Parent and Teacher Concordance of Child Outcomes for Youth with Autism Spectrum Disorder
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.
KeywordsParent–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.
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.
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 was obtained from all individual participants included in the study.
- 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. https://doi.org/10.1037/0033-2909.101.2.213.CrossRefPubMedGoogle Scholar
- 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. https://doi.org/10.1177/1362361399003003004.CrossRefGoogle Scholar
- 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. https://doi.org/10.1080/19315860902741542.Involvement.CrossRefGoogle Scholar
- 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. https://doi.org/10.1007/s10803-012-1637-2l.CrossRefPubMedPubMedCentralGoogle Scholar
- 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. https://doi.org/10.1023/A:1022226403878.CrossRefPubMedGoogle Scholar
- 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. https://doi.org/10.1037/a0038498.CrossRefPubMedPubMedCentralGoogle Scholar
- 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. https://doi.org/10.1037/0033-2909.131.4.483.CrossRefPubMedGoogle Scholar
- 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. https://doi.org/10.1111/j.1469-7610.2012.02537.x.Embracing.CrossRefPubMedPubMedCentralGoogle Scholar
- Elliott, C. D. (2007). Differential ability scales (Second). San Antonio: Harcourt Assessment.Google Scholar
- 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. https://doi.org/10.1007/s10803-010-0952-8.CrossRefPubMedGoogle Scholar
- 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. https://doi.org/10.1016/j.rasd.2012.02.008.CrossRefGoogle Scholar
- 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. https://doi.org/10.1007/s10803-009-0694-7.CrossRefGoogle Scholar
- 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. https://doi.org/10.1001/archpsyc.62.6.617.CrossRefPubMedPubMedCentralGoogle Scholar
- 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. https://doi.org/10.1176/appi.ajp.160.9.1566.CrossRefPubMedGoogle Scholar
- 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.CrossRefGoogle Scholar
- 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. https://doi.org/10.1007/s10803-016-2851-0.CrossRefGoogle Scholar
- 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
- 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. https://doi.org/10.1037/spq0000150.CrossRefPubMedGoogle Scholar
- Mullen, E. (1995). Mullen Scales of Early Learning. Circle Pines, MN: AGS Publishing.Google Scholar
- 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 https://scholar.google.com/scholar?q=National+Research+Council+Educating+children+with+autism&btnG=&hl=en&as_sdt=0%2C5.
- 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. https://doi.org/10.1111/j.1469-7610.2005.01462.x.CrossRefGoogle Scholar
- Sparrow, S., Balla, D., & Cicchetti, D. (1984). Vineland adaptive behavior scales. In C. Pines (Ed.). American Guidance Service.Google Scholar
- 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
- 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. https://doi.org/10.1007/s10803-017-3101-9.PubMedGoogle Scholar
- U.S. Department of Education. (2015). Chapter 2: Elementary and secondary education enrollments. Retrieved from: https://nces.ed.gov/fastfacts/display.asp?id=84.
- 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.CrossRefPubMedGoogle Scholar