Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital

Is the endorsement of the Attention Deficit Hyperactivity Disorder symptom criteria ratings influenced by informant assessment, gender, age, and co-occurring disorders? A measurement invariance study

Research output: Contribution to journalJournal articleResearchpeer-review


  1. Accuracy of retrospective reports of infections during pregnancy.

    Research output: Contribution to journalJournal articleResearch

  1. Predictors and outcomes of self-reported dysregulation profiles in youth from age 11 to 21 years

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. ADHD management during the COVID-19 pandemic: guidance from the European ADHD Guidelines Group

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Prevalence of seasonal depression in a prospective cohort study

    Research output: Contribution to journalJournal articleResearchpeer-review

  • Silia Vitoratou
  • Alexandra Garcia-Rosales
  • Tobias Banaschewski
  • Edmund Sonuga-Barke
  • Jan Buitelaar
  • Robert D Oades
  • Aribert Rothenberger
  • Hans-Christoph Steinhausen
  • Eric Taylor
  • Stephen V Faraone
  • Wai Chen
View graph of relations

OBJECTIVES: This study aims to ascertain whether the differences of prevalence and severity of attention deficit hyperactivity disorder (ADHD) are true or whether children are perceived and rated differently by parent and teacher informant assessments (INFAs) according to gender, age, and co-occurring disorders, even at equal levels of latent ADHD traits.

METHODS: Use of latent trait models (for binary responses) to evaluate measurement invariance in children with ADHD and their siblings from the International Multicenter ADHD Gene data.

RESULTS: Substantial measurement noninvariance between parent and teacher INFAs was detected for seven out of nine inattention (IA) and six out of nine hyperactivity/impulsivity (HI) items; the correlations between parent and teacher INFAs for six IA and four HI items were not significantly different from zero, which suggests that parent and teacher INFAs are essentially rating different kinds of behaviours expressed in different settings, instead of measurement bias. However, age and gender did not affect substantially the endorsement probability of either IA or HI symptom criteria, regardless of INFA. For co-occurring disorders, teacher INFA ratings were largely unaffected by co-morbidity; conversely, parental endorsement of HI symptoms is substantially influenced by co-occurring oppositional defiant disorder.

CONCLUSIONS: Our findings suggest general robustness of Diagnostic and Statistical Manual of Mental Disorders ADHD diagnostic items in relation to age and gender. Further research on classroom presentations is needed.

Original languageEnglish
Article numbere1794
JournalInternational Journal of Methods in Psychiatric Research
Issue number4
Publication statusPublished - Dec 2019

    Research areas

  • ADHD, co-occurring disorder, item factor analysis, measurement invariance, PACS

ID: 57594280