Inter-parent Agreement and Discrepancy on Core Symptoms and Externalizing Problems in School-age Children With Attention Deficit/Hyperactivity Disorder

Abstract

Objectives: Inter-parent agreement and discrepancy on core symptoms of Attention Deficit/Hyperactivity Disorder (ADHD) and related externalizing problems can have clinical implications for the diagnosis of the disorder. This study aims to examine inter-parent agreement and discrepancy on ratings of hyperactivity/impulsivity, inattention, behavior problems, and emotion dysregulation in children with ADHD. Methods: This is a descriptive correlational study. The study population consists of children with ADHD aged 6-10 years who referred to child and adolescent psychiatric clinics in Tehran, Iran. Of these, 51 children were selected using a convenience sampling method. They were separately assessed by their parents using the Swanson, Nolan and Pelham-IV (SNAP-IV) Questionnaire, Eyberg Child Behavior Inventory, Emotion Regulation Checklist, and the Parenting Stress Index- Short Form. Results: Parents had a moderate agreement on all scales/subscales except on emotion dysregulation which was fair. Mothers rated higher than fathers in all areas except for the inattention subscale. Mother’s parenting stress and educational level could predict inter-parent discrepancy on ratings. Conclusion: Mother-father discrepancy on the symptoms and problems of ADHD is clinically significant. Clinicians should take it to account when interpreting results of rating scales in children with ADHD. Multiple informants are suggested in using rating scales for ADHD assessment.