title: Teachers' screening for attention deficit/hyperactivity disorder: comparing multinational samples on teacher ratings of ADHD.
abstract: This study evaluates a measurement model for Attention Deficit/Hyperactivity Disorder (ADHD). The DSM-IV divides 18 symptoms into two groups, inattentive and hyperactive/impulsive. Elementary school teachers rated 21,161 children in 4 locations: Spain, Germany, urban US, and suburban US. Confirmatory factor analysis suggested that the 2-factor model (inattention, hyperactivity/impulsivity) shows the best fit. A third factor, impulsivity, was too slight to stand-alone. Children with academic performance problems were distinguished by inattention, but children with behavior problems typically had elevations in inattention, hyperactivity, and impulsivity. Between-site differences were statistically significant, but so small that we conclude that same measurement model fits all 4 samples in 2 continents.
authors.affiliation: University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73117, USA. mark-wolraich@ouhsc.edu
authors.forename: Mark L
authors.initials: ML
authors.lastname: Wolraich
authors.forename: E Warren
authors.initials: EW
authors.lastname: Lambert
authors.forename: Anna
authors.initials: A
authors.lastname: Baumgaertel
authors.forename: Santiago
authors.initials: S
authors.lastname: Garcia-Tornel
authors.forename: Irene D
authors.initials: ID
authors.lastname: Feurer
authors.forename: Leonard
authors.initials: L
authors.lastname: Bickman
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Doffing
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis* / Q000453:epidemiology*; D002391:Catchment Area, Health; D002648:Child; D003431:Cross-Cultural Comparison; D039721:Diagnostic and Statistical Manual of Mental Disorders; D004522:Educational Status; D005178:Faculty; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods; D015203:Reproducibility of Results; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires; D013714:Tennessee / Q000453:epidemiology