Attention-Deficit/Hyperactivity Disorder (ADHD) emerges in early childhood and is characterized by inattention, impulsivity, and hyperactivity. Behavior rating scales serve as an essential component in a comprehensive assessment of ADHD. Unfortunately, there is often disconcordance between informants' responses, resulting in lower interrater reliability. The current paper reviews variables that may decrease the diagnostic utility of behavior rating scales in the diagnosis of ADHD. Suggestions are offered for future research to improve interrater reliability with rating scales.
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References
1.
Achenbach, T.M. (1991). Integrative guidefor the 1991 CBCL/4-18, YSR, and 7TRFprofiles. Burlington, VT: University of Vermont Department of Psychiatry.
2.
Achenbach, T.M., McConaughy, S.H., & Howell, C.T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101, 213-232.
3.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
4.
Barkley, R.A. (1990). Behavior rating scales. In AttentionDeficit Hyperactivity Disorder: A handbook for diagnosis and treatment (pp. 278-326). New York: The Guilford Press.
5.
Barkley, R.A. (1996a). Attention-Deficit/Hyperactivity Disorder. In EJ. Mash & R.A. Barkley (Eds.), Child psychopathology (pp. 63-112). New York: Guilford Press.
6.
Barkley, R.A. (1996b). Attention-Deficit/Hyperactivity Disorder. In EJ. Mash & L. G. Terdal (Eds.), Assessment of childhood disorders (pp. 71-129). New York: Guilford Press.
7.
Danforth, J.S. & DuPaul, GJ. (1996). Interrater reliability of teacher rating scales for children with Attention-Deficit Hyperactivity Disorder. Journal of Psychopathology and Behavioral Assessment, 18, 227-237.
8.
DuPaul, Gj. (1991). Parent and teachers ratings of ADHD symptoms: Psychometric properties in a community-based sample. Journal of Clinical Child Psychology, 20, 245-253.
9.
DuPaul, GJ., Anastopoulos, A.D., Shelton, T.L., Guevremont, D.C., & Metevia, L. (1992). Multimethod assessment of Attention-Deficit Hyperactivity Disorder: The diagnostic utility of clinic-based tests. Journal of Clinical Child Psychology, 21, 394-402.
10.
DuPaul GJ. & Stoner, G. (1994). ADHD in the schools: Assessment and intervention strategies. New York: Guilford Press.
11.
Elliott S.N., Busse, R.T., & Gresham, F.M. (1993). Behavior rating scales: Issues of use and development. School Psychology Review, 22, 313-321.
12.
Fabre, T.R. & Walker, H.M. (1987). Teacher perceptions of the behavioral adjustment of primary grade level handicapped pupils within regular and special education settings. Remedial and Special Education, 8, 34-39.
13.
Landau, S. & Burcham, B. (1995). Assessment of children with attention disorders. In A. Thomas & J. Grimes (Eds.), Bestpractices in schoolpsychology (pp. 817-830). Washington, DC: The National Association of School Psychologists.
14.
LeBlanc, R. & Reynolds, C. (1989). Concordance of mother's and father's ratings of children's behavior. Psychology in the Schools, 26, 225-229.
15.
Reid, R. & Maag, J.W. (1994). How many fidgets in a pretty much: A critique of behavior rating scales for identifying students with ADHD. Journal of School Psychology, 32, 339-354.
16.
Reynolds, C.R. & Kamphaus, R.W. (1992). Behavior Assessment Scale for Children. Minnesota: American Guidance Service, Inc.
17.
Sanger, M.S., MacLean, W.E., & Van Slyke, D.A. (1992). Relation between maternal characteristics and child behavior ratings. Clinical Pediatrics, 31, 461-466.
18.
Schachar, R., Sandberg, S., & Rutter, M. (1986). Agreement between teachers' ratings and observations of hyperactivity, inattentiveness, and defiance. Journal of Abnormal Child Psychology, 14, 331-345.
19.
Schaughency, E.A. & Rothlind, J. (1991). Assessment and classification of Attention Deficit Hyperactivity Disorders. School Psychology Review, 20, 187-202.
20.
Shelton, T.L. & Barkley, R.A. (1994). Critical issues in the assessment of attention deficit disorders in children. Topics in Language Disorders, 14, 26-41.
21.
Shelton, T.L. & Barkley, R.A. (1995). The assessment and treatment of Attention-Deficit/Hyperactivity Disorder in children. In M.E. Roberts (Ed.), Handbook of Pediatric Psychology (pp. 633-654). New York: Guilford Press.
22.
Walker, H.M. (1986). The assessment for integration into mainstream settings (AIMS) Assessment system: Rationale, instruments, procedures, and outcomes. Journal of Clinical Child Psychology, 15, 55-63.
23.
Whalen, C.K. & Henker, B. (1998). Attention-Deficit/ Hyperactivity Disorders. In T.H. Ollendick & M. Hersen (Eds.), Handbook of Child Psychology. New York: Plenum Press.
24.
Wright, D. & Piersel, W.C. (1992). Components of variance in behavior ratings from parents and teachers. Journal of Psychoeducational Assessment, 10, 310-318.
