Journal of Autism and Developmental Disorders

, Volume 48, Issue 5, pp 1423–1435 | Cite as

Parent and Teacher Concordance of Child Outcomes for Youth with Autism Spectrum Disorder

  • Kelsey S. Dickson
  • Jessica Suhrheinrich
  • Sarah R. Rieth
  • Aubyn C. Stahmer
Original Paper


Cross-informant ratings of are considered gold standard for child behavioral assessment. To date, little work has examined informant ratings of adaptive functioning for youth with autism spectrum disorder (ASD). In a large, diverse sample of youth with ASD, this study evaluated parent–teacher concordance of ratings of adaptive functioning and ASD-specific symptomatology across time. The impact of child clinical characteristics on concordance was also examined. Participants included 246 children, their caregivers and teachers. Parent–teacher concordance was variable but generally consistent across time. Concordance was significantly impacted by autism severity and child cognitive abilities. Findings inform the broader concordance literature and support the need to consider child clinical factors when assessing child functioning in samples of children with ASD.


Parent–teacher correspondence Child outcomes Autism spectrum disorder School-aged children 



This work was conducted at the Child and Adolescent Services Research Center. This study was supported by the U.S. Department of Education Grant (R324A130349; PI: Aubyn C. Stahmer) and an NIMH Career Development Grant (K01MH109574; PI: Suhrheinrich). Additionally, Drs. Stahmer and Suhrheinrich are investigators with the Implementation Research Institute (IRI), at the George Warren Brown School of Social Work, Washington University in St. Louis, through an award from the NIMH (5R25MH08091607). The authors would like to acknowledge the participating schools, teachers, and families.

Author Contributions

KD participated in data acquisition, performed the statistical analyses, interpretation of the data, and drafted the manuscript. JS participated in the design and coordination of the study, data acquisition, and helped to draft the manuscript. SR participated in the design and coordination of the study, data acquisition, and helped to draft the manuscript. AS conceived of the study, participated in its design and coordination, and helped to draft the manuscript. All authors read and approved the final manuscript.

Compliance with Ethical Standards

Conflict of interest

All authors declare they have no conflicts of interests.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


  1. Achenbach, T. M., Krukowski, R. A., Dumenci, L., & Ivanova, M. Y. (2005). Assessment of adult psychopathology: Meta-analyses and implications of cross-informant correlations. Psychological Bulletin, 131(3), 361–382. Scholar
  2. Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101(2), 213–232. Scholar
  3. Azad, G. F., Reisinger, E., Xie, M., & Mandell, D. S. (2015). Parent and teacher concordance on the social responsiveness scale for children with autism. School Mental Health. Scholar
  4. Barnhill, G. P., Hagiwara, T., Myles, B. S., Simpson, R. L., Brick, M. L., & Griswold, D. E. (2000). Parent, teacher, and self-report of problem and adaptive behaviors in children and adolescents with Asperger. Diagnostique, 25(2), 147–167. Scholar
  5. Bennett, T., Szatmari, P., Georgiades, S., Thompson, A., Duku, E., Bryson, S., … Zwaigenbaum, L. (2010). Maternal depression appears to influence reporting of offspring autism symptoms. Comprehensive Psychiatry, 51(6), e2.CrossRefGoogle Scholar
  6. Brookman-Frazee, L., Baker-Ericzén, M., Stahmer, A., Mandell, D. S., Haine, R. A., & Hough, R. L. (2009). Involvement of youths with autism spectrum disorders or intellectual disabilities in multiple public service systems. Journal of Mental Health Research in Intellectual Disability, 2(3), 201–219. Scholar
  7. Cidav, Z., Lawer, L., Marcus, S., & Mandell, D. S. (2013). Age-related variation in health service use and associated expenditures among children with autism. Journal of Autism and Developmental Disorders, 43(4), 924–931. Scholar
  8. Clark, B. G., Magill-Evans, J. E., & Koning, C. J. (2014). Youth with autism spectrum disorders: Self- and proxy-reported quality of life and adaptive functioning. Focus on Autism and Other Developmental Disabilities, 30(1), 57–64. Scholar
  9. Cohen, I. I. L., Schmidt-Lackner, S., Romanczyk, R., & Sudhalter, V. (2003). The PDD Behavior Inventory: A rating scale for assessing response to intervention in children with pervasive developmental disorder. Journal of Autism and Developmental Disorders, 33(1), 31–45. Scholar
  10. De Los Reyes, A., Augenstein, T. M., Wang, M., Thomas, S. A., Drabick, D. A. G., Burgers, D. E., … Rabinowitz, J. (2015). The validity of the multi-Informant approach to assessing child and adolescent mental health. Psychological Bulletin, 141(4), 858–900. Scholar
  11. De Los Reyes, A., & Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: A critical review, theoretical framework, and recommendations for further study. Psychological Bulletin, 131(4), 483–509. Scholar
  12. Dirks, M. A., De Los Reyes, A., Briggs-gowan, M., Cella, D., & Wakschlag, L. S. (2012). Embracing not erasing contextual variability in children’s behaviour. Journal of Child Psychology and Psychiatry, 53(5), 558–574. Scholar
  13. Elliott, C. D. (2007). Differential ability scales (Second). San Antonio: Harcourt Assessment.Google Scholar
  14. Foley Nicpon, M., Doobay, A. F., & Assouline, S. G. (2010). Parent, teacher, and self perceptions of psychosocial functioning in intellectually gifted children and adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 40(8), 1028–1038. Scholar
  15. Fung, J. J., & Lau, A. S. (2010). Factors associated with parent-child (dis)agreement on child behavior and parenting problems in Chinese immigrant families. Journal of Clinical Child and Adolescent Psychology, 39(3), 314–327. Scholar
  16. Gotham, K., Pickles, A., & Lord, C. (2009). Standardizing ADOS scores for a measure of severity in autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(5), 693–705. Scholar
  17. Hundert, J., Morrison, L., Mahoney, W., & Vernon, M. L. (1997). Parent and teacher assessments of the developmental status of children with severe, mild/moderate, or no developmental disabilities. Topics in Early Childhood Special Education, 17(4), 419–434.CrossRefGoogle Scholar
  18. Jepsen, M. I., Gray, K. M., & Taffe, J. R. (2012). Agreement in multi-informant assessment of behaviour and emotional problems and social functioning in adolescents with autistic and Asperger’s disorder. Research in Autism Spectrum Disorders, 6(3), 1091–1098. Scholar
  19. Kanne, S. M., Abbacchi, A. M., & Constantino, J. N. (2009). Multi-informant ratings of psychiatric symptom severity in children with autism spectrum disorders: The importance of environmental context. Journal of Autism & Developmental Disorders, 39(6), 856–864. Scholar
  20. Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627. Scholar
  21. Kraemer, H. C., Measelle, J., Ablow, J. C., Essex, M. J., Boyce, W. T., & Kupfer, D. (2003). A new approach to integrating data from multiple sources in psychiatric assessments and research: Mixing and matching contexts and perspectives. American Journal of Psychiatry, 160, 1566–1577. Scholar
  22. Lane, B. R., Paynter, J., & Sharman, R. (2013). Parent and teacher ratings of adaptive and challenging behaviours in young children with autism spectrum disorders. Research in Autism Spectrum Disorders, 7(10), 1196–1203. Scholar
  23. 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. Scholar
  24. Lopata, C., Donnelly, J., Jordan, A., & Thomeer, M. (2016). Brief Report: Parent-teacher discrepancies on the developmental social disorders scale (BASC-2) in the assessment of high-functioning children with ASD. Journal of Autism and Developmental Disabilities, 46(9), 3183–3189. Scholar
  25. Lord, C., DiLavore, M., Risi, P. C., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule (second) edition. Torrance, CA: Western Psychological Services.Google Scholar
  26. Mash, E. J., & Hunsley, J. (2005). Evidence-based assessment of child and adolescent disorders: Issues and challenges. Journal of Clinical Child & Adolescent Psychology, 34(3), 362–379. Scholar
  27. McDonald, C. A., Lopata, C., Donnelly, J. P., Thomeer, M. L., Rodgers, J. D., & Jordan, A. K. (2016). Informant discrepancies in externalizing and internalizing symptoms and adaptive skills of high-functioning children with autism spectrum disorder. School Psychology Quarterly, 31(4), 467–477. Scholar
  28. Mullen, E. (1995). Mullen Scales of Early Learning. Circle Pines, MN: AGS Publishing.Google Scholar
  29. Murray, D. S., Ruble, L. a, Willis, H., & Molloy, C. a. (2009). Parent and teacher report of social skills in children with autism spectrum disorders. Language, Speech, and Hearing Services in Schools, 40(2), 109–115. Scholar
  30. National Resource Council. (2001). Educating children with autism. In C. Lord & J. P. McGee (Eds.). Washington, DC: National Research Council: Division of Behavioral and Social Sciences. Retrieved from
  31. Overton, T., Fielding, C., & De Alba, R. G. (2007). Differential diagnosis of Hispanic children referred for autism spectrum disorders: Complex issues. Journal of Autism and Developmental Disorders, 37(10), 1996–2007. Scholar
  32. Ozonoff, S., Goodlin-Jones, B., & Solomon, M. (2005). Evidence-based assesment of autism spectrum disorders in children and adolescents. Journal of Clinical Child & Adolescent Psychology, 34(3), 559–568. Scholar
  33. Posserud, M. B., Lundervold, A. J., & Gillberg, C. (2006). Autistic features in a total population of 7-9-year-old children assessed by the ASSQ (Autism Spectrum Screening Questionnaire). Journal of Child Psychology and Psychiatry and Allied Disciplines, 47(2), 167–175. Scholar
  34. Rapin, I., Steinberg, M., & Waterhouse, L. (1999). Consistency in the ratings of behaviors of communicatively impaired autistic and non-autistic preschool children. European Child and Adolescent Psychiatry, 8(3), 214–224. Scholar
  35. Sparrow, S., Balla, D., & Cicchetti, D. (1984). Vineland adaptive behavior scales. In C. Pines (Ed.). American Guidance Service.Google Scholar
  36. Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland adaptive behavior scales: (Vineland II), survey interview form/caregiver rating form. Livonia, MN: Pearson Assessments.Google Scholar
  37. Stadnick, N., Chlebowski, C., & Brookman-Frazee, L. (2017). Caregiver-teacher concordance of challenging behaviors in children with autism spectrum disorder served in community mental health settings. Journal of Autism and Developmental Disorders. Scholar
  38. Stratis, E. A., & Lecavalier, L. (2015). Informant agreement for youth with autism spectrum disorder or intellectual disability: A meta-analysis. Journal of Autism and Developmental Disorders, 45(4), 1026–1041. Scholar
  39. Stratis, E. A., & Lecavalier, L. (2017). Predictors of parent–teacher agreement in youth with autism spectrum disorder and their typically developing siblings. Journal of Autism and Developmental Disorders, 47, 2575–2585. Scholar
  40. Szatmari, P., Archer, L., Fisman, S., & Streiner, D. L. (1994). Parent and teacher agreement in the assessment of pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(6), 703–717. Scholar
  41. Tavernor, L., Barron, E., Rodgers, J., & Mcconachie, H. (2013). Finding out what matters: Validity of quality of life measurement in young people with ASD. Child: Care, Health and Development, 39(4), 592–601. Scholar
  42. U.S. Department of Education. (2015). Chapter 2: Elementary and secondary education enrollments. Retrieved from:
  43. Voelker, S. L., Shore, D. L., Lee, C. H., & Szuszkiewicz, T. A. (2000). Congruence in parent and teacher ratings of adaptive behavior of low-functioning children. Journal of Developmental and Physical Disabilities, 12(4), 367–376.CrossRefGoogle 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. Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Kelsey S. Dickson
    • 1
    • 2
  • Jessica Suhrheinrich
    • 2
    • 3
  • Sarah R. Rieth
    • 2
    • 3
  • Aubyn C. Stahmer
    • 2
    • 4
  1. 1.Department of PsychiatryUniversity of California, San DiegoSan DiegoUSA
  2. 2.Child and Adolescent Services Research CenterSan DiegoUSA
  3. 3.San Diego State UniversitySan DiegoUSA
  4. 4.University of California, Davis MIND InstituteSacramentoUSA

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