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Predictive validity of parent- and self-rated ADHD symptoms in adolescence on adverse socioeconomic and health outcomes
MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom.
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
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2017 (Engelska)Ingår i: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 26, nr 7, s. 857-867Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

There is scarcity of research investigating the validity of self-report of attention deficit hyperactivity disorder (ADHD) symptoms compared to other informants, such as parents. This study aimed to compare the predictive associations of ADHD symptoms rated by parents and their children across adolescence on a range of adverse socioeconomic and health outcomes in early adulthood. Parent- and self-rated ADHD symptoms were assessed in 2960 individuals in early (13-14 years) and late adolescence (16-17 years). Logistic regression analyses were used to compare the associations between parent- and self-rated ADHD symptoms at both time points and adverse life outcomes in young adulthood obtained from Swedish national registries. Both parent- and self-ratings of ADHD symptoms were associated with increased risk for adverse outcomes, although associations of parent-ratings were more often statistically significant and were generally stronger (OR = 1.12-1.49, p < 0.05) than self-ratings (OR = 1.07-1.17, p < 0.05). After controlling for the other informant, parent-ratings of ADHD symptoms in both early and late adolescence significantly predicted academic and occupational failure, criminal convictions and traffic-related injuries, while self-ratings of ADHD symptoms only in late adolescence predicted substance use disorder and academic failure. Our findings suggest that both parent- and self-ratings of ADHD symptoms in adolescence provides valuable information on risk of future adverse socioeconomic and health outcomes, however, self-ratings are not valuable once parent-ratings have been taken into account in predicting most outcomes. Thus, clinicians and researchers should prioritize parent-ratings over self-ratings.

Ort, förlag, år, upplaga, sidor
Springer, 2017. Vol. 26, nr 7, s. 857-867
Nyckelord [en]
ADHD, Developmental epidemiology, Rating scale, Validity
Nationell ämneskategori
Psykologi Pediatrik Psykiatri
Identifikatorer
URN: urn:nbn:se:oru:diva-58938DOI: 10.1007/s00787-017-0957-3ISI: 000404571300012PubMedID: 28185096Scopus ID: 2-s2.0-85011930110OAI: oai:DiVA.org:oru-58938DiVA, id: diva2:1134519
Forskningsfinansiär
Vetenskapsrådet, 2014-3831
Anmärkning

Funding Agencies:

European Union  602768  667302 

Swedish Foundation for International Cooperation in Research and Higher Education  IG2012-5056 

Medical Research Council  PAD7124 

Tillgänglig från: 2017-08-21 Skapad: 2017-08-21 Senast uppdaterad: 2018-08-01Bibliografiskt granskad

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Larsson, Henrik

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European Child and Adolescent Psychiatry
PsykologiPediatrikPsykiatri

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