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Does a child’s language ability affect the correspondence between parent and teacher ratings of ADHD symptoms?

Gooch, Deborah, Maydew, H, Sears, C and Norbury, CF (2017) Does a child’s language ability affect the correspondence between parent and teacher ratings of ADHD symptoms? BMC Psychiatry, 17 (129).

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Abstract

Background:

Rating scales are often used to identify children with potential Attention-Deficit/Hyperactivity Disorder (ADHD), yet there are frequently discrepancies between informants which may be moderated by child characteristics. The current study asked whether correspondence between parent and teacher ratings on the Strengths and Weakness of ADHD symptoms and Normal behaviour scale (SWAN) varied systematically with child language ability.

Method:

Parent and teacher SWAN questionnaires were returned for 200 children (aged 61–81 months); 106 had low language ability (LL) and 94 had typically developing language (TL). After exploring informant correspondence (using Pearson correlation) and the discrepancy between raters, we report inter-class correlation coefficients, to assess inter-rater reliability, and Cohen’s kappa, to assess agreement regarding possible ADHD caseness.

Results:

Correlations between informant ratings on the SWAN were moderate. Children with LL were rated as having increased inattention and hyperactivity relative to children with TL; teachers, however, rated children with LL as having more inattention than parents. Inter-rater reliability of the SWAN was good and there were no systematic differences between the LL and TL groups. Case agreement between parent and teachers was fair; this varied by language group with poorer case agreement for children with LL.

Conclusion:

Children’s language abilities affect the discrepancy between informant ratings of ADHD symptomatology and the agreement between parents and teachers regarding potential ADHD caseness. The assessment of children’s core language ability would be a beneficial addition to the ADHD diagnostic process.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Psychology
Authors :
NameEmailORCID
Gooch, Deborahd.gooch@surrey.ac.ukUNSPECIFIED
Maydew, HUNSPECIFIEDUNSPECIFIED
Sears, CUNSPECIFIEDUNSPECIFIED
Norbury, CFUNSPECIFIEDUNSPECIFIED
Date : 5 April 2017
Identification Number : 10.1186/s12888-017-1300-8
Copyright Disclaimer : © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Uncontrolled Keywords : Language, Attention-Deficit/Hyperactivity Disorder, Rating scales, Inter-rater reliability
Depositing User : Melanie Hughes
Date Deposited : 15 Sep 2017 15:16
Last Modified : 15 Sep 2017 15:16
URI: http://epubs.surrey.ac.uk/id/eprint/842294

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