de Bruin Esther I, Ferdinand Robert F, Meester Sjifra, de Nijs Pieter F A, Verheij Fop
Department of Child and Adolescent Psychiatry, Erasmus Medical Center Rotterdam/Sophia Children's Hospital, Dr. Molewaterplein 60, 3015 GJ Rotterdam, The Netherlands.
J Autism Dev Disord. 2007 May;37(5):877-86. doi: 10.1007/s10803-006-0215-x.
Rates of co-morbid psychiatric conditions in children with Pervasive Developmental Disorder-Not Otherwise Specified (PDD-NOS) are hardly available, although these conditions are often considered as more responsive to treatment than the core symptoms of PDD-NOS. Ninety-four children with PDD-NOS, aged 6-12 years were included. The DISC-IV-P was administered. At least one co-morbid psychiatric disorder was present in 80.9% of the children; 61.7% had a co-morbid disruptive behavior disorder, and 55.3% fulfilled criteria of an anxiety disorder. Compared to those without co-morbid psychiatric disorders, children with a co-morbid disorder had more deficits in social communication. Co-morbid disorders occur very frequently in children with PDD-NOS, and therefore clinical assessment in those children should include assessment of co-morbid DSM-IV disorders.
广泛性发育障碍未特定型(PDD-NOS)儿童的共病精神疾病发生率鲜有报道,尽管这些疾病通常被认为比PDD-NOS的核心症状对治疗更有反应。研究纳入了94名6至12岁的PDD-NOS儿童,并使用了儿童诊断访谈量表第四版父母版(DISC-IV-P)进行评估。结果显示,80.9%的儿童至少患有一种共病精神障碍;61.7%的儿童患有共病破坏性行为障碍,55.3%的儿童符合焦虑症标准。与没有共病精神障碍的儿童相比,患有共病障碍的儿童在社交沟通方面有更多缺陷。共病障碍在PDD-NOS儿童中非常常见,因此对这些儿童的临床评估应包括对共病的DSM-IV障碍的评估。