title: Adolescent and caregiver reports of ADHD symptoms among inner-city youth: agreement, perceived need for treatment, and behavioral correlates.
abstract: OBJECTIVE
  This study investigated adolescent and caregiver reports of ADHD symptoms in a sample of clinically referred inner-city adolescents.
  
  
  METHODS
  Participants (N = 168) included youth ages 12-18 (54% male, 98% ethnic minority) and their caregivers who each completed diagnostic interviews of ADHD symptoms and assessments of perceived need for ADHD treatment and correlated behavior problems.
  
  
  RESULTS
  Informants showed poor agreement on DSM-IV diagnostic categories and also dimensional scales, Inattention/Disorganization (I/D) and Hyperactivity/Impulsivity (H/I). Both caregiver and adolescent reports of I/D symptoms, but not H/I symptoms, were related to perceived need for ADHD treatment. Caregiver reports were linked to behavioral correlates typically associated with ADHD: I/D symptoms correlated with planning/organization and socioemotional deficits, and H/I symptoms correlated with externalizing and behavior regulation deficits. In contrast, adolescent reports of I/D were related to internalizing and externalizing problems, and their reports of H/I correlated with externalizing only. Few gender effects were found.
  
  
  CONCLUSIONS
  Study results underscore the developmental salience of I/D symptoms and have implications for ADHD diagnosis and treatment planning for adolescents.
authors.affiliation: 1CASA, New York, NY, USA.
authors.forename: Aaron
authors.initials: A
authors.lastname: Hogue
authors.forename: Sarah
authors.initials: S
authors.lastname: Dauber
authors.forename: Emily
authors.initials: E
authors.lastname: Lichvar
authors.forename: Gabi
authors.initials: G
authors.lastname: Spiewak
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis* / Q000523:psychology; D001294:Attitude to Health; D017028:Caregivers / Q000523:psychology*; D002648:Child; D059026:Diagnostic Self Evaluation; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D015203:Reproducibility of Results; D014505:Urban Population / Q000706:statistics & numerical data