Parent-teacher report reliability on the fourth edition of the Swanson, Nolan and Pelham scale in a Brazilian clinical sample of children and adolescents with attention-deficit/hyperactivity disorder

Parents and teachers can be valuable sources of information for characterizing children’s ADHD-related impairments in different environments. However, evidence indicated that those categories of informants often provide conflicting responses in formal assessment scales, which may challenge diagnosti...

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Detalles Bibliográficos
Autores: Moraes, Priscila Corção B., Damásio, Bruno Figueiredo, Lima, Gabriel Cardoso Medeiros de, Sudo, Felipe Kenji, Mattos, Paulo Eduardo Luiz de
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Brasil
Institución:Universidade de São Paulo (USP)
Repositorio:Archives of Clinical Psychiatry
Idioma:inglés
OAI Identifier:oai:revistas.usp.br:article/180663
Acceso en línea:https://revistas.usp.br/acp/article/view/2020-04-28
Access Level:acceso abierto
Palabra clave:Reproducibility of results
attention-deficit disorder with hyperactivity
Psychiatric Status Rating Scales
attention-deficit and disruptive behavior disorders
Descripción
Sumario:Parents and teachers can be valuable sources of information for characterizing children’s ADHD-related impairments in different environments. However, evidence indicated that those categories of informants often provide conflicting responses in formal assessment scales, which may challenge diagnostic decisions regarding the condition. Objective: We aimed to investigate reliability rates between parents and teachers of children and adolescents with and without ADHD using SNAP IV. Methods: 199 children and adolescents aged 6 to 17 years were evaluated for ADHD symptoms using parent-rated and teacher-rated SNAP IV scales. Intraclass correlation coefficients were analyzed for ADHD domains (inattention and hyperactivity/impulsivity), as well as for defiant-oppositional behavior. Results: Reports from parents and teachers showed low reliability for all ADHD domains. Parents’ scores on the SNAP IV were higher than those of teachers. Parents and teachers provided highly discrepant responses concerning to the presence and severity of ADHD in children and adolescents, which might result from intrinsic aspects related to their daily functioning in different settings. Discussion: Clinicians should consider those trends in parental and teachers’ responses when interpreting results from informant-based instruments for detecting ADHD.