Dr. Offord et al., INTEGRATING ASSESSMENT DATA FROM MULTIPLE INFORMANTS, Journal of the American Academy of Child and Adolescent Psychiatry, 35(8), 1996, pp. 1078-1085
To examine the consequences for measurement of child psychiatric disor
der (conduct and oppositional disorders) of not integrating the data o
n the same individual from different informants compared with integrat
ing the information from parents and teachers, using these different s
trategies. Method: Data for the study came from problem checklist asse
ssments done by parents and teachers of children aged 6 to 16 years (N
= 1, 134) selected with known probability from a general population s
ample and from structured interviews obtained in a stratified random s
ubsample (n = 251). Results: As expected, parent-teacher agreement was
low. The pattern of associated features of disorder was found to vary
markedly in parent-identified compared with teacher-identified disord
er. Furthermore, combining informants had the disadvantage of masking
the distinctive patterns of associated features noted in informant-spe
cific disorders. Finally, by teaching disorder as informants-specific,
the internal properties of the measure are not generally inferior to
those obtained by combining informants in various ways. Conclusion: Ch
ild psychiatric disorders should be conceptualized as informant-specif
ic phenomena.