Parent–teacher agreement on ADHD symptoms across development.
Open accessAbstract
Parent-teacher agreement on attention-deficit/hyperactivity disorder (ADHD) symptom ratings ranges from low to moderate. Most studies evaluating parent-teacher agreement have not assessed measurement invariance across raters. Hence, it is unclear whether discordance across raters is due to differing ADHD constructs across raters or other factors (e.g., subjective differences across raters). Additionally, the effect of development on parent-teacher agreement is relatively unknown. To address these limitations, the present study used parent and teacher ADHD ratings from a large (N = 6,659) developmentally diverse (ages 4-17) sample. Using exploratory structural equation modeling on half the sample, and then confirmatory factor analysis (CFA) on the other half of the sample, confirmed a 2-factor structure with significant cross-loadings for the 18 ADHD symptoms. CFA invariance analyses demonstrated that the 2-factor symptom structure was similar across raters and age groups. After confirming measurement invariance, the correlation between latent factors within and across raters was examined for each age group as well as across age groups. Parents reported greater severity of ADHD symptoms than did teachers, and both parents and teachers reported higher levels of hyperactivity/impulsivity in younger children than in older children and consistent levels of inattention across development. Finally, correlations between parent-teacher ratings of like factors were weak for inattention and moderate-strong for hyperactivity/impulsivity, and the magnitude of parent-teacher agreement did not vary across development. In conclusion, while parent and teacher ratings of ADHD behaviors are only weakly to moderately correlated, each reporter provides unique and valid clinical information as it relates to ADHD symptom presentation.
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The discrepancies between teacher and parent AUC magnitudes could result from rater biases and differences in the settings where raters interact with children.
“They also could result from both the biases of raters and the differences in settings in which the raters interact with children (Narad et al., 2015).”
From Sensitivity and Specificity of an Executive Function Screener at Identifying Children with ADHD and Reading Disability (2021) · cites this paper as Narad et al., 2015
The paper says parent–teacher rating discrepancies may result from reporter bias and differences between home and school settings (Abstract; Discussion, page unavailable). It does not address AUC magnitudes specifically, so it supports the proposed explanation for rating differences but not its application to AUC differences. (LLM, conf=0.84)
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“Other obstacles for diagnosis include disagreement between parent-and teacher-rated perceptions (Narad et al., 2015), substantial time-commitment required for interviews (Pelham et al., 2005), and malingering/faking symptoms of ADHD, and ASD especially in adulthood (Musso and Gouvier, 2014).”
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“ADHD-HI symptoms appear to be more consistently reported by the different informants than ADHD-I symptoms (Narad et al., 2015).”
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Self-citationClinical and Experimental Factors Influencing the Efficacy of Neurofeedback in ADHD: A Meta-Analysis
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“The expected differences of ratings between teachers and parents have been extensively studied (110, 113, 114), observing that teachers are more likely to underrate a child’s symptom severity, especially for younger children.”
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“Differences among parent and teacher ratings are common and were expected in the current study given that they tap different aspects of inattention, hyperactivity, and impulsivity across unique settings [Goulardins et al., 2015; Narad et al., 2015].”
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Parent-based diagnosis of ADHD is as accurate as a teacher-based diagnosis of ADHD
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“Previous research has generally found that parents report higher levels of ADHD symptoms (e.g., Antrop et al., 2002; Hart et al., 1995; Kennerley et al., 2016; Murray et al., 2007; Narad et al., 2015; Yeguez & Sibley, 2016), although there have also been some cases where teachers have reported higher levels (e.”
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“As expected from previous research, clinician, parent, and teacher SNAP scores were all significantly correlated (rs ranging from .29 to .73) with the most modest correlation found between parent and teacher SNAPs, r = .29, p = .005 (see Narad et al., 2015).”
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“This is important because research into the prevalence of ADHD-symptoms has consistently found that parent reports tend to lead to higher estimates than teacher reports (Narad et al., 2015; Wolraich et al., 2004), suggesting a strong parent report bias.”
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Do Parent and Teacher Ratings of ADHD Reflect the Same Constructs? A Measurement Invariance Analysis
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“Despite the low agreement between parent and teacher reports on ADHD symptoms in western studies (35, 36) and our work (37, 38), it is crucial to integrate reports from different informants.”
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“A deficit hyperactivity disorder (ADHD) is considered as one of the most common and chronic psychiatric disorders.[1,2] This disorder commonly begins in childhood, and mostly persists into adulthood.”
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“This approach is highly reliant on subjective measures, and previous studies have found only modest interrater agreement for ADHD symptom levels in adolescents and adults (e.g., Adler et al., 2008; Narad et al., 2015; Zucker, Morris, Ingram, Morris, & Bakeman, 2002).”
ResultJendreizik, L., von Wirth, E., & Döpfner, M. (2022) · Journal of Attention Disorders · doi:10.1177/10870547221132793 · Cited by 24 · see citing works
“Greater consideration of teacher judgment could complement the picture (Narad et al., 2015) and can be recommended for future studies.”
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Virtual Reality-based Assessment and Rating Scales in ADHD Diagnosis
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“However, each reporter provides unique and valid clinical information related to ADHD symptoms presentation that should not be ignored (Narad et al. 2015).”
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The prevalence of attention deficit hyperactivity disorder in Iran: An updated systematic review
Shooshtari, M. H., Shariati, B., Kamalzadeh, L., Naserbakht, M., Tayefi, B., & Taban, M. (2021) · Medical Journal of the Islamic Republic of Iran · doi:10.47176/mjiri.35.8 · Cited by 20 · see citing works
“A number of studies have found that parents and teachers’ ratings of ADHD symptoms are only weakly to moderately correlated (52, 53).”
BackgroundGarcia-Rosales, A., Vitoratou, S., Faraone, S., Rudaizky, D., Banaschewski, T., Asherson, P., Sonuga-Barke, E., Buitelaar, J., Oades, R., Rothenberger, A., et al. (2020) · European Child and Adolescent Psychiatry · doi:10.1007/s00787-020-01509-4 · Cited by 22 · see citing works
Informant Discrepancies in the Assessment of Attention-Deficit/Hyperactivity Disorder
Kennerley, S., Jaquiery, B., Hatch, B., Healey, M., Wheeler, B., & Healey, D. M. (2018) · Journal of Psychoeducational Assessment · doi:10.1177/0734282916670797 · Cited by 22 · see citing works
“Based on the previous literature (Malhi et al., 2008; Mitsis et al., 2000; Narad et al., 2015; Sollie et al., 2012) reporting a median correlation of .”
Who predict ADHD with better diagnostic accuracy?: Parents or teachers?
Tahıllıoğlu, A., Bilaç, Ö., Uysal, T., & Ercan, E. (2021) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2020.1867634 · Cited by 21 · see citing works
Murray, A., Ribeaud, D., Eisner, M., Murray, G., & Mckenzie, K. (2018) · Child Psychiatry and Human Development · doi:10.1007/s10578-018-0842-4 · Cited by 21 · see citing works
Wexler, D., Salgado, R., Gornik, A., Peterson, R., & Pritchard, A. (2021) · Clinical Neuropsychologist · doi:10.1080/13854046.2021.1944671 · Cited by 20 · see citing works
Predictors of Informant Discrepancies Between Mother and Middle School Teacher ADHD Ratings
Yeguez, C. E., & Sibley, M. (2016) · School Mental Health · doi:10.1007/s12310-016-9192-1 · Cited by 20 · see citing works
“, symptoms of H/I) have a higher degree of agreement when compared with subjective or subtle behaviors (e.g., Inattention symptoms; Achenbach et al., 1987; De Los Reyes & Kazdin, 2005; Narad et al., 2015).”
Evaluating ADHD Assessment for Dogs: A Replication Study
Csibra, B., Bunford, N., & Gácsi, M. (2022) · Animals · doi:10.3390/ani12070807 · Cited by 16 · see citing works
“, home and school), obtaining data from multiple informants, usually parents and teachers [21,47,48].”
BackgroundWagner, K. M., & Valdez, C. (2019) · Child Psychiatry and Human Development · doi:10.1007/s10578-019-00950-0 · Cited by 16 · see citing works
“Moreover, with respect to rating agreements between primary caregivers and teachers, rating externalizing problems tends to produce higher levels of agreement than rating internalizing problems [61, 62].”
BackgroundEvaluating the Factor Validity of the Children’s Organizational Skills Scale in Youth with ADHD
Molitor, S. J., Langberg, J. M., Evans, S. W., Dvorsky, M. R., Bourchtein, E., Eddy, L. D., Smith, Z. R., & Oddo, L. E. (2016) · School Mental Health · doi:10.1007/s12310-016-9205-0 · Cited by 16 · see citing works
“Indeed, parent/ teacher agreement on ratings of ADHD symptoms and impairment is often low in secondary school settings (Evans et al., 2005;Narad et al., 2015), and each student hasmultiple teachers who may disagree about student functioning (Fabiano, Chafouleas, Weist, Sumi, & Humphrey, 2014).”
Weigard, A., McCurry, K. L., Shapiro, Z., Martz, M. E., Angstadt, M., Heitzeg, M., Dinov, I., & Sripada, C. (2023) · Translational Psychiatry · doi:10.1038/s41398-023-02502-6 · Cited by 15 · see citing works
“We index ADHD symptoms at the baseline, 1-year, and 2-year follow-up time points using a multirater approach, considered the gold standard for minimizing rater biases and measuring impairments across contexts [30, 31].”
MethodInfluentialBergold, S., Christiansen, H., & Steinmayr, R. (2019) · Journal of Clinical Psychology · doi:10.1002/jclp.22840 · Cited by 15 · see citing works
“However, attention has been paid only recently to the issue of measurement invariance when examining interrater agreement and discrepancy (e.g., Narad et al., 2015; Rogge et al., 2018).”
BackgroundMaternal obesity and attention-related symptoms in the preterm offspring
van der Burg, J. W., Jensen, E., van de Bor, M., Joseph, R. M., O'Shea, T., Kuban, K., Allred, E., Scott, M. N., Hunter, S., Hooper, S. R., et al. (2017) · Early Human Development · doi:10.1016/j.earlhumdev.2017.08.002 · Cited by 15 · see citing works
Neurobehavioral Outcomes in School-Aged Children with Primary Snoring.
Hagström, K., Saarenpää-Heikkilä, O., Himanen, S., Lampinlampi, A.-M., & Rantanen, K. (2019) · Archives of Clinical Neuropsychology · doi:10.1093/arclin/acz053 · Cited by 14 · see citing works
“, 2011), and is consistent with earlier studies (Narad et al., 2015).”
ResultEvidence-based assessment of ADHD diagnosis in children and adolescents
Zhou, X., Reynolds, C., Zhu, J., Kamphaus, R., & Zhang, O. (2018) · Applied neuropsychology. Child · doi:10.1080/21622965.2017.1284661 · Cited by 14 · see citing works
“This is consistent with what previous studies have concluded that parents had more time observing behavior manifested in after school settings (Narad et al., 2015; Papageorgiou, Kalyva, Dafoulis, & Vostanis, 2008).”
BackgroundResultDevelopment of a human-analogue, 3-symptom domain Dog ADHD and Functionality Rating Scale (DAFRS)
Csibra, B., Bunford, N., & Gácsi, M. (2024) · Scientific Reports · doi:10.1038/s41598-024-51924-9 · Cited by 13 · see citing works
“Considering functionality-related behavioural problems, and the externalizing nature of ADHD symptoms 93 , subjectivity exists in how these symptoms are perceived and evaluated by the parent of the child in humans 52 , but this may be also true for dog owners.”
BackgroundImpulsivity as key bridge symptoms in cross‐sectional and longitudinal networks of ADHD and ODD
Bansal, P. S., Goh, P. K., Southward, M. W., Sizemore, Y. J., & Martel, M. M. (2023) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13863 · Cited by 17 · see citing works
Virtual Reality and ADHD: Clinical Assessment and Treatment in the Metaverse
Schweitzer, J., & Rizzo, A. (2022) · The ADHD Report · doi:10.1521/adhd.2022.30.3.1 · Cited by 13 · see citing works
Exploring ADHD Symptoms and Associated Impairment Across Development
Niina, A., Eyre, O., Wootton, R., Stergiakouli, E., Thapar, A., & Riglin, L. (2021) · Journal of Attention Disorders · doi:10.1177/10870547211025612 · Cited by 13 · see citing works
“Similarly, teacher reports are often used in childhood which may also show different results (Narad et al., 2015).”
Leviton, A., Hunter, S., Scott, M. N., Hooper, S. R., Joseph, R. M., O'Shea, T., Allred, E., & Kuban, K. (2017) · Acta paediatrica · doi:10.1111/apa.13869 · Cited by 13 · see citing works
“‘While parent and teacher ratings of ADHD behaviours are only weakly to moderately correlated, each reporter provides unique and valid clinical information as it relates to ADHD symptom presentation’ (23).”
BackgroundJendreizik, L. T., Hautmann, C., von Wirth, E., Dose, C., Thöne, A.-K., Treier, A.-K., Banaschewski, T., Becker, K., Brandeis, D., Geissler, J., et al. (2022) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-022-00529-z · Cited by 12 · see citing works
“Future studies should additionally obtain a teacher’s rating to provide as complete a picture as possible [38].”
BackgroundBabinski, D., & McQuade, J. D. (2018) · Journal of Attention Disorders · doi:10.1177/1087054718797445 · Cited by 12 · see citing works
Hosseinnia, M., Mazaheri, M., & Heydari, Z. (2024) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_1816_22 · Cited by 11 · see citing works
Li, H.-H., Wang, T.-T., Dong, H.-Y., Liu, Y.-Q., & Jia, F. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.1070848 · Cited by 11 · see citing works
Arnett, A. B., McGrath, L., Flaherty, B. P., Pennington, B., & Willcutt, E. (2022) · Journal of Attention Disorders · doi:10.1177/10870547221075842 · Cited by 11 · see citing works
“In line with prior research that reports a lack of rater agreement between parents and teachers on ADHD symptom scales (Narad et al., 2015), results of analyses involving categorical elevated ADHD characterizations differed somewhat, depending on whether both mother and teacher ratings, versus…”
ResultLavigne, J., Gouze, K. R., Hopkins, J., & Bryant, F. (2015) · Child Psychiatry and Human Development · doi:10.1007/s10578-015-0616-1 · Cited by 10 · see citing works
“[6] recommended that research is needed to identify patient-related factors that contribute to parent–teacher agreement or disagreement.”
BackgroundMethodLevy, O., Hackmon, S. L., Zvilichovsky, Y., Korisky, A., Bidet-Caulet, A., Schweitzer, J. B., & Golumbic, E. Z. (2024) · bioRxiv · doi:10.1101/2024.04.17.590012 · Cited by 9 · see citing works
“…lack sufficient sensitivity and specificity to reliably capture the type and severity of real-life attention challenges that people face outside the lab or the clinic (Rabiner et al., 2010; Narad et al., 2015; Hall et al., 2016; Murray et al., 2018; Mulraney et al., 2022; Hobbiss and Lavie, 2024).”
Dane, S., & Welcome, M. (2018) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2018.10.003 · Cited by 9 · see citing works
Lúcio, P. S., Salum, G. A., Swardfager, W., Mari, J. D. J., Pan, P. M., Bressan, R. A., Gadelha, A., Rohde, L. A., & Cogo‐Moreira, H. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.01891 · Cited by 8 · see citing works
“…most of those studies explored the underlying construct of ADHD across various subgroups defined by demographics, for example, based on gender, age, or different raters (Gomez, 2013, 2016; Makransky and Bilenberg, 2014; Narad et al., 2015; Zeeuw et al., 2015; Caci et al., 2016; Morin et al., 2016).”
BackgroundOrylska, A., Brzezicka, A., Racicka-Pawlukiewicz, E., Albiński, R., & Sędek, G. (2016) · Polish Psychological Bulletin · doi:10.1515/ppb-2016-0009 · Cited by 9 · see citing works
“, gender (BriggsGowan, Carter, & Schwab-Stone, 1996; Touliatos & Lindholm, 1981; Verhulst & Akkerhuis, 1989), age (Narad et al., 2015; Verhulst & Akkerhuis, 1989), mental health (Chilcoat & Breslau, 1997; Egeland, Kalkoske, Gottesman & Erickson, 1990; Epkins, 1996; Kolko & Kazdin, 1993; Narad et al.”
InfluentialSaffer, B. Y., Mikami, A. Y., Qi, H., Owens, J. S., & Normand, S. (2021) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-021-09892-1 · Cited by 8 · see citing works
“…extent to which parents and teachers agree on children’s ADHD symptoms, including in nationally representative samples (e.g., Murray et al., 2018; Narad et al., 2015), and among children referred for ADHD assessment (e.g., Mitsis et al., 2000) or diagnosed with ADHD (e.g., Antrop, et al., 2002).”
BackgroundRantanen, K., Vierikko, E., & Nieminen, P. (2018) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12468 · Cited by 8 · see citing works
Shipkova, M., Butera, C., Flores, G. D., Kilroy, E., Jayashankar, A., Harrison, L. A., Cermak, S. A., & Aziz-Zadeh, L. (2024) · Autism Research · doi:10.1002/aur.3110 · Cited by 7 · see citing works
“Numerous studies focus on parent – teacher convergence in ADHD ratings of child behavior in both neurotypical and neurodiverse samples (e.g., DuPaul, 1991; Llanes et al., 2020; Morales-Hidalgo et al., 2017; Narad et al., 2015; Wolraich et al., 2004).”
BackgroundGarcia-Rosales, A., Cortese, S., & Vitoratou, S. (2024) · PLoS ONE · doi:10.1371/journal.pone.0293677 · Cited by 7 · see citing works
“However, the agreement between parent and teacher ratings of ADHD symptoms is generally low to moderate [7].”
BackgroundSpeyer, L., Obsuth, I., Ribeaud, D., Eisner, M., Luciano, M., Auyeung, B., & Murray, A. (2021) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-022-00905-5 · Cited by 7 · see citing works
“…children’s psychosocial development (e.g. Cheng et al., 2018; Murray et al., 2018) with cross-informant correlation having been shown to average 0.25 for internalising problems, 0.30 for externalising problems (De Los Reyes, 2013) and range from 0.09 to 0.52 for ADHD symptoms (Narad et al., 2015).”
InfluentialKarr, J. E., Kibby, M. Y., Jagger-Rickels, A. C., & Garcia-Barrera, M. A. (2021) · Journal of Attention Disorders · doi:10.1177/1087054718763878 · Cited by 6 · see citing works
“They also could result from both the biases of BASC-2-EF raters and the differences in settings in which the raters interact with children (Narad et al., 2015).”
Puberty and ADHD: A scoping review and framework for future research
Friedel, E., Vijayakumar, N., Staniland, L., & Silk, T. J. (2025) · Clinical Psychology Review · doi:10.1016/j.cpr.2025.102567 · Cited by 5 · see citing works
Schoemaker, M. M., Lust, J., Steenbergen, B., Houwen, S., Diepstraten, J. E. M., Wilson, P., & Poelma, M. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1418295 · Cited by 6 · see citing works
Korfmacher, A.-K., Hirsch, O., Chavanon, M., Albrecht, B., & Christiansen, H. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.969351 · Cited by 9 · see citing works
“This discrepancy is quite typical (106), though Hyperactivity/Impulsivity is easier to observe and more challenging in structured situations than are Inattention symptoms (107).”
BackgroundFioravante, I., Lozano-Lozano, J. A., & Martella, D. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.946273 · Cited by 6 · see citing works
“However, according to different studies, parent-teacher agreement on ADHD symptoms has typically been low to moderate (Narad et al., 2015).”
Do Teachers Confirm Parent’s Ratings of ADHD DSM-IV Criteria? A Study of a Mexican Population
Chamorro, Y., Bolaños, L., Trejo, S., Barrios, O., Ramírez-Dueñas, M. D. L., Alvarez-Tostado, P., Cervantes, A., & Matute, E. (2021) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s308051 · Cited by 6 · see citing works
“Previous studies have suggested that hyperactivity symptoms are more prominent (noticeable) and, therefore, more easily detected by adults.(9,14) Positive predictive values (PPV) (ie, the probability of a symptom being reported as “present” by the teacher given a previous positive report by a mother) has been reported…”
BackgroundInfluentialEkblad, M. O., Rolan, E., Marceau, K., Palmer, R., Todorov, A., Heath, A., & Knopik, V. (2019) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntz214 · Cited by 6 · see citing works
Zhang, S., Yu, S., Cui, X., Liang, L., & Li, X. (2025) · Journal of Attention Disorders · doi:10.1177/10870547251405008 · Cited by 5 · see citing works
“These findings suggest that interviews and questionnaires should consider subjective factors, such as educational stress (Danielson et al., 2018; Kieling & Rohde, 2012; Narad et al., 2015; Tahıllıoğlu et al., 2021).”
Questionário de Capacidades e Dificuldades (SDQ): Predição do TDAH e TEA em Crianças
Chiodi, S. L., Fabre, B. D., Hashimoto, E. D. S., & Lúcio, P. S. (2023) · Psico-USF · doi:10.1590/1413-82712023280201 · Cited by 5 · see citing works
Saura-Garre, P., Vicente-Escudero, J., Checa, S., Sáez, M. C., Fernández, V., Alcántara, M., Martínez, A., & López-Soler, C. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.989610 · Cited by 5 · see citing works
“, 2017), along with presenting differential characteristics which show the importance of using both informants for more reliable diagnosis (Narad et al., 2015), but it is known that externalizing disorders (such as ADHD) are more visible in the family and school context involving higher rates of clinical diagnoses, bu…”
BackgroundThe Developmental Course of Teacher-Rated ADHD Symptom Levels in an Early Childhood Community Sample
Martin, C. P., Shoulberg, E. K., & Hoza, B. (2021) · Journal of Attention Disorders · doi:10.1177/1087054721997561 · Cited by 5 · see citing works
Nafi, O., Shahin, A., Tarawneh, A., & Samhan, Z. (2020) · Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit · doi:10.26719/emhj.20.032 · Cited by 5 · see citing works
“Some studies have shown that parent and teacher ratings of ADHD behaviours are only weakly to moderately correlated (20).”
BackgroundGaastra, G. F., Groen, Y., Tucha, L., & Tucha, O. (2019) · Child and Youth Care Forum · doi:10.1007/s10566-019-09515-7 · Cited by 4 · see citing works
Weigard, A., Suzuki, T., Skalaban, L., Conley, M., Cohen, A. O., Garavan, H., Heitzeg, M., Casey, B., Sripada, C., & Heathcote, A. (2024) · Cognitive Sciences · doi:10.1111/cogs.70019 · Cited by 4 · see citing works
“As parent and teacher reports of attention problems provide complementary information (Cordova et al., 2022; Narad et al., 2015; Weigard et al., 2024), children’s attention problems were indexed with both the parent-report data from the Child Behavior Checklist (Achenbach, 2001; Achenbach & Ruffle,…”
Chan, H., Rowe, R., & Carroll, D. (2024) · PLoS ONE · doi:10.1371/journal.pone.0299980 · Cited by 4 · see citing works
“Age effects are found in both parent and teacher ratings of hyperactivity/impulsivity, in which higher ratings are observed in younger children by both informants [19, 20].”
BackgroundResultCho, Y., Son, H.-M., Chung, T.-M., & Kim, J. (2024) · Psychology in the schools (Print) · doi:10.1002/pits.23179 · Cited by 4 · see citing works
Page, D., & Cunningham, T. (2024) · Canadian Journal of School Psychology · doi:10.1177/08295735241228069 · Cited by 4 · see citing works
“The educational context is unique in its ability to elicit student behaviors indicative of psychopathologies, given the unique demands that classrooms place on students (Narad et al., 2015).”
BackgroundVassilopoulos, A., Delucia, C., & Torres, C. (2021) · Journal of Clinical Psychology · doi:10.1002/jclp.23200 · Cited by 4 · see citing works
Haan, E., Sallis, H., Zuccolo, L., Labrecque, J., Ystrøm, E., Reichborn-Kjennerud, T., Andreassen, O., Havdahl, A., & Munafò, M. (2021) · medRxiv · doi:10.1101/2021.03.25.21254087 · Cited by 4
“of child’s behaviour as ADHD symptoms may be more visible at school which is a more structured environment (30).”
BackgroundResultNeuropsychological group rehabilitation on neurobehavioral comorbidities in children with epilepsy.
Rantanen, K., Vierikko, E., Eriksson, K., & Nieminen, P. (2020) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2019.06.030 · Cited by 4 · see citing works
Crocker, S., Roemer, A., Strohmaier, S., Wang, G. Y., & Medvedev, O. N. (2025) · Advances in Neurodevelopmental Disorders · doi:10.1007/s41252-025-00452-2 · Cited by 3 · see citing works
ADHD Reporting in Developmental Age: The Role of the Informants
Esposito, D., Gigliotti, F., Colotti, B., Brina, C. D., Pisani, F., & Romani, M. (2025) · Children · doi:10.3390/children12070914 · Cited by 3 · see citing works
“Despite widespread recommendations for a multi-informant approach, few studies have assessed the comparative clinical validity of different informant types within real-world referral settings [5–7].”
DeCamp, C., Hoffman, M. E., Allan, D. M., Morris, B. M., & Lonigan, C. (2025) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-024-01286-7 · Cited by 3 · see citing works
Hou, Y., Yu, L.-Y., Liu, D., Wilson-Lemoine, E., Wu, X., Moreira, J., Mujica, B. F., Mukhopadhyay, E. S., Novotney, A. N., & Payne, J. M. (2024) · Journal of the American Academy of Child and Adolescent Psychiatry · doi:10.1016/j.jaac.2024.09.011 · Cited by 3 · see citing works
Placebo-related improvement with methylphenidate treatment in children with ADHD
Vertessen, K., Oosterlaan, J., Bet, P. M., Bottelier, M. A., Stoffelsen, R., Swanson, J. M., Wisse, A., Twisk, J. W. R., & Luman, M. (2024) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-024-02550-3 · Cited by 3 · see citing works
DeCamp, C., & Lonigan, C. (2023) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-023-01144-y · Cited by 3 · see citing works
“Although some studies indicate that discrepancies are higher with younger children (e.g., Holm - berg & Bolte, 2014), results of the De Los Reyes et al. ( 2015 ) meta-analysis and other studies (Narad et al., 2015 ) indicated discrepancies are consistent through adolescence.”
Degroote, E., Brault, M.-C., & Houtte, M. V. (2022) · International Journal of Inclusive Education · doi:10.1080/13603116.2022.2029962 · Cited by 3
“Furthermore, teachers play a crucial part in the diagnostic process of ADHD in students: They are often asked by medical practitioners to fill out ADHD behavioral ratings regarding a student (American Psychiatric Association 2013; Narad et al. 2015).”
Natalia, K., & Agnieszka, K. (2021) · Current Problems of Psychiatry · doi:10.2478/cpp-2021-0020 · Cited by 3 · see citing works
Moraes, P., Damásio, B., de Lima, G. C. M., Sudo, F., & de Mattos, P. E. L. (2020) · Archives of Clinical Psychiatry · doi:10.1590/0101-60830000000228 · Cited by 3 · see citing works
Tsai, C.-L., & Ku, H.-Y. (2020) · Educational Studies · doi:10.1080/03055698.2020.1729098 · Cited by 3 · see citing works
“ESEM is a statistical technique that combines the advantages of exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), which has been used as an effective approach for exploring factor structure and testing measurement invariance (e.g., Chiorri et al. 2016; Scherer, Nilsen, and Jansen 2016; Narad et…”
MethodMicalizzi, L., Brick, L., Marraccini, M. E., Benca-Bachman, C., Palmer, R., & Knopik, V. (2020) · Development and Psychopathology · doi:10.1017/s0954579419001573 · Cited by 3 · see citing works
“There is evidence that aggregate ratings by parents and teachers are more accurate than parent report of child behavior alone (Narad et al., 2015).”
BackgroundCogo‐Moreira, H., Lúcio, P. S., Swardfager, W., Gadelha, A., Mari, J. D. J., Miguel, E. C., Rohde, L. A., & Salum, G. A. (2017) · Journal of Attention Disorders · doi:10.1177/1087054717707047 · Cited by 4 · see citing works
Yan, Y.-Z., Wu, H., Han, M., Zhao, L., & Mao, S. (2026) · Nutrients · doi:10.3390/nu18142357 · Cited by 2 · see citing works
“Parent ratings are clinically meaningful and commonly used in pediatric ADHD research, but they may be influenced by parental expectations, awareness of treatment allocation, perceived changes in general behavior, or changes in family context [82].”
- Authors
- Narad, M. E., Garner, A. A., Peugh, J. L., Tamm, L., Antonini, T. N., Kingery, K. M., Simon, J. O., & Epstein, J. N.
- Venue
- Psychological Assessment
- Published
- 2015-03
- Volume
- 27
- Issue
- 1
- Pages
- 239-248
- ISSN
- 1040-3590 (ISSN-L)
- 1939-134X
- PMC
- PMC4495952
- OpenAlex
- W1981963179
- Cited by
- 167
- References
- 50
- Citations by year
- 2026: 13 · 2025: 14 · 2024: 20 · 2023: 13 · 2022: 18 · 2021: 16 · 2020: 17 · 2019: 19 · 2018: 15 · 2017: 10 · 2016: 11 · 2015: 1
- FWCI
- 5.60
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychological Assessment (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Bureau of Health Professions
- Health Resources and Services Administration
- Development of Health and Human Services (T32HT1002)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- attention deficit hyperactivity disorder, parent-teacher agreement, measurement invariance, hyperactivity/impulsivity, inattention, rater differences, symptom structure
- MeSH terms
- School Teachers, Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Child Development, Child, Preschool, Female, Humans, Male, Parents
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