Guttmann-Steinmetz Sarit, Gadow Kenneth D, Devincent Carla J
The New School of Psychology, The Interdisciplinary Center Herzliya (IDC), Herzliya, Israel.
J Autism Dev Disord. 2009 Jul;39(7):976-85. doi: 10.1007/s10803-009-0706-7. Epub 2009 Mar 16.
We compared disruptive behaviors in boys with either autism spectrum disorder (ASD) plus ADHD (n = 74), chronic multiple tic disorder plus ADHD (n = 47), ADHD Only (n = 59), or ASD Only (n = 107). Children were evaluated with parent and teacher versions of the Child Symptom Inventory-4 including parent- (n = 168) and teacher-rated (n = 173) community controls. Parents rated children in the three ADHD groups comparably for each symptom of oppositional defiant disorder (ODD) and conduct disorder. Teacher ratings indicated that the ASD + ADHD group evidenced a unique pattern of ODD symptom severity, differentiating them from the other ADHD groups, and from the ASD Only group. The clinical features of ASD appear to influence co-morbid, DSM-IV-defined ODD, with implications for nosology.
我们比较了患有自闭症谱系障碍（ASD）合并注意力缺陷多动障碍（ADHD）（n = 74）、慢性多发性抽动障碍合并ADHD（n = 47）、单纯ADHD（n = 59）或单纯ASD（n = 107）的男孩的破坏性行为。使用儿童症状量表-4的家长版和教师版对儿童进行评估，包括家长评定（n = 168）和教师评定（n = 173）的社区对照。家长对三个ADHD组儿童对立违抗障碍（ODD）和品行障碍的每种症状评定相当。教师评定表明，ASD + ADHD组表现出独特的ODD症状严重程度模式，使其与其他ADHD组以及单纯ASD组区分开来。ASD的临床特征似乎会影响共病的、DSM-IV定义的ODD，这对疾病分类学有影响。
