Correspondence and Disparity in the Self- and Other Ratings of Current and Childhood ADHD Symptoms and Impairment in Adults With ADHD

被引:62
作者
Barkley, Russell A. [1 ]
Knouse, Laura E. [2 ,3 ]
Murphy, Kevin R. [4 ]
机构
[1] Med Univ S Carolina, Dept Psychiat, Charleston, SC USA
[2] Massachusetts Gen Hosp, Behav Med Serv, Boston, MA 02114 USA
[3] Harvard Univ, Sch Med, Dept Psychiat, Cambridge, MA 02138 USA
[4] Adult ADHD Ctr Cent Massachusetts, Northborough, MA USA
关键词
attention-deficit/hyperactivity disorder (ADHD); symptom rating; impairment rating; self- other disparity; adults; DEFICIT HYPERACTIVITY DISORDER; ATTENTION-DEFICIT/HYPERACTIVITY-DISORDER; RELIABILITY; DEFINITION; VALIDITY; STUDENTS;
D O I
10.1037/a0022172
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Experts recommend that clinicians evaluating adults for attention-deficit/hyperactivity disorder (ADHD) obtain information from others who know the patient well. The authors examined correspondence between the self- and other-ratings of ADHD symptoms and impairment using 3 groups of adults recruited on the basis of their severity of ADHD: ADHD diagnosis (n = 146), clinical controls self-referring for ADHD but not diagnosed (n = 97), and community controls (n = 109). The influences of diagnostic group, informant relationship, sex of participant, IQ, and comorbid anxiety and depression on self-informant disparities were also examined. Results indicated moderate to high agreement (.59-.80) between self and others on current functioning and slightly lower levels (.53-.75) between self- and parent ratings of childhood functioning. Examination of difference scores between self- and other ratings revealed small mean disparities (-0.1 to +5.0 points) but substantial variation (SDs = -2.4 to 8.9 points) for both current and childhood ratings. Clinic referrals not diagnosed with ADHD, particularly women, had higher disparities than was evident in the ADHD and community groups. Age, IQ, and education were not associated with disparities in most ratings. Higher anxiety, in contrast, was associated with greater disparities on all current and childhood measures of both ADHD and impairment.
引用
收藏
页码:437 / 446
页数:10
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