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. Author manuscript; available in PMC: 2021 Jan 1.
Published in final edited form as: Subst Abus. 2019 Dec 6;41(4):437–450. doi: 10.1080/08897077.2019.1692123

Table 1.

Studies on the Concordance of Parent and Adolescent Reports on Adolescent Alcohol and Cannabis Use

Citation N1 and Sample2 Parent-Adolescent Concordance Data
Structured Interviews
Instrument: Diagnostic Interview Schedule for Children- Parent Version (DISC-P)
Chung, Colby, O’Leary, Barnett, & Monti (2003) N: 272
Sample: Adolescents who presented to an emergency department for non-substance-related injury
Kappa Scores of Parent and Adolescent Agreement on Substance Use Disorders
Alcohol use disorder= 0.17
Cannabis use disorder= 0.26
Dillon, Turner, Robbins, & Szapocznik (2005) N: 190
Sample: Adolescents identified through involvement in juvenile justice or community-based services who met criteria for a substance use disorder
Pearson’s Correlations Between Adolescent and Parent Report on Adolescent Abuse/Dependence Symptoms
Baseline cannabis: r(181)= 0.32**
18 months cannabis: r(102)= 0.23*
Kramer, Robbins, Phillips, Miller, & Burns (2003) N: 227
Sample: Adolescents who presented for outpatient mental health treatment
Kappa Scores of Parent and Adolescent Agreement of Substance Abuse/Dependence
Alcohol abuse/dependence= 0.36
Cannabis abuse/dependence= 0.45
Instrument: Global Appraisal of Individual Needs (GAIN)
Dennis et al. (2002) N: 600
Sample: Adolescents who presented for outpatient drug treatment
Kappa Scores of Parent and Child Report of Use in Past 90 days at Intake, 3 Month, and 6 Month
Intake Alcohol= 0.72
Intake Cannabis= 0.92
3 Month Alcohol= 0.86
3 Month Cannabis= 0.86
6 Month Alcohol= 0.89
6 Month Cannabis= 0.86
Godley, Godley, Dennis, Funk, & Passetti (2002) N: 114
Sample: Adolescents admitted to a residential drug treatment program
Kappa Scores and Percent Agreement of Parent and Child Report of Use in Past 90 Days
Intake Alcohol= 0.69, 89.7%
Intake Cannabis= 0.92, 98.3%
3 Month Alcohol= 0.86, 93.1%
3 Month Cannabis= 0.86, 93.1%
Semi-Structured Interviews
Instrument: Semi-Structured Assessment for the Genetics of Alcoholism (C-SSAGA)
Fisher et al. (2006) N: 591
Sample: Mix of adolescent community controls and adolescents with a family history of alcohol dependence
Kappa Scores of Parent and Adolescent Report of Substance Use with Adolescent as Standard
Alcohol use= 0.41
Cannabis use= 0.51
Alcohol intoxication= 0.38
Alcohol abuse or dependence= 0.37
Cannabis abuse or dependence= 0.35
Instrument: Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS)
Cantwell, Lewinsohn, Rohde, & Seeley (1997) N: 281
Sample: Community sample of adolescents
Kappa Scores of Parent and Adolescent Diagnostic Agreement
Alcohol Use Disorder= 0.19
Other Substance Use Disorders= 0.41
Delaney-Black et al. (2010) N: 432
Sample: High-risk community sample of adolescents
Percentage Agreement between Adolescents and Parents
With adolescent-reported marijuana use: 39% of parents reported adolescent use
With parent-reported adolescent marijuana use: 69% of adolescents reported use
Gignac et al. (2005) N: 22
Sample: Adolescents with ADHD diagnoses and community-based controls
Sensitivity and Specificity of Self-Report of 30-day Cannabis Use with Urinalysis as Standard
Sensitivity= 91%
Specificity= 87%
Sensitivity and Specificity of Parent Report of Child’s Cannabis Abuse or Dependence with Self-Report as Standard
Sensitivity= 61%
Specificity= 93%
Jones et al. (2017) N: 5214
Sample: Community sample of adolescents
Kappa Scores of Parent and Adolescent Report of Substance Use
Alcohol= 0.30
Cannabis= 0.41
O’Donnell et al. (1998) N: 260
Sample: Youth with ADHD and community-based controls
Kappa Scores of Parent and Adolescent Report of Substance Use
Alcohol Abuse kappa= 0.22
Drug (including cannabis) abuse kappa= 0.26
Alcohol dependence kappa= 0.56
Drug (including cannabis) dependence kappa= 0.36
Weissman et al. (1987) N: 175
Sample: Children of depressed parents as well as community controls
Kappa Scores of Parent and Child Diagnostic Agreement
Alcohol Use Disorders= 0.10
Any Substance Use Disorder= 0.07
Instrument: Teen Addiction Severity Index (T-ASI)
Burleson & Kaminer (2006) N: 88
Sample: Adolescents referred for outpatient treatment for substance use disorders
Pearson Correlations between Parent-and Adolescent-Reported Measures and Urinalysis at 3- and 9-months
Use/Nonuse Item: Adolescent and Parent Report
Alcohol= 0.46** (3 Month); 0.42** (9 Month)
Cannabis= 0.49** (3 Month); 0.55** (9 Month)
T-ASI Scores: Adolescent and Parent Report
Alcohol= 0.51*** (3 Month); 0.35** (9 Month)
Other substances= 0.45** (3 Month); 0.57*** (9 Month)
Use/Nonuse Item Adolescent Report and Urinalysis
Cannabis= 0.49** (3 Month); 0.64*** (9 Month)
Adolescent T-ASI score and Urinalysis
3 Month= 0.52***; 9 Month = 0.32*
Use/Nonuse item Parent Report and Urinalysis
3 Month= 0.28*; 9 Month= 0.43**
Parent T-ASI score and Urinalysis
3 Month= 0.33**; 9 Month= 0.31*
Instrument: Timeline Follow-back Interview (TLFB)
Donohue et al. (2004) N = 188
Sample: Adolescents with both substance use disorder and conduct disorder diagnoses
Intraclass Correlations Between Parent and Youth Reports of Youths’ Days of Using Per Month for the 6 Months Before Intake (Listed From 1 Month Prior to 6 Months Prior to Intake)
Alcohol: 1 Month= 0.43; 2 Months= 0.45; 3 Months= 0.42; 4 Months= 0.45; 5 Months= 0.34; 6 Months= 0.25
Cannabis: 1 Month= 0.48; 2 Months= 0.39; 3 Months= 0.48; 4 Months= 0.38; 5 Months= 0.40; 6 Months = 0.40
Donohue, Hill, Azrin, Cross, & Strada (2007) N: 31
Sample: Marijuana-using adolescents with both substance use disorder and conduct disorder diagnoses who completed outpatient treatment
Intraclass Correlations Between Parent and Adolescent Reports on Days of Use of Cannabis Over 6 Months of Treatment
Month 1=0.69; Month 2=0.63; Month 3=0.63; Month 4 =0.74; Month 5 =0.85; Month 6 =0.75
Intraclass Correlations Between Parent Report on Days of Use of Cannabis Over 6 Months of Treatment and Urinalysis Results
Month 1=0.49; Month 2=0.49; Month 3=0.34; Month 4 =0.58; Month 5 =0.53; Month 6 =0.44
Intraclass Correlations Between Adolescent Report on Days of Use of Cannabis Over 6 Months of Treatment and Urinalysis Results
Month 1=0.41; Month 2=0.45; Month 3=0.39; Month 4 =0.49; Month 5 =0.62; Month 6 =0.54
McGillicuddy, Rychtarik, Morsheimer, & Burke-Storer (2007) N: 75
Sample: Adolescents with parents reporting concerns about the adolescents’ substance use
Kappa Scores of Parent-Adolescent Agreement on Any Adolescent Substance Use in the Previous 180 Days
Alcohol= 0.21
Cannabis= 0.43
Intraclass Correlation of Parent and Adolescent Reports on Quantity of Alcohol Used per Drinking Day
ICC= 0.19
Intraclass Correlation of Parents and Adolescents for Days of Use in Past 180 Days
Alcohol= 0.61
Cannabis= 0.52
Waldron, Slesnick, Brody, Turner, & Peterson (2001) N: 114
Sample: Adolescents referred for outpatient treatment for substance use disorders
Pearson Correlations Between Adolescent and Parent Report of Adolescent Cannabis Use
r= 0.37***
Instrument: Untitled Interview
Ciesla, Spear, & Skala, (1999) N: 119
Sample: Adolescents who recently completed drug treatment (residential versus outpatient not specified)
Kappa Scores of Parent and Adolescent Report on Adolescent Use of Any Substance at 3, 6, 9 and 12 months Post-Treatment
3 month= 0.41; 6 month= 0.45; 9 month= 0.76; 12 month= 0.18
Self-Administered Questionnaires
Instrument: CAGE-Adapted to Include Drugs (CAGE-AID)
Couwenbergh, Van Der Gaag, Koeter, De Ruiter, & Van den Brink (2009) N: 143
Sample: Dutch adolescents referred for outpatient mental health services
Percent Agreement and Kappa Scores of Parent and Adolescent Report of Substance Abuse Symptoms Above Clinical Cut-Off
Percent agreement= 94.7%
Kappa= 0.74
Instrument: Personal Experiences Inventory – Parent Version (PEI-PV)
Green, Bekman, Miller, Perrott, Brown, & Aarons (2011) N: 985
Sample: Adolescents involved in services such as alcohol/drug treatment, child welfare, juvenile justice, mental health, or special education
Kappa Scores of Parent-Child Agreement on Lifetime Adolescent Substance Use
Alcohol= 0.50
Cannabis= 0.67
Kappa Scores of Parent-Child Agreement on Adolescent Substance Use Related Problems
Alcohol= 0.34
Drugs (including cannabis)= 0.47
Winters, Anderson, Bengston, Stinchfield, & Latimer (2000) N: 205
Sample: Adolescents with a substance use disorder who presented for outpatient substance abuse treatment
Pearson Correlations Between Parent and Adolescent Report on 3 Drug Involvement Scales on PEI
Personal involvement with drugs= 0.27*
Consequences of drug use= 0.30**
Transituational drug use= 0.33**
Instrument: Drug Use Frequency (DUF)
Winters, Stinchfield, Latimer, & Lee (2007) N: 315
Sample: Adolescents who met criteria for at least one substance dependence diagnosis (in treatment and waitlist groups) and community controls
Overall Percent Agreement Rates Between Parent and Adolescent Reports on Adolescent Abstinence Versus Non-Abstinence for Any Substance
Agreement in treatment group= 85%
Agreement in waitlist group= 89%
Agreement in control group= 79%
Instrument: Personal Experience Screening Questionnaire (PESQ)
McGillicuddy & Eliseo-Arras (2012) N: 50
Sample: Adolescents enrolled in a residential drug/alcohol treatment program
Percent Agreement, Kappa Scores, and ICCs for Parent and Adolescent Report on Adolescent’s Use of Substances in the 90 Days Prior to Treatment
Abstinence versus Non-Abstinence
Alcohol percent agreement=76%
Cannabis percent agreement=82%
Alcohol kappa=0.45
Cannabis kappa=0.36
Days of Use
Alcohol ICC=0.79
Cannabis ICC=0.57
Untitled Questionnaires
Berge, Sundell, Ojehagen, Hoglund, & Hakansson (2015) N: 1426
Sample: Community sample of Swedish adolescents
Parent Sensitivity Regarding Adolescent-reported Substance Use and Kappas of Parent-Child Agreement Regarding Use
Alcohol
7th grade= 5.6%; Kappa= 0.09
8th grade= 14.7%; Kappa= 0.19
9th grade= 26.1%; Kappa= 0.25
Illicit Drugs (including Cannabis)
7th grade= 7.1%; Kappa= 0.13
8th grade= 12.0%; Kappa= 0.20
9th grade = 4.9%; Kapp= 0.08
Chang et al. (2013) N: 1831
Sample: Community sample of Taiwanese adolescents)
Percentages by Agreement Category of Parent and Adolescent Reports on Current Adolescent Alcohol Use
Adolescent and Parent both “no”= 91.2%
Adolescent and Parent both “yes”= 0.5%
Adolescent “no”, Parent “yes”= 1.1%
Adolescent “yes”, Parent “no”= 7.3%
Langhinrichsen et al. (1990) N: 763
Sample: Community sample of adolescents
Kappa Scores of Parent and Adolescent Report of Use Category
Mother-child alcohol= 0.36
Father-child alcohol= 0.41
Mother-child cannabis= 0.61
Father-child cannabis= 0.56
Williams, McDermitt, Bertrand, & Davis (2003) N: 985
Sample: Community sample of adolescents
Kappa Scores of Parent-Adolescent Agreement on Report of Adolescent Substance Use in Past Month
Alcohol=0.33
Other illicit drugs (including cannabis)= 0.20

Notes.

*=

p<0.05;

**=

p<0.01;

***=

p<.001

1

The N provided represents the sample size used to calculate levels of agreement. This was often a subsample from a larger sample reported in the study.

2

All samples are North American unless otherwise noted