Teacher ratings of attention deficit hyperactivity disorder symptoms: Factor structure and normative data

Behavior rating scales are a primary method for screening and identifying children with attention deficit hyperactivity disorder (ADHD). The factorial structure and normative data of a teacher rating scale containing the 18 symptoms of ADHD were examined in this study. Factor analyses and assessment of differences in ADHD ratings across sex, age, and ethnic group were conducted with 4,009 children and adolescents who attended kindergarten through 12th grade in 31 U.S. school districts. Two factors (inattention and hyperactivity-impulsivity) were derived, and normative data for a nationally representative sample were presented. Boys, younger children, and African Americans received higher ratings of ADHD symptoms. Limitations of this investigation and potential uses of this scale in clinical practice and research are discussed.