Profiles of parent-teacher discrepancy on autistic children's adaptive functioning.
Rachel Lees Thorne, Nicky Wright, Andres De Los Reyes and 10 others
PMID 41499128WHAT IT FOUND
Parent and teacher ratings of autistic children's adaptive functioning often disagree.
Teachers rated children with higher IQ and better executive function as more capable at school than parents did. Children with lower incomes showed the largest gaps, with parents reporting higher skills than teachers.
Key findings
01Four distinct profiles of parent-teacher agreement were identified, with two showing significant discrepancies where one informant rated the child as having higher adaptive functioning than the other.
02Children whom teachers rated as having higher adaptive functioning than parents did also had higher IQ scores and better executive function according to teacher reports.
03The profile with the lowest adaptive functioning, where parents rated children higher than teachers, had significantly lower family incomes and higher externalising behaviour problems.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The sample size was modest (194 children), which may limit the detection of smaller subgroups. Parents completed the adaptive behaviour measure in an interview, while teachers used a questionnaire, which may affect how directly the scores can be compared. The study was cross-sectional, so it cannot determine if executive function causes the discrepancies or if the discrepancies reflect underlying differences in adaptive functioning. The sample consisted of children diagnosed early and had few girls or minority children, so results may not apply to all autistic populations. Children excluded from the analysis due to missing data had slightly lower autistic trait scores and were diagnosed at a younger age than those included.
Declared interests
The study was funded by several organisations including the Canadian Institutes for Health Research, Kids Brain Health Network, and Autism Speaks. The authors declared no potential conflicts of interest.
The easy way to misread this
Do not assume that a discrepancy between parent and teacher reports indicates that one informant is inaccurate. The differences often reflect genuine variations in the child's performance across different environments, such as the specific demands of school versus home, or the child's ability to use executive function skills in one setting but not the other.
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