Adult Ratings of Child ADHD Symptoms: Importance of Race, Role, and Context.

George J DuPaul
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引用次数: 3

Abstract

Diagnostic assessment of attention-deficit/hyperactivity disorder (ADHD) in children necessarily involves subjective judgements about the severity, frequency, and impact of symptoms on the part of parents, teachers, and clinicians. Thus, it is possible that parent and teacher ratings may be discrepant as a function of child and adult respondent race, adult role (i.e., parent or teacher), and environmental context (e.g., classroom vs. home). In order to fully understand racial differences in ADHD symptom ratings, it is important to disentangle the relative contributions of these factors. This commentary discusses the results of the Kang and Harvey (Journal of Abnormal Child Psychology,2019) study in relation to race, role, and context. Specific contributions of this study as well as unanswered questions to consider when interpreting their findings are delineated. Recommendations for future research to investigate the relative contributions of race, role, and context in accounting for racial differences in parent-teacher ADHD symptom ratings along with implications for assessment practice are discussed.

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儿童ADHD症状的成人评分:种族、角色和环境的重要性。
儿童注意力缺陷/多动障碍(ADHD)的诊断评估必然涉及到家长、教师和临床医生对症状的严重程度、频率和影响的主观判断。因此,父母和老师的评分可能会因儿童和成人受访者的种族、成人角色(即父母或教师)和环境背景(例如教室与家庭)而有所差异。为了充分理解ADHD症状评分的种族差异,弄清这些因素的相对贡献是很重要的。这篇评论讨论了Kang和Harvey (Journal of Abnormal Child Psychology,2019)在种族、角色和背景方面的研究结果。本研究的具体贡献以及在解释他们的发现时要考虑的未回答的问题被描述。本文讨论了对未来研究的建议,以调查种族、角色和背景对父母-教师ADHD症状评分中种族差异的相对贡献,以及对评估实践的影响。
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期刊介绍: Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured. Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.
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