Who predict ADHD with better diagnostic accuracy?: Parents or teachers?
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Date
2021
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Abstract
Objective: The objectives of the study were to determine which parents or teachers predict attention-deficit/hyperactivity disorder (ADHD) better in children and adolescents, and to detect both diagnostical and symptomatological agreement levels across informant reports. Method: A total of 417 cases aged 6–14 from a non-referred community sample were assessed by a semi-structured interview, parent- and teacher-rated ADHD Rating Scale-IV. Also, impairment criteria were taken into account to ensure the gold standard diagnosis for ADHD. The measures of sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy were calculated in each categorical sample. Besides, the agreement between parent and teacher reports of ADHD was investigated. Results: Parents and teachers had similar diagnostic accuracy for predicting ADHD. Both parents and teachers predicted ADHD in similar accuracy in both boys and girls, separately. However, girls were found to be more predictable by both parents and teachers compared to boys. Parents with lower education levels had worse diagnostic accuracy than both parents with higher education levels and teachers. Low to moderate agreement and correlations between parent and teacher ADHD reports were detected. Conclusion: In general, parents and teachers seem to predict ADHD in similar accuracy. Nevertheless, child gender and parental education level may alter the predictability power for ADHD. The findings can guide for clinicians that how to evaluate observation reports of parents and teachers to make accurate ADHD diagnosis in patients. © 2021 The Nordic Psychiatric Association.
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Adolescent , Attention , Attention Deficit Disorder with Hyperactivity , Child , Female , Humans , Male , Parents , Predictive Value of Tests , adolescent , age distribution , anxiety disorder , Article , attention deficit disorder , child , conduct disorder , controlled study , diagnostic accuracy , diagnostic test accuracy study , educational status , female , gold standard , human , major clinical study , major depression , male , obsessive compulsive disorder , oppositional defiant disorder , parent , phobia , predictive value , preschool child , prevalence , psychiatric diagnosis , psychological rating scale , Schedule for Affective Disorders and Schizophrenia , schedule for affective disorders and schizophrenia for school age children present and lifetime version , school child , semi structured interview , sensitivity and specificity , separation anxiety , sex difference , Turkey (republic) , attention , attention deficit disorder , child parent relation