Skip Navigation LinksHome > April 2010 - Volume 31 - Issue 3 > Instability in Teacher Ratings of Children's Inattentive Sym...
Text sizing:
A
A
A
Journal of Developmental & Behavioral Pediatrics:
doi: 10.1097/DBP.0b013e3181d5a2d8
Original Article

Instability in Teacher Ratings of Children's Inattentive Symptoms: Implications for the Assessment of ADHD

Rabiner, David L. PhD*; Murray, Desiree W. PhD†; Rosen, Lisa PhD‡; Hardy, Kristina PhD†; Skinner, Ann MEd§; Underwood, Marion PhD‡

Collapse Box

Abstract

Objective: To examine the cross-grade stability of clinically elevated teacher ratings of inattentive symptoms in 3 samples of elementary schoolchildren.

Participants and Methods: Samples 1 and 2 included 27 first graders and 24 fourth graders, respectively, identified based on clinically elevated teacher ratings of inattentive symptoms. The third sample included 28 children in grades 1 to 4 from the Multimodal Treatment Study of attention-deficit hyperactivity disorder (Multimodal Treatment Study of Children with attention-deficit hyperactivity disorder Study) with a confirmed attention-deficit hyperactivity disorder diagnosis. Teacher ratings of inattentive symptoms were completed an average of 12 to 14 months apart so that cross-grade stability of elevated ratings could be computed for each sample.

Results: In all 3 samples, clinically elevated ratings persisted for less than 50% of children and between 25% and 50% had ratings that declined to within the normative range. The decline in attention difficulties was not related to hyperactivity, oppositional behavior, or anxiety at baseline, nor was it explained by children beginning medication treatment.

Conclusions: Many elementary-aged children rated by their teachers as highly inattentive are not considered to demonstrate these problems the following year, even children with a confirmed attention-deficit hyperactivity disorder diagnosis. The instability in clinically elevated teacher ratings found across 3 independent samples highlights the importance of annual reevaluations to avoid treating children for problems that may no longer be present.

© 2010 Lippincott Williams & Wilkins, Inc.

Follow Us

   

Login

Article Tools

Share

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.