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One reason it’s hard to make blanket statements about ADHD is that people with ADHD are inconsistent.What people with ADHD do in one situation, they don’t necessarily do in another – or even in the same situation when they encounter it again.
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One thing to note is that the questionnaire isn’t designed to capture the essential features of what ADHD is “about,” and there are many ADHD symptoms not covered by these questions.
The researchers just wanted to see if they could find a short list of practical questions that help sort out people who have ADHD from those who don’t.
If you want the gory details, you can see the original paper here.
These questions aren’t intended to “diagnose” ADHD, but if you consistently find yourself doing these things, it does mean it’s more likely that you have ADHD.