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Agreement and disagreement of parent, teacher, and self reports of youth diagnosed with Attention Deficit Hyperactivity Disorder
Danielle M Politi
Paperback. ProQuest, UMI Dissertation Publishing 2011-09-09.
ISBN 9781243753724
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Publisher description
The present investigation examined agreement and disagreement among parent, teacher, and self reports, at both the broad symptom and specific symptom level in a clinical sample of youth diagnosed with Attention Deficit/Hyperactivity Disorder-Combined Type (ADHD-C). Specifically, this study examined the degree of agreement and disagreement between parent and teacher reports, parent and self reports, and teacher and self reports on both the global and symptom level Diagnostic and Statistical Manual Fourth Edition, Text Revision (DSM-IV TR) ADHD symptomatic criteria. In addition, this study examined percentage of parents, teachers, and self reports reporting DSM-IV TR ADHD symptoms as present or absent and the rank ordering of the frequency of which parents, teachers, and self reports reported symptoms as present.
Parent, teacher, and self report ratings were compared for 75 children aged 8 to 16.11 years. Differences in mean scores were examined using Paired Comparison t-tests and agreement between raters was examined using Pearson correlation coefficients with Fishers r to z Transformations.
There were significant differences found between raters on many of the inattentive and hyperactive-impulsive symptoms which is consistent with the literature reviewed. Correlations were medium to large for both Total Inattentive and Total Hyperactive-Impulsive domains with correlations ranging from .30 to .53. This finding is somewhat inconsistent with the literature reviewed in that significant large agreement was found in this study between some of the raters at the global level. At the individual symptom level, individual Inattentive symptom correlations ranged from .03 to .48 and Hyperactive-Impulsive symptom correlations ranged from .15 to .54. At the individual symptom level, results of this study were consistent with the literature reviewed and further support that raters tend to agree at a low to moderate level for individual ADHD symptoms.
The results provide important data regarding the agreement and disagreement of parent reports, teacher reports, and self-reports on symptoms of ADHD. These findings further support the need for a multi-informant approach in the assessment of childhood ADHD. Obtaining information from multiple raters is critical in order to get a comprehensive picture of a child's behavioral functioning across settings. Implications and suggestions for future research are presented
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Agreement and disagreement of parent, teacher, and self reports of youth diagnosed with Attention Deficit Hyperactivity Disorder
Book reviews » Agreement and disagreement of parent, teacher, and self reports of youth diagnosed with Attention Deficit Hyperactivity Disorder
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