Du Rietz Ebba, Kuja-Halkola Ralf, Brikell Isabell, Jangmo Andreas, Sariaslan Amir, Lichtenstein Paul, Kuntsi Jonna, Larsson Henrik
MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, UK.
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Eur Child Adolesc Psychiatry. 2017 Jul;26(7):857-867. doi: 10.1007/s00787-017-0957-3. Epub 2017 Feb 10.
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.
与其他信息提供者（如父母）相比，研究注意力缺陷多动障碍（ADHD）症状自我报告有效性的研究较少。本研究旨在比较父母及其子女在青少年时期对ADHD症状的评分与成年早期一系列不良社会经济和健康结果之间的预测关联。对2960名青少年早期（13 - 14岁）和晚期（16 - 17岁）个体的父母及自我评定的ADHD症状进行了评估。采用逻辑回归分析比较两个时间点父母及自我评定的ADHD症状与从瑞典国家登记处获得的年轻成年人不良生活结果之间的关联。父母和自我评定的ADHD症状均与不良结果风险增加相关，尽管父母评定的关联在统计学上更常具有显著性，且总体上比自我评定更强（OR = 1.12 - 1.49，p < 0.05），自我评定为（OR = 1.07 - 1.17，p < 0.05）。在控制了其他信息提供者后，青少年早期和晚期父母评定的ADHD症状显著预测了学业和职业失败、刑事定罪以及与交通相关的伤害，而仅青少年晚期自我评定的ADHD症状预测了物质使用障碍和学业失败。我们的研究结果表明，青少年时期父母和自我评定的ADHD症状均为未来不良社会经济和健康结果风险提供了有价值的信息，然而，在预测大多数结果时，一旦考虑了父母评定，自我评定就没有价值了。因此，临床医生和研究人员应优先考虑父母评定而非自我评定。
