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Racial Differences Between Black Parents’ and White Teachers’ Perceptions of Attention-Deficit/Hyperactivity Disorder Behavior

Abstract

Previous research suggests there may be racial differences in how adults rate children’s ADHD behavior. Differences in perceptions of Black parents and White teachers could have implications for ADHD diagnosis of Black children. This study compared ADHD ratings of Black parents to White teachers, and examined factors that may explain racial differences. Participants included 71 Black parents (65 women, 6 men; Mage = 33.92) and 60 White teachers (41 women, 19 men; Mage = 33.60), as well as a comparison group of 65 White parents (49 women, 16 men; Mage = 36.83). Participants watched video clips of children in classrooms and rated ADHD behaviors and ADHD likelihood. They then completed questionnaires regarding beliefs about ADHD stigma, verve (movement expressiveness), experiences with racial discrimination, and racial attitudes. White teachers rated Black boys’ ADHD behaviors and their likelihood of having ADHD higher than Black parents. White teachers with more negative racial attitudes toward African Americans gave higher ADHD behavior and likelihood ratings to Black boys than did teachers with less negative racial attitudes. Across all participants, ADHD stigma beliefs and verve were not related to ratings of Black boys. Black parents with more experiences with racial discrimination gave higher ratings to Black boys’ ADHD behaviors. Research is necessary to further explain the mechanisms by which discrepancies in ratings of Black boys’ ADHD behaviors exist between Black and White adults to inform culturally sensitive assessment and diagnosis of ADHD in Black children.

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Fig. 1

Notes

  1. 1.

    The two orders were 1) White Boy, Black Boy, Asian Boy, White Girl, Black Girl, Latina Girl, White Girl, Black Boy, White Boy, and Black Boy; 2) Black Boy, White Boy, Asian Boy, Black Girl, White Girl, Latina Girl, Black Girl, White Girl, Black Boy, White Boy.

  2. 2.

    Exploring ratings of inattention and hyperactivity/impulsivity separately showed similar patterns of findings so the combined ADHD symptoms variable was used for all analyses.

  3. 3.

    To explore if these findings varied across participants of different genders, adult gender was entered as a factor in the ANOVA models. Adult gender did not significantly interact with any other factor, suggesting no adult gender differences in the overall pattern of findings.

References

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

    Book  Google Scholar 

  2. Bailey, R. K., Ali, S., Jabeen, S., Akpudo, H., Avenido, J. U., Bailey, T., … Whitehead, A. A. (2010). Attention-deficit/hyperactivity disorder in African American youth. Current Psychiatry Reports, 12(5), 396–402. https://doi.org/10.1007/s11920-010-0144-4.

  3. Boykin, W. (1978). Psychological/behavioral verve in academic/task performance: Pre-theoretical considerations. The Journal of Negro Education, 47(4), 343–354. https://doi.org/10.2307/2294999.

    Article  Google Scholar 

  4. Boykin, A. W., & Bailey, C. T. (2000). The role of cultural factors in school relevant cognitive functioning: Synthesis of findings on cultural contexts, cultural orientations, and individual differences. Washington, DC: Center for Research on the Education of Students Placed at Risk.

    Google Scholar 

  5. Brigham, J. C. (1993). College students’ racial attitudes. Journal of Applied Social Psychology, 23(23), 1933–1967. https://doi.org/10.1111/j.1559-1816.1993.tb01074.x.

    Article  Google Scholar 

  6. Burgess, D. J., Ding, Y., Hargreaves, M., van Ryn, M., & Phelan, S. (2008). The association between perceived discrimination and underutilization of needed medical and mental health care in a multi-ethnic community sample. Journal of Health Care for the Poor and Underserved, 19(3), 894–911. https://doi.org/10.1353/hpu.0.0063.

    Article  PubMed  Google Scholar 

  7. Carter, N. P., Hawkins, T. N., & Natesan, P. (2008). The relationship between verve and the academic achievement of African American students in reading and mathematics in an urban middle school. Educational Foundations, 22(1/2), 29–46.

    Google Scholar 

  8. Center for Disease Control and Prevention. (2017). Attention-deficit/hyperactivity disorder. Retrieved from https://www.cdc.gov/ncbddd/adhd/data.html

  9. Collishaw, S., Goodman, R., Ford, T., Rabe-Hesketh, S., & Pickles, A. (2009). How far are associations between child, family and community factors and child psychopathology informant-specific and informant-general? Journal of Child Psychology and Psychiatry, 50(5), 571–580. https://doi.org/10.1111/j.1469-7610.2008.02026.x.

    Article  PubMed  Google Scholar 

  10. Corrigan, P. W., & Watson, A. C. (2007). The stigma of psychiatric disorders and the gender, ethnicity, and education of the perceiver. Community Mental Health Journal, 43, 439–458. https://doi.org/10.1007/s10597-007-9084-9.

    Article  PubMed  Google Scholar 

  11. Crane, J., Mincic, M. S., & Winsler, A. (2011). Parent-teacher agreement and reliability on the Devereux Early Childhood Assessment (DECA) in English and Spanish for ethnically diverse children living in poverty. Early Education and Development, 22(3), 520–547. https://doi.org/10.1080/10409289.2011.565722.

    Article  Google Scholar 

  12. Dempster, R., Wildman, B., & Keating, A. (2013). The role of stigma in parental help-seeking for child behavior problems. Journal of Clinical Child and Adolescent Psychology, 42(1), 56–67. https://doi.org/10.1080/15374416.2012.700504.

    Article  PubMed  Google Scholar 

  13. Dumenci, L., Achenbach, T. M., & Windle, M. (2011). Measuring context-specific and cross-contextual components of hierarchical constructs. Journal of Psychopathology and Behavioral Assessment, 33, 3–10. https://doi.org/10.1007/s10862-010-9187-4.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Dupaul, G. J., Reid, R., Anastopoulos, A. D., Lambert, M. C., Watkins, M. W., & Power, T. J. (2016). Parent and teacher ratings of attention-deficit/hyperactivity disorder symptoms: Factor structure and normative data. Psychological Assessment, 28(2), 214–225. https://doi.org/10.1037/pas0000166.

    Article  PubMed  Google Scholar 

  15. Epstein, J. N., Willoughby, M., Valencia, E. Y., Tonev, S. T., Abikoff, H. B., Arnold, L. E., & Hinshaw, S. P. (2005). The role of children’s ethnicity in the relationship between teacher ratings of attention-deficit/hyperactivity disorder and observed classroom behavior. Journal of Consulting and Clinical Psychology, 73(3), 424–434. https://doi.org/10.1037/0022-006X.73.3.424.

    Article  PubMed  Google Scholar 

  16. Gilliam, W. S., Maupin, A. N., Reyes, C. R., Accavitti, M., & Shic, F. (2016). Do early educators’ implicit biases regarding sex and race relate to behavior expectations and recommendations of preschool expulsions and suspensions? New Haven: Yale Child Study Center.

    Google Scholar 

  17. Hale-Benson, J. E. (1986). African American children: Their roots, culture, and learning style (2nd ed.). Baltimore: The John Hopkins University.

    Google Scholar 

  18. Harvey, E. A., Friedman-Weieneth, J. L., Miner, A. L., Bartolomei, R. J., Youngwirth, S. D., Hashim, R. L., & Arnold, D. H. (2009). The role of ethnicity in observers’ ratings of mother-child behavior. Developmental Psychology, 45(6), 1497–1508. https://doi.org/10.1037/a0017200.

    Article  PubMed  Google Scholar 

  19. Harvey, E. A., Fischer, C., Weieneth, J. L., Hurwitz, S. D., & Sayer, A. G. (2013). Predictors of discrepancies between informants’ ratings of preschool-aged children’s behavior: An examination of ethnicity, child characteristics, and family functioning. Early Childhood Research Quarterly, 28(4), 668–682. https://doi.org/10.1016/j.ecresq.2013.05.002.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Johnston, C., Weiss, M. D., Murray, C., & Miller, N. V. (2014). The effects of instructions on mothers’ ratings of attention-deficit/hyperactivity disorder symptoms in referred children. Journal of Abnormal Child Psychology, 42, 479–488. https://doi.org/10.1007/s10802-013-9789-x.

    Article  PubMed  Google Scholar 

  21. Kaufman, A. S., Swan, W. W., & Wood, M. M. (1980). Do parents, teachers, and psychoeducational evaluators agree in their perceptions of the problems of Black and White emotionally disturbed children? Psychology in the Schools, 17, 185–191. https://doi.org/10.1002/1520-6807(198004)17:2<185::AID-PITS2310170209>3.0.CO;2-E.

    Article  Google Scholar 

  22. Kellison, I., Bussing, R., Bell, L., & Garvan, C. (2010). Assessment of stigma associated with attention-deficit hyperactivity disorder: Psychometric evaluation of the ADHD Stigma Questionnaire. Psychiatry Research, 178(2), 363–369. https://doi.org/10.1016/j.psychres.2009.04.022.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Kraemer, H. C., Measelle, J. R., Ablow, J. C., Essex, M. J., Boyce, W. T., & Kupfer, D. J. (2003). A new approach to integrating data from multiple informants in psychiatric assessment and research: Mixing and matching contexts and perspectives. American Journal of Psychiatry, 160, 1566–1577. https://doi.org/10.1176/appi.ajp.160.9.1566.

    Article  PubMed  Google Scholar 

  24. Lambert, M. C., Puig, M., Lyubansky, M., Rowan, G. T., & Winfrey, T. (2001). Adult perspectives on behavior and emotional problems in African American children. Journal of Black Psychology, 27(64), 64–85. https://doi.org/10.1177/0095798401027001004.

    Article  Google Scholar 

  25. Lau, A. S., Garland, A. F., Yeh, M., McCabe, K. M., Wood, P. A., & Hough, R. L. (2004). Race/ethnicity and inter-informant agreement in assessing adolescent psychopathology. Journal of Emotional and Behavioral Disorders, 12(3), 145–156. https://doi.org/10.1177/10634266040120030201.

    Article  Google Scholar 

  26. Lawson, G. M., Nissley-Tsiopinis, J., Nahmias, A., McConaughy, S. H., & Eiraldi, R. (2017). Do parent and teacher report of ADHD symptoms in children differ by SES and racial status? Journal of Psychopathology Behavioral Assessment, 1–15. https://doi.org/10.1007/s10862-017-9591-0.

  27. Losen, D. J., & Martinez, T. E. (2013). Out of school and off track: The overuse of suspensions in American middle and high schools [PDF file]. Retrieved from https://www.civilrightsproject.ucla.edu/resources/projects/center-for-civil-rights-remedies/school-to-prison-folder/federal-reports/out-of-school-and-off-track-the-overuse-of-suspensions-in-american-middle-and-high-schools

  28. Miller, T. W., Nigg, J. T., & Miller, R. L. (2009). Attention deficit hyperactivity disorder in African American children: What can be concluded from the past ten years? Clinical Psychology Review, 29(1), 77–86. https://doi.org/10.1016/j.cpr.2008.10.001.

    Article  PubMed  Google Scholar 

  29. Morgan, P. L., Staff, J., Hillemeier, M. M., Farkas, G., & Maczuga, S. (2013). Racial and ethnic disparities in ADHD diagnosis from kindergarten to eighth grade. Pediatrics, 132(1), 85–93. https://doi.org/10.1542/peds.2012-2390.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Morgan, P. L., Hillemeier, M. M., Farkas, G., & Maczuga, S. (2014). Racial/ethnic disparities in ADHD diagnosis by kindergarten entry. Journal of Child Psychology and Psychiatry and Allied Disciplines, 55(8), 905–913. https://doi.org/10.1111/jcpp.12204.

    Article  Google Scholar 

  31. Muhammad, S. (2003). How to teach math to black students. Chicago: African American Images.

    Google Scholar 

  32. Mungai-Kamau, M. W. (1997). Story-listening and off-task contexts’ effects on both the performance and motivation of Black and White children (Doctoral dissertation). Retrieved from Howard University. (UM #AAM9804129).

  33. Nadal, K. L. (2011). The Racial and Ethnic Microaggressions Scale (REMS): Construction, reliability, and validity. Journal of Counseling Psychology, 58(4), 470. https://doi.org/10.1037/a0025193.

    Article  PubMed  Google Scholar 

  34. Office of Planning, Evaluation, and Policy Development. (2016). The state of racial diversity in the educator workforce. Washington, DC: Author.

    Google Scholar 

  35. Office of Special Education and Rehabilitative Services. (2018). 39thannual report to congress on the implementation of the individuals with disabilities education act, 2017. Washington, DC: Author.

    Google Scholar 

  36. Olaniyan, O., dosReis, S., Garriett, V., Mychailyszyn, M. P., Anixt, J., Rowe, P. C., & Cheng, T. L. (2007). Community perspectives of childhood behavioral problems and ADHD among African American parents. Ambulatory Pediatrics, 7(3), 226–231. https://doi.org/10.1016/j.ambp.2007.02.002.

    Article  PubMed  Google Scholar 

  37. Pastor, P., Duran, C., & Reuben, C. (2015). QuickStats: Percentage of children and adolescents aged 5–17 years with diagnosed attention-deficit/hyperactivity disorder (ADHD), by race and Hispanic ethnicity—National Health Interview Survey, United States, 1997–2014. Retrieved from: www.cdc.gov/mmwr/preview/mmwrhtml/mm6433a11.htm

  38. Puig, M., Lambert, M. C., Rowan, G. T., Winfrey, T., Lyubansky, M., Hannah, S. D., & Hill, M. F. (1999). Behavioral and emotional problems among Jamaican and African American children, ages 6 to 11: Teacher reports versus direct observations. Journal of Emotional and Behavioral Disorders, 7(4), 240–250. https://doi.org/10.1177/106342669900700406.

    Article  Google Scholar 

  39. Samuel, V. J., Curtis, S., Thornell, A., George, P., Taylor, A., Brome, D. R. … & Faraone, S. V. (1997). The unexplored void of ADHD and Black research: A review of the literature. Journal of Attention Disorders, 1(4), 197–207. https://doi.org/10.1177/108705479700100401

  40. Sparrow, E. P., & Erhardt, D. (2014). Essentials of ADHD assessment for children and adolescents. Hoboken: Wiley.

    Google Scholar 

  41. Tajfel, H. (1982). Social psychology of intergroup relations. Annual Review of Psychology, 33, 1–39. https://doi.org/10.1146/annurev.ps.33.020182.000245.

    Article  Google Scholar 

  42. Todd, A. R., Thiem, K. C., & Neel, R. (2016). Does seeing faces of young Black boys facilitate the identification of threatening stimuli? Psychological Science, 27(3), 384–393. https://doi.org/10.1177/0956797615624492.

    Article  PubMed  Google Scholar 

  43. Wolraich, M. L., Lambert, W., Doffing, M. A., Bickman, L., Simmons, T., & Worley, K. (2003). Psychometric properties of the Vanderbilt ADHD Diagnostic Parent Rating Scale in a referred population. Journal of Pediatric Psychology, 28(8), 559–568. https://doi.org/10.1093/jpepsy/jsg046.

    Article  PubMed  Google Scholar 

  44. Youngstrom, E., Loeber, R., & Stouthamer-Loeber, M. (2000). Patterns and correlates of agreement between parent, teacher, and male adolescent ratings of externalizing and internalizing problems. Journal of Consulting and Clinical Psychology, 68(6), 1038–1050. https://doi.org/10.1037/0022-006X.68.6.1038.

    Article  PubMed  Google Scholar 

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Correspondence to Sungha Kang.

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Kang, S., Harvey, E.A. Racial Differences Between Black Parents’ and White Teachers’ Perceptions of Attention-Deficit/Hyperactivity Disorder Behavior. J Abnorm Child Psychol 48, 661–672 (2020). https://doi.org/10.1007/s10802-019-00600-y

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Keywords

  • ADHD
  • Assessment
  • Race
  • Racial disparity
  • Informant discrepancy