Diagnoses of attention-deficit hyperactivity disorder from parent reports predict diagnoses based on teacher reports

J Am Acad Child Adolesc Psychiatry. 1993 Mar;32(2):315-7. doi: 10.1097/00004583-199303000-00011.

Abstract

Objective: For DSM-III attention deficit disorder (ADD), it was previously reported that, when a parent report leads to a diagnosis of ADD, it is highly likely that the teacher report will also be positive. This report seeks to generalize that finding to DSM-III-R attention-deficit hyperactivity disorder (ADHD).

Method: In a population of 34 children meeting clinical criteria for DSM-III-R ADHD, parents and teachers independently responded to questions about individual ADHD symptoms.

Results: Correlations between parents and teachers for individual symptoms were low to moderate; however, there was a 77% probability that the teacher report would result in a positive diagnosis given a positive parent diagnosis. This probability increased to 88% if "broad" teacher diagnoses of ADHD, defined by 35% of the 14 DSM-III-R symptoms, were included.

Conclusions: In clinically-referred children, a clinical diagnosis of ADHD based on parent report is likely to be corroborated by a teacher report.

MeSH terms

  • Attention Deficit Disorder with Hyperactivity / diagnosis*
  • Attention Deficit Disorder with Hyperactivity / psychology
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Male
  • Motor Activity
  • Observer Variation
  • Parents / psychology*
  • Personality Assessment / statistics & numerical data*
  • Psychometrics
  • Social Environment*