4.3 Article

Evaluating Parental Disagreement in ADHD Diagnosis: Can We Rely on a Single Report From Home?

Journal

JOURNAL OF ATTENTION DISORDERS
Volume 21, Issue 7, Pages 561-566

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/1087054713504134

Keywords

ADHD; SNAP-IV; interrater agreement; educational level

Funding

  1. National Council for Scientific and Technological Development (CNPq)

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Objective: Few studies assessed factors associated with the agreement/disagreement between fathers and mothers when rating ADHD symptoms of their offspring. Method: Teachers and both parents assessed a referred sample of 98 children and adolescents aged 6 to 16 years (M age = 9.79, SD = 2.59) using the Swanson, Nolan, and Pelham (SNAP-IV) rating scale. The agreement was assessed for each of the items of the scale and correlated with variables measuring children's features, socioeconomic adversity, family functioning, and parental psychopathology. Results: Mean agreement between parents was moderate for the inattentive and good for the hyperactive-impulsive construct. Mothers tended to report more symptoms than fathers. The agreement was lower in those families where parents had discrepant educational levels. Conclusion: Our findings suggest a significant cross-informant disagreement between parents on symptoms of ADHD. Discrepant parental education has a relevant role in explaining parental disagreement in reporting ADHD symptoms.

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