title: Parent-based diagnosis of ADHD is as accurate as a teacher-based diagnosis of ADHD.
abstract: OBJECTIVE
  To review the literature evaluating the psychometric properties of parent and teacher informants relative to a gold-standard ADHD diagnosis in pediatric populations.
  
  
  METHODS
  We included studies that included both a parent and teacher informant, a gold-standard diagnosis, and diagnostic accuracy metrics. Potential confounds were evaluated. We also assessed the 'OR' and the 'AND' rules for combining informant reports.
  
  
  RESULTS
  Eight articles met inclusion criteria. The diagnostic accuracy for predicting gold standard ADHD diagnoses did not differ between parents and teachers. Sample size, sample type, participant drop-out, participant age, participant gender, geographic area of the study, and date of study publication were assessed as potential confounds.
  
  
  CONCLUSIONS
  Parent and teachers both yielded moderate to good diagnostic accuracy for ADHD diagnoses. Parent reports were statistically indistinguishable from those of teachers. The predictive features of the 'OR' and 'AND' rules are useful in evaluating approaches to better integrating information from these informants.
authors.affiliation: a Departments of Psychiatry and of Neuroscience and Physiology , SUNY Upstate Medical University , Syracuse , NY , USA.
authors.forename: Adam
authors.initials: A
authors.lastname: Bied
authors.affiliation: b Department of Pediatric Psychopharmacology , Massachusetts General Hospital , Boston , MA , USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Biederman
authors.affiliation: a Departments of Psychiatry and of Neuroscience and Physiology , SUNY Upstate Medical University , Syracuse , NY , USA.|c K.G. Jebsen Centre for Research on Neuropsychiatric Disorders , University of Bergen , Bergen , Norway.
authors.forename: Stephen
authors.initials: S
authors.lastname: Faraone
mesh_terms: D000367:Age Factors; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis*; D002648:Child; D006801:Humans; D010290:Parents; D015203:Reproducibility of Results; D012111:Residence Characteristics; D000070777:School Teachers; D012737:Sex Factors
keywords: ADHD; Parent; accuracy; diagnosis; informant; teacher