Fujibayashi Hiromi, Kitayama Shinji, Matsuo Masafumi
Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan. 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
Kobe J Med Sci. 2010 Aug 19;56(1):E12-7.
Attention-deficit/hyperactivity disorder (AD/HD) and pervasive developmental disorder (PDD) must be differentiated because the respective treatments are different. However, they are difficult to distinguish because they often show similar symptoms. At our hospital, we have the rearer of a patient answer both the ADHD Rating Scale-IV (ADHD-RS) and the Autism Spectrum Screening Questionnaire (ASSQ), and use the results as an aid for the diagnosis of AD/HD or PDD. These results were compared with reference to PDD and AD/HD for an examination of the features of the two disorders. The subjects of our study were 45 children with AD/HD and 77 children with PDD. ADHD-RS score was significantly higher for AD/HD than PDD, but the total ASSQ score was significantly higher for PDD than AD/HD. Furthermore, for the inattention subscale of ADHD-RS, both total score and number of high-score items were significantly higher for AD/HD than PDD. As for the ASSQ score for PDD, it was significantly higher than for AD/HD in the domains of repetitive behavior, social interaction, and communication problems. In addition, PDD features many high-score items in the social interaction domain. We thought that these results about both ADHD-RS and ASSQ were useful for the differentiation of AD/HD or PDD.
注意缺陷多动障碍（AD/HD）和广泛性发育障碍（PDD）必须加以区分，因为各自的治疗方法不同。然而，它们很难区分，因为它们常常表现出相似的症状。在我们医院，我们让患者的抚养者同时回答《注意缺陷多动障碍评定量表第四版》（ADHD-RS）和《孤独症谱系筛查问卷》（ASSQ），并将结果用作AD/HD或PDD诊断的辅助依据。将这些结果与PDD和AD/HD的参考标准进行比较，以研究这两种障碍的特征。我们的研究对象是45名AD/HD儿童和77名PDD儿童。AD/HD组的ADHD-RS得分显著高于PDD组，但PDD组的ASSQ总分显著高于AD/HD组。此外，对于ADHD-RS的注意力不集中分量表，AD/HD组的总分和高分项目数均显著高于PDD组。至于PDD的ASSQ得分，在重复行为、社交互动和沟通问题领域显著高于AD/HD组。此外，PDD在社交互动领域有许多高分项目。我们认为这些关于ADHD-RS和ASSQ的结果有助于区分AD/HD和PDD。
