Informant discrepances are frequently observed in self- and proxy-report in dyads involving children with ADHD. However, it remains unclear whether these discrepances are specific to ADHD or are also present in other clinical groups, as Autism Spectrum Disorder (ASD). Moreover, it is not fully understood whether these children hold a fundamentally different perception of their own abilities, or whether they tend to underestimate the severity of their difficulties compared to their parents. Additionally, the relation between informant discrepancies and psychological outcomes remains underexplored. This research aimed to address these questions through two separate studies.
Methods:
Study 1 involved 50 children with ADHD, 49 ASD, and 121 non-diagnosed (ND) peers to investigate whether informant discrepancies is specific to ADHD. Based on its findings, Study 2 focused on 47 children with ADHD and 47 ND peers to analyze the psychological outcomes. In both studies, children and their parents completed parallel questionnaires assessing social abilities. Study 1 also assessed behavioral issues, while Study 2 examined self-confidence and internalizing/externalizing symptoms.
Results:
Study 1 revealed children with ADHD are aware of their social difficulties, but tend to underestimate their severity compared to their parent reports, whereas dyads involving autistic and ND children show full alignment between self- and proxy ratings. Informant discrepancies in ADHD were limited to social functioning and did not extend to behavioral issues. In Study 2, informant discrepancies were positively associated with self-confidence in children with ADHD and with externalizing behaviors.
Conclusion:
In conclusion, informant discrepancies seem specific to ADHD and limited to social functioning. The relation with psychological outcomes varies, indicating the need for consideration in clinical settings.
AchenbachT.DumenciL.RescorlaL. (2001). Ratings of relations between DSM-IV diagnostic categories and items of the CBCL/6-18, TRF, and YSR. University of Vermont.
2.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed). American psychiatric association.
BrackenB. A. (2003). TMA - Test di valutazione multidimensionale dell’autostima. Erickson.
5.
CapodieciA.CrisciG.MammarellaI. C. (2019). Does positive illusory bias affect self-concept and loneliness in children with symptoms of ADHD?Journal of Attention Disorders, 23(11), 1274–1283. https://doi.org/10.1177/1087054718763735
6.
ConnersC. K.SitareniosG.ParkerJ. D. A.EpsteinJ. N. (1998). The revised Conners’ Parent Rating Scale (CPRS-R): Factor structure, reliability, and criterion validity. Journal of Abnormal Child Psychology, 26(4), 257–268.
7.
CrisciG.CardilloR.MammarellaI. C. (2022). The processes underlying positive illusory bias in ADHD: The role of executive functions and pragmatic language skills. Journal of Attention Disorders, 26(9), 1245–1256. https://doi.org/10.1177/10870547211063646
8.
CrisciG.CardilloR.MammarellaI. C. (2024). Social functioning in children and adolescents with ADHD and autism spectrum disorder: A cross-disorder comparison. Journal of Clinical Child & Adolescent Psychology, 53(3), 489–502.
DavidC. F.KistnerJ. A. (2000). Do positive self-perceptions have a “dark side”? Examination of the link between perceptual bias and aggression. Journal of Abnormal Child Psychology, 28(4), 327–337. https://doi.org/10.1023/A:1005164925300
11.
De Los ReyesA.OhannessianC. M.RaczS. J. (2019). Discrepancies between adolescent and parent reports about family relationships. Child Development Perspectives, 13(1), 53–58.
12.
FaraoneS. V.RostainA. L.BladerJ.BuschB.ChildressA. C.ConnorD. F.NewcornJ. H. (2019). Practitioner review: Emotional dysregulation in attention-deficit/hyperactivity disorder – Implications for clinical recognition and intervention. Journal of Child Psychology and Psychiatry, 60(2), 133–150. https://doi.org/10.1111/jcpp.12899
13.
FineJ. G.Semrud-ClikemanM.ButcherB.WalkowiakJ. (2008). Brief report: Attention effect on a measure of social perception. Journal of Autism and Developmental Disorders, 38(9), 1797–1802. https://doi.org/10.1007/s10803-008-0570-x
14.
FurlanoR.KelleyE. A. (2020). Do children with autism spectrum disorder understand their academic competencies?Journal of Autism and Developmental Disorders, 50(9), 3101–3113.
15.
GreshamF.ElliottS. N. (2008). Social skills improvement system (SSIS) rating scales. SSIS Rating Scales.
16.
GreshamF. M.LaneK. L.MacMillanD. L.BocianK. M.WardS. L. (2000). Effects of positive and negative illusory biases: Comparisons across social and academic self-concept domains. Journal of School Psychology, 38(2), 151–175.
17.
GrillsA. E.OllendickT. H. (2003). Multiple informant agreement and the anxiety disorders interview schedule for parents and children. Journal of the American Academy of Child & Adolescent Psychiatry, 42(1), 30–40.
18.
HozaB.Murray-CloseD.ArnoldL. E.HinshawS. P.HechtmanL., & The MTA Cooperative Group. (2010). Time-dependent changes in positively biased self-perceptions of children with attention-deficit/hyperactivity disorder: A developmental psychopathology perspective. Development and Psychopathology, 22(2), 375–390. https://doi.org/10.1017/S095457941000012X
19.
HozaB.PelhamW. E.DobbsJ.OwensJ. S.PillowD. R. (2002). Do boys with attention-deficit/hyperactivity disorder have positive illusory self-concepts?Journal of Abnormal Psychology, 111(2), 268–278. https://doi.org/10.1037/0021-843X.111.2.268
20.
JiangY.JohnstonC. (2017). Controlled social interaction tasks to measure self-perceptions: No evidence of positive illusions in boys with ADHD. Journal of Abnormal Child Psychology, 45(6), 1051–1062. https://doi.org/10.1007/s10802-016-0232-y
21.
KeithJ. M.JamiesonJ. P.BennettoL. (2019). The importance of adolescent self-report in autism spectrum disorder: Integration of questionnaire and autonomic measures. Journal of Abnormal Child Psychology, 47(4), 741–754.
22.
KenworthyL.VerbalisA.BascomJ.DaVanportS.StrangJ. F.PuglieseC.FreemanA.JeppsenC.ArmourA. C.JostG.HardyK.WallaceG. L. (2022). Adding the missing voice: How self-report of autistic youth self-report on an executive functioning rating scale compares to parent report and that of youth with attention deficit hyperactivity disorder or neurotypical development. Autism, 26(2), 422–433.
23.
LernerM. D.MikamiA. Y. (2012). A preliminary randomized controlled trial of two social skills interventions for youth with high-functioning autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 27(3), 147–157. https://doi.org/10.1177/1088357612450613
24.
LinneaK.HozaB.HozaB.TombM.KaiserN. (2012). Does a positive bias relate to social behavior in children with ADHD?Behavioral Therapy, 43(4), 862–875.
25.
LoeberR.FarringtonD. P. (2001). Child delinquents. SAGE.
26.
MartinC. P.PeischV.ShoulbergE. K.KaiserN.HozaB. (2019). Does a social self-perceptual bias mask internalizing symptoms in children with attention-deficit/hyperactivity disorder?Journal of Child Psychology and Psychiatry, 60(6), 630–637.
27.
MörickeE.BuitelaarJ. K.RommelseN. N. (2016). Do we need multiple informants when assessing autistic traits? The degree of report bias on offspring, self, and spouse ratings. Journal of Autism and Developmental Disorders, 46(1), 164–175.
28.
OwensJ. S.GoldfineM. E.EvangelistaN. M.HozaB.KaiserN. M. (2007). A critical review of self-perceptions and the positive illusory bias in children with ADHD. Clinical Child and Family Psychology Review, 10(4), 335–351. https://doi.org/10.1007/s10567-007-0027-3
29.
OwensJ. S.HozaB. (2003). The role of inattention and hyperactivity/impulsivity in the positive illusory bias. Journal of Consulting and Clinical Psychology, 71(4), 680–691. https://doi.org/10.1037/0022-006X.71.4.680
30.
R Core Team. (2020). R: A language and environment for statistical computing.
31.
RutterM.Le CouteurA.LordC. (2005). ADI-R:Autism diagnostic interview–revised. Giunti OS Special Organization.
32.
Semrud-ClikemanM.FineJ. G.BledsoeJ. (2016). Social functioning using direct and indirect measures with children with High Functioning Autism, nonverbal learning disability, and typically developing children. Child Neuropsychology, 22(3), 318–335.
33.
Semrud-ClikemanM.WalkowiakJ.WilkinsonA.MinneE. P. (2010). Direct and indirect measures of social perception, behavior, and emotional functioning in children with Asperger’s disorder, nonverbal learning disability, or ADHD. Journal of Abnormal Child Psychology, 38(4), 509–519.
34.
ShipkovaM.MilojevichH.LindquistK. A.SheridanM. A. (2025). Children’s emotion word knowledge is associated with adaptive emotion regulation: Links to family-level and child-level factors. Emotion, 25(8), 1982–1996.
35.
SoubeletA.SalthouseT. A. (2011). Influence of social desirability on age differences in self-reports of mood and personality: Social desirability, age, and self-reports. Journal of Personality, 79(4), 741–762. https://doi.org/10.1111/j.1467-6494.2011.00700.x
36.
WanstallE. A.DoidgeJ.WeissJ.ToplakM. E. (2019). Estimations of competence in neurodevelopmental conditions: A review. Psihologijske teme, 28(1), 193–232.
37.
Volz-SidiropoulouE.BoeckerM.GauggelS. (2016). The positive illusory bias in children and adolescents with ADHD: Further evidence. Journal of Attention Disorders, 20(2), 178–186. https://doi.org/10.1177/1087054713489849
38.
WechslerR. (2011). Wechsler intelligence scale for children, Fourth edition. In GoldsteinS.NaglieriJ. A. (A c. Di), Encyclopedia of child behavior and development (pp. 1553–1555). Springer US. https://doi.org/10.1007/978-0-387-79061-9_3066
