indicate potential overreporting of ADHD symptoms, with various thresholds for current inattention, sluggish cognitive tempo, and total scores. A clinically significant score suggests a higher likelihood of ADHD, warranting further evaluation, particularly if 5 or more symptoms are reported. The document emphasizes that 8 or more symptoms in both childhood and adulthood are associated with significant impairment.

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Rachel
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© © All Rights Reserved
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The cut-off scores for the Barkley Adult ADHD Rating Scale-IV (BAARS-IV) depend on

the scale being used.


 Current Inattention: A cut-off score of 31 or higher may indicate
overreporting
 Current Sluggish Cognitive Tempo: A cut-off score of 29 or higher may
indicate overreporting
 Current Total: A cut-off score of 56 or higher may indicate overreporting
 Overall score: A cut-off score of 29 may be optimal
 Brief screening tool: A cut-off score of 3 or higher may be optimal
The BAARS-IV is a self-report questionnaire that assesses the number and severity
of ADHD symptoms. The items are rated on a scale of 1–4, with 1 indicating "never
or rarely" and 4 indicating "very often".
A "clinically significant" score on the BAARS-IV indicates that a person's symptoms
are more severe than their peers. This could mean that the person has a higher
likelihood of having ADHD and should be evaluated further
“. It was recommended that 5 or more symptoms using both symptom lists be the
threshold for diagnosis. This analysis indicates that nearly 98% of those reporting 5
or more symptoms are impaired. A similar association was found for the relationship
of symptom count for childhood recollected symptoms and impairment in the
childhood domains (see Figure 2.3). Certainly by 8+ symptoms or higher the vast
majority of individuals (98%) report impairment and by 10+ symptoms the rate
reaches 100%.”

So 8 symptoms in childhood and 8 in adulthood, with impairment in each

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