Adolescent–Parent Agreement on Callous–Unemotional Traits in Adolescents with Attention-Deficit/Hyperactivity Disorder
Department of Healthcare Administration, Asia University, Taichung 41354, Taiwan
Department of Psychology, Asia University, Taichung 41354, Taiwan
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine and Children’s Hospital, Seattle, WA 98105, USA
College of Medicine, Chang Gung University, Taoyuan 83332, Taiwan
Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center, 123, Dapi Road, Niaosong District, Kaohsiung 83325, Taiwan
Department of Psychiatry, Kaohsiung Medical University Hospital, No. 100, Tzyou 1st Road, Kaohsiung 80708, Taiwan
Department of Psychiatry, School of Medicine and Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(11), 3888; https://doi.org/10.3390/ijerph17113888
Received: 24 April 2020 / Revised: 28 May 2020 / Accepted: 29 May 2020 / Published: 30 May 2020
(This article belongs to the Special Issue Diagnosis and Treatment of ADHD in Adolescents)
This study examined the levels of agreement between the reports of 207 adolescents with attention-deficit/hyperactivity disorder (ADHD) and their parents regarding the adolescents’ callous–unemotional (CU) traits and investigated the factors influencing adolescent–parent agreement. Adolescent–parent agreement about CU traits in three dimensions according to the Chinese version of the Inventory of Callous and Unemotional Traits was examined. The influence of demographic characteristics, comorbid conduct disorder (CD), oppositional defiant disorder (ODD), and ADHD symptoms on adolescent–parent agreement was also examined. The results indicated that adolescent–parent agreement on the CU trait of uncaringness was moderate, whereas agreement on the CU traits of callousness and unemotionality was poor. Adolescent–parent agreement on the three dimensions of CU traits varied depending on the adolescents’ sex and comorbid CD and ODD symptoms as well as parental age. Therefore, multiple sources of information are required when assessing the severity of CU traits in adolescents with ADHD. The factors influencing the levels of the agreement should also be considered.