Autism and ADHD: Overlapping and discriminating symptoms

被引:204
作者
Mayes, Susan Dickerson [1 ]
Calhoun, Susan L. [1 ]
Mayes, Rebecca D. [1 ]
Molitoris, Sarah [1 ]
机构
[1] Penn State Coll Med, Dept Psychiat, Hershey, PA USA
关键词
Autism; ADHD; Differential diagnosis; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; OPPOSITIONAL-DEFIANT DISORDER; DEFICIT-HYPERACTIVITY DISORDER; TRAUMATIC BRAIN-INJURY; PERVASIVE DEVELOPMENTAL DISORDER; HIGH-FUNCTIONING AUTISM; IV ASPERGERS-DISORDER; PROCESSING SPEED; PSYCHIATRIC-DISORDERS; SPECTRUM DISORDERS;
D O I
10.1016/j.rasd.2011.05.009
中图分类号
G76 [特殊教育];
学科分类号
040109 ;
摘要
Children with ADHD and autism have some similar features, complicating a differential diagnosis. The purpose of our study was to determine the degree to which core ADHD and autistic symptoms overlap in and discriminate between children 2-16 years of age with autism and ADHD. Our study demonstrated that 847 children with autism were easily distinguished from 158 children with ADHD. All children with autism had 15 or more of the 30 Checklist for Autism Spectrum Disorder symptoms (mean 22), and none of the children with ADHD did (mean 4). Three of the symptoms were present only in children with autism. Almost all 30 symptoms were found in over half of the children with autism, whereas none were present in the majority of children with ADHD-Inattentive type (ADHD-I) or in children with ADHD-Combined type (ADHD-C) without comorbid oppositional-defiant disorder. In contrast, ADHD symptoms were common in autism. Children with low and high functioning autism and ADHD-C did not differ on maternal ratings of attention deficit, impulsivity, and hyperactivity. For children with normal intelligence, nonsignificant differences were found between children with autism, ADHD-C, and ADHD-I on neuropsychological tests including measures of attention, working memory, processing speed, and graphomotor skills. (C) 2011 Elsevier Ltd. All rights reserved.
引用
收藏
页码:277 / 285
页数:9
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