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 abscence 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.

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cover image Journal of Child and Adolescent Psychopharmacology
Journal of Child and Adolescent Psychopharmacology
Volume 17Issue Number 5October 2007
Pages: 605 - 619
PubMed: 17979581

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Published online: 3 November 2007
Published in print: October 2007

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Desiree W. Murray, Ph.D.
Duke University Medical Center, Durham, North Carolina.
Scott H. Kollins, Ph.D.
Duke University Medical Center, Durham, North Carolina.
University of California, Los Angeles, Los Angeles, California.
Kristina K. Hardy, Ph.D.
Duke University Medical Center, Durham, North Carolina.
Howard B. Abikoff, Ph.D.
New York University Child Study Center, New York, New York.
James M. Swanson, Ph.D.
University of California, Irvine, Irvine, California.
Charles Cunningham, Ph.D.
McMaster University, Hamilton, Ontario, Canada.
Benedetto Vitiello, M.D.
National Institute of Mental Health, Bethesda, Maryland.
Mark A. Riddle, M.D.
Johns Hopkins University, Baltimore, Maryland.
Mark Davies, M.P.H.
New York State Psychiatric Institute/Columbia University, New York, New York.
Laurence L. Greenhill, M.D.
New York State Psychiatric Institute/Columbia University, New York, New York.
James T. McCracken, M.D.
University of California, Los Angeles, Los Angeles, California.
James J. McGough, M.D.
University of California, Los Angeles, Los Angeles, California.
Kelly Posner, Ph.D.
New York State Psychiatric Institute/Columbia University, New York, New York.
Anne M. Skrobala, M.A.
New York State Psychiatric Institute/Columbia University, New York, New York.
Tim Wigal, Ph.D.
National Institute of Mental Health, Bethesda, Maryland.
Sharon B. Wigal, Ph.D.
National Institute of Mental Health, Bethesda, Maryland.
Jaswinder K. Ghuman, M.D.
University of Arizona, Tucson, Arizona.
Shirley Z. Chuang, M.S.
Formerly at New York State Psychiatric Institute/Columbia University.

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