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Parent versus teacher ratings of attention-deficit/hyperactivity disorder symptoms in the Preschoolers with Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS).
J Child Adolesc Psychopharmacol. 2007 Oct; 17(5):605-20.JC

Abstract

OBJECTIVE

To assess parent-teacher concordance on ratings of DSM-IV symptoms of attention-deficit/hyperactivity disorder (ADHD) in a sample of preschool children referred for an ADHD treatment study.

METHODS

Parent and teacher symptom ratings were compared for 452 children aged 3-5 years. Agreement was calculated using Pearson correlations, Cohen's kappa, and conditional probabilities.

RESULTS

The correlations between parent and teacher ratings were low for both Inattentive (r = .24) and Hyperactive-Impulsive (r = .26) symptom domains, with individual symptoms ranging from .01-.28. Kappa values for specific symptoms were even lower. Conditional probabilities suggest that teachers are only moderately likely to agree with parents on the presence or absence of symptoms. Parents were quite likely to agree with teachers' endorsement of symptoms, but much less likely to agree when teachers indicated that a symptom was not present.

CONCLUSIONS

Results provide important data regarding base rates and concordance rates in this age group and support the hypothesis that preschool-aged children at risk for ADHD exhibit significant differences in behavior patterns across settings. Obtaining ratings from multiple informants is therefore considered critical for obtaining a full picture of young children's functioning.

Authors+Show Affiliations

Department of Psychiatry, Duke University Medical Center, Durham, NC 27710, USA. dwmurray@duke.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17979581

Citation

Murray, Desiree W., et al. "Parent Versus Teacher Ratings of Attention-deficit/hyperactivity Disorder Symptoms in the Preschoolers With Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS)." Journal of Child and Adolescent Psychopharmacology, vol. 17, no. 5, 2007, pp. 605-20.
Murray DW, Kollins SH, Hardy KK, et al. Parent versus teacher ratings of attention-deficit/hyperactivity disorder symptoms in the Preschoolers with Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS). J Child Adolesc Psychopharmacol. 2007;17(5):605-20.
Murray, D. W., Kollins, S. H., Hardy, K. K., Abikoff, H. B., Swanson, J. M., Cunningham, C., Vitiello, B., Riddle, M. A., Davies, M., Greenhill, L. L., McCracken, J. T., McGough, J. J., Posner, K., Skrobala, A. M., Wigal, T., Wigal, S. B., Ghuman, J. K., & Chuang, S. Z. (2007). Parent versus teacher ratings of attention-deficit/hyperactivity disorder symptoms in the Preschoolers with Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS). Journal of Child and Adolescent Psychopharmacology, 17(5), 605-20.
Murray DW, et al. Parent Versus Teacher Ratings of Attention-deficit/hyperactivity Disorder Symptoms in the Preschoolers With Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS). J Child Adolesc Psychopharmacol. 2007;17(5):605-20. PubMed PMID: 17979581.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Parent versus teacher ratings of attention-deficit/hyperactivity disorder symptoms in the Preschoolers with Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS). AU - Murray,Desiree W, AU - Kollins,Scott H, AU - Hardy,Kristina K, AU - Abikoff,Howard B, AU - Swanson,James M, AU - Cunningham,Charles, AU - Vitiello,Benedetto, AU - Riddle,Mark A, AU - Davies,Mark, AU - Greenhill,Laurence L, AU - McCracken,James T, AU - McGough,James J, AU - Posner,Kelly, AU - Skrobala,Anne M, AU - Wigal,Tim, AU - Wigal,Sharon B, AU - Ghuman,Jaswinder K, AU - Chuang,Shirley Z, PY - 2007/11/6/pubmed PY - 2008/3/12/medline PY - 2007/11/6/entrez SP - 605 EP - 20 JF - Journal of child and adolescent psychopharmacology JO - J Child Adolesc Psychopharmacol VL - 17 IS - 5 N2 - OBJECTIVE: To assess parent-teacher concordance on ratings of DSM-IV symptoms of attention-deficit/hyperactivity disorder (ADHD) in a sample of preschool children referred for an ADHD treatment study. METHODS: Parent and teacher symptom ratings were compared for 452 children aged 3-5 years. Agreement was calculated using Pearson correlations, Cohen's kappa, and conditional probabilities. RESULTS: The correlations between parent and teacher ratings were low for both Inattentive (r = .24) and Hyperactive-Impulsive (r = .26) symptom domains, with individual symptoms ranging from .01-.28. Kappa values for specific symptoms were even lower. Conditional probabilities suggest that teachers are only moderately likely to agree with parents on the presence or absence of symptoms. Parents were quite likely to agree with teachers' endorsement of symptoms, but much less likely to agree when teachers indicated that a symptom was not present. CONCLUSIONS: Results provide important data regarding base rates and concordance rates in this age group and support the hypothesis that preschool-aged children at risk for ADHD exhibit significant differences in behavior patterns across settings. Obtaining ratings from multiple informants is therefore considered critical for obtaining a full picture of young children's functioning. SN - 1044-5463 UR - https://www.unboundmedicine.com/medline/citation/17979581/Parent_versus_teacher_ratings_of_attention_deficit/hyperactivity_disorder_symptoms_in_the_Preschoolers_with_Attention_Deficit/Hyperactivity_Disorder_Treatment_Study__PATS__ L2 - https://www.liebertpub.com/doi/10.1089/cap.2007.0060?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -