Timing of the Diagnosis of Attention-Deficit/Hyperactivity Disorder and Autism Spectrum Disorder

被引:96
作者
Miodovnik, Amir [1 ,3 ]
Harstad, Elizabeth [1 ,3 ]
Sideridis, Georgios [1 ,2 ,3 ]
Huntington, Noelle [1 ,3 ]
机构
[1] Boston Childrens Hosp, Div Dev Med, Boston, MA USA
[2] Boston Childrens Hosp, Clin Res Ctr, Boston, MA USA
[3] Harvard Univ, Sch Med, Boston, MA USA
关键词
DEFICIT HYPERACTIVITY DISORDER; DIFFERENTIAL-DIAGNOSIS; YOUNG-CHILDREN; ADHD; IDENTIFICATION; CARE; AGE; ABNORMALITIES;
D O I
10.1542/peds.2015-1502
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
BACKGROUND AND OBJECTIVE: Symptoms of inattention, hyperactivity, and impulsivity are core features of attention-deficit/hyperactivity disorder (ADHD). However, children with autism spectrum disorder (ASD) often present with similar symptoms and may receive a diagnosis of ADHD first. We investigated the relationship between the timing of ADHD diagnosis in children with ASD and the age at ASD diagnosis. METHODS: Data were drawn from the 2011-2012 National Survey of Children's Health, which asked parents to provide the age(s) at which their child received a diagnosis of ADHD and/or ASD. Using weighted prevalence estimates, we examined the association between a previous diagnosis of ADHD and the age at ASD diagnosis, while controlling for factors known to influence the timing of ASD diagnosis. RESULTS: Our study consisted of 1496 children with a current diagnosis of ASD as reported by parents of children ages 2 to 17 years. Approximately 20% of these children had initially been diagnosed with ADHD. Children diagnosed with ADHD before ASD were diagnosed with ASD similar to 3 years (95% confidence interval 2.3-3.5) after children in whom ADHD was diagnosed at the same time or after ASD. The children with ADHD diagnosed first were nearly 30 times more likely to receive their ASD diagnosis after age 6 (95% confidence interval 11.2-77.8). The delay in ASD diagnosis was consistent across childhood and independent of ASD severity. CONCLUSION: To avoid potential delays in ASD diagnosis, clinicians should consider ASD in young children presenting with ADHD symptoms.
引用
收藏
页码:E830 / E837
页数:8
相关论文
共 52 条
[1]  
[Anonymous], THESIS U N CAROLINA
[2]  
BARKLEY RA, 1990, J DEV BEHAV PEDIATR, V11, P343
[3]  
Blumberg Stephen J, 2013, Natl Health Stat Report, P1
[4]   Structural brain abnormalities in adolescents with autism spectrum disorder and patients with attention deficit/hyperactivity disorder [J].
Brieber, Sarah ;
Neufang, Susanne ;
Bruning, Nicole ;
Kamp-Becker, Inge ;
Remschmidt, Helmut ;
Herpertz-Dahlmann, Beate ;
Fink, Gereon R. ;
KonradL, Kerstin .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 2007, 48 (12) :1251-1258
[5]   Practitioner review: Diagnosis of autism spectrum disorder in 2-and 3-year-old children [J].
Charman, T ;
Baird, G .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 2002, 43 (03) :289-305
[6]   Disorder-specific functional abnormalities during sustained attention in youth with Attention Deficit Hyperactivity Disorder (ADHD) and with Autism [J].
Christakou, A. ;
Murphy, C. M. ;
Chantiluke, K. ;
Cubillo, A. I. ;
Smith, A. B. ;
Giampietro, V. ;
Daly, E. ;
Ecker, C. ;
Robertson, D. ;
Murphy, D. G. ;
Rubia, K. .
MOLECULAR PSYCHIATRY, 2013, 18 (02) :236-244
[7]   Diagnosis of autism spectrum disorders in 2-year-olds: a study of community practice [J].
Corsello, Christina M. ;
Akshoomoff, Natacha ;
Stahmer, Aubyn C. .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 2013, 54 (02) :178-185
[8]   Overlap Between Autism Spectrum Disorders and Attention Deficit Hyperactivity Disorder: Searching for Distinctive/Common Clinical Features [J].
Craig, Francesco ;
Lamanna, Anna Linda ;
Margari, Francesco ;
Matera, Emilia ;
Simone, Marta ;
Margari, Lucia .
AUTISM RESEARCH, 2015, 8 (03) :328-337
[9]   Pediatric Healthcare Professionals' Views on Autism Spectrum Disorder Screening at 12-18 Months [J].
Crais, Elizabeth R. ;
McComish, Cara S. ;
Humphreys, Betsy P. ;
Watson, Linda R. ;
Baranek, Grace T. ;
Reznick, J. Steven ;
Christian, Rob B. ;
Earls, Marian .
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2014, 44 (09) :2311-2328
[10]   From symptom recognition to diagnosis: children with autism in urban India [J].
Daley, TC .
SOCIAL SCIENCE & MEDICINE, 2004, 58 (07) :1323-1335