Brief Report: How Accurate is Teacher Report of Autism Symptoms Compared to Parent Report?
The Checklist for Autism Spectrum Disorder (CASD) completed by a psychologist (following standardized procedures integrating parent interview data, teacher report, and clinical observations) was compared with the CASD completed independently by mothers and teachers in 168 children with ASD and 40 with ADHD (1–12 years). The 30 CASD autism symptoms are scored as present or absent. Using mother scores 36% of children with ASD scored below the autism diagnostic cutoff, and 75% scored below the cutoff based on teacher scores. Many symptoms deemed present by the psychologist were not reported on the mother and teacher CASD. Mother-teacher correlations indicated little correspondence. Mother and teacher CASD scores should never be used alone. Diagnostic instruments must be administered following standardized procedures.
KeywordsAutism symptoms Mother, teacher, and psychologist agreement Checklist for Autism Spectrum Disorder
SM and RL both contributed to designing the study, collecting and entering data, analyzing data, and writing the manuscript.
Compliance with Ethical Standards
Conflict of interest
The authors declare they have no conflict of interest.
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. For this type of study formal consent is not required.
- 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, 668–682.CrossRefPubMedPubMedCentralGoogle Scholar
- Lindgren, S. D., & Koeppl, G. K. (1987). Assessing child behavior problems in a medical setting: Development of the Pediatric Behavior Scale. In R. J. Prinz (Ed.), Advances in behavioral assessment of children and families (pp. 57–90). Greenwich, CT: JAI.Google Scholar
- Max, J. E., Arndt, S., Castillo, C., Bokura, H., Robin, D. A., Lindgren, S. D., & Mattheis, P. J. (1997). Attention-deficit hyperactivity symptomatology after traumatic brain injury: A prospective study. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 841–847.CrossRefGoogle Scholar
- Mayes, S. D. (2017). Checklist for Autism Spectrum Disorder-Short Form. Wood Dale, IL: Stoelting.Google Scholar
- Mayes, S. D., Calhoun, S. L., Murray, M. J., Morrow, J. D., Yurich, K. K. L., et al. (2009). Comparison of scores on the Checklist for Autism Spectrum Disorder, Childhood Autism Rating Scale (CARS), and Gilliam Asperger’s Disorder Scale (GADS) for children with low functioning autism, high functioning autism or Asperger’s disorder, ADHD, and typical development. Journal of Autism and Developmental Disorders, 39, 1682–1693.CrossRefPubMedGoogle Scholar
- Mayes, S. D., Waxmonsky, J., Waschbusch, D. A., Mattison, R. E., Baweja, R., Hameed, U., et al. (2016a). Mother, father, and teacher agreement on disruptive mood dysregulation disorder symptoms in children with psychiatric disorders. International Journal of Mental Health and Psychiatry. doi: 10.4172/2471-4372.1000123.Google Scholar
- Murray, M. J., Mayes, S. D., & Smith, L. A. (2011). Brief report: Excellent agreement between two brief autism scales (Checklist for Autism Spectrum Disorder and Social Responsiveness Scale) completed independently by parents and the Autism Diagnostic Interview-Revised. Journal of Autism and Developmental Disorders, 41, 1586–1590.CrossRefPubMedGoogle Scholar
- Nichols, S., Mahoney, E. M., Sirois, P. A., Bordeaux, J. D., Stehbens, J. A., Loveland, K. A., & Amodei, N. (2000). HIV-associated changes in adaptive, emotional, and behavioral functioning in children and adolescents with hemophilia: Results from the Hemophilia Growth and Development Study. Journal of Pediatric Psychology, 25, 545–556.CrossRefPubMedGoogle Scholar
- Pearson, D. A., Aman, M. G., Arnold, L. E., Lane, D. M., Lovelend, K. A., et al. (2012). High concordance of parent and teacher attention-deficit/hyperactivity disorder ratings in medicated and unmedicated children with autism spectrum disorders. Journal of Child and Adolescent Psychopharmacology, 22, 284–291.CrossRefPubMedPubMedCentralGoogle Scholar