Differential utility of teacher and parent-teacher combined information in the assessment of Attention Deficit/Hyperactivity Disorder symptoms.
ADHD DSM-IV criteria
Caseness
Diagnostic overshadowing
IRT
Parent/teacher
Journal
European child & adolescent psychiatry
ISSN: 1435-165X
Titre abrégé: Eur Child Adolesc Psychiatry
Pays: Germany
ID NLM: 9212296
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
06
10
2019
accepted:
09
03
2020
pubmed:
5
4
2020
medline:
16
3
2021
entrez:
5
4
2020
Statut:
ppublish
Résumé
Consistent research findings indicate that parents and teachers observe genuinely different Attention Deficit/Hyperactivity Disorder (ADHD) behaviours in their respective settings. To evaluate the utility of information provided by teacher informant assessments (INFAs) of ADHD symptoms, and the implications of aggregation algorithms in combing parents' information, i.e. using 'or-rule' (endorsement by either one informant) versus 'and-rule' (endorsement by both informants). Teacher ratings on Conners scales and clinical data from parental accounts on 1383 probands and their siblings from the IMAGE study were analysed. The psychometric properties of teacher and combined ratings using the item response theory model (IRT) are presented. Kappa coefficients, intraclass correlations and linear regression were employed. First, teacher endorsement of symptoms is located in a narrow part of the trait continuum close to the average levels. Symptoms exhibit comparable perception in the measurement of the trait(s) with similar discrimination ability and information (reliability). Second, the IRT properties of the 'or-rule' ratings are predominantly influenced by parent-INFAs; and the 'and-rule' ratings predominantly by teacher-INFAs ratings. Third, parent-teacher INFAs agreement was low, both for individual items (κ = 0.01-0.15) and for dimensional scores (r = 0.12-0.16). The 'or-rule' captured milder expressions of ADHD symptoms, whereas the 'and-rule' indexed greater severity of ADHD. Parent and teacher-INFAs provide different kinds of information, while both are useful. Teacher-INFA and the 'and-rule' provide a more accurate index of severity than an additive symptom count. Parent-INFA and the 'or-rule' are more sensitive for detecting cases with milder ADHD.
Sections du résumé
BACKGROUND
BACKGROUND
Consistent research findings indicate that parents and teachers observe genuinely different Attention Deficit/Hyperactivity Disorder (ADHD) behaviours in their respective settings.
OBJECTIVE
OBJECTIVE
To evaluate the utility of information provided by teacher informant assessments (INFAs) of ADHD symptoms, and the implications of aggregation algorithms in combing parents' information, i.e. using 'or-rule' (endorsement by either one informant) versus 'and-rule' (endorsement by both informants).
METHOD
METHODS
Teacher ratings on Conners scales and clinical data from parental accounts on 1383 probands and their siblings from the IMAGE study were analysed. The psychometric properties of teacher and combined ratings using the item response theory model (IRT) are presented. Kappa coefficients, intraclass correlations and linear regression were employed.
RESULTS
RESULTS
First, teacher endorsement of symptoms is located in a narrow part of the trait continuum close to the average levels. Symptoms exhibit comparable perception in the measurement of the trait(s) with similar discrimination ability and information (reliability). Second, the IRT properties of the 'or-rule' ratings are predominantly influenced by parent-INFAs; and the 'and-rule' ratings predominantly by teacher-INFAs ratings. Third, parent-teacher INFAs agreement was low, both for individual items (κ = 0.01-0.15) and for dimensional scores (r = 0.12-0.16). The 'or-rule' captured milder expressions of ADHD symptoms, whereas the 'and-rule' indexed greater severity of ADHD.
CONCLUSIONS
CONCLUSIONS
Parent and teacher-INFAs provide different kinds of information, while both are useful. Teacher-INFA and the 'and-rule' provide a more accurate index of severity than an additive symptom count. Parent-INFA and the 'or-rule' are more sensitive for detecting cases with milder ADHD.
Identifiants
pubmed: 32246275
doi: 10.1007/s00787-020-01509-4
pii: 10.1007/s00787-020-01509-4
pmc: PMC7864845
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
143-153Subventions
Organisme : NIMH NIH HHS
ID : R01 MH062873
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH081803
Pays : United States
Références
Int J Methods Psychiatr Res. 2019 Dec;28(4):e1794
pubmed: 31310449
J Clin Child Adolesc Psychol. 2010;39(6):749-60
pubmed: 21058123
PLoS One. 2016 Oct 13;11(10):e0164474
pubmed: 27736911
J Abnorm Child Psychol. 2007 Aug;35(4):536-42
pubmed: 17333362
J Am Acad Child Adolesc Psychiatry. 1994 May;33(4):529-39
pubmed: 8005906
J Dev Behav Pediatr. 2006 Jun;27(3):209-18
pubmed: 16775518
J Abnorm Child Psychol. 2008 Aug;36(6):865-85
pubmed: 18266103
J Abnorm Child Psychol. 2008 Jul;36(5):731-43
pubmed: 18347973
Biometrics. 1977 Jun;33(2):363-74
pubmed: 884196
Psychol Assess. 2015 Mar;27(1):239-48
pubmed: 25222436
J Abnorm Child Psychol. 1998 Aug;26(4):279-91
pubmed: 9700520
BMC Psychiatry. 2011 Apr 07;11:54
pubmed: 21473745
J Atten Disord. 2011 May;15(4):269-85
pubmed: 20019380
Am J Med Genet B Neuropsychiatr Genet. 2008 Dec 5;147B(8):1450-60
pubmed: 18189238
Psychol Assess. 2015 Sep;27(3):1060-71
pubmed: 25730162
Eur Child Adolesc Psychiatry. 2015 Nov;24(11):1325-37
pubmed: 25743746
Assessment. 2016 Dec;23(6):655-671
pubmed: 26139830
Psychol Bull. 1979 Mar;86(2):420-8
pubmed: 18839484