Hospital Clínic de Barcelona, Spain.
Hospital Clínic de Barcelona, Spain Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Spain.
Autism. 2016 Nov;20(8):963-972. doi: 10.1177/1362361315617881. Epub 2016 Feb 5.
Previous studies have shown high rates of comorbid disorders in children and adolescents with autism spectrum disorder, but failed to compare them with general population and few of them have identified predictors of comorbidity. This study compared the rates of psychiatric disorders in 50 children and adolescents with autism spectrum disorder, 24 of their siblings, 32 controls from general population and 22 of their siblings. Children and adolescent with autism spectrum disorder and their siblings had higher rates of attention deficit and hyperactivity disorder compared to controls. Lower socioeconomic status and intelligence quotient were the main risk factors. The contribution of socioeconomic status and intelligence quotient to increase the risk of developing comorbidity in autism spectrum disorder and psychopathology in their siblings deserves further study.
先前的研究表明,自闭症谱系障碍儿童和青少年共病障碍的发生率很高,但未能将其与普通人群进行比较,而且很少有研究确定共病的预测因素。本研究比较了 50 名自闭症谱系障碍儿童和青少年、他们的 24 名兄弟姐妹、32 名普通人群对照者和他们的 22 名兄弟姐妹的精神障碍发生率。与对照组相比,自闭症谱系障碍儿童和青少年及其兄弟姐妹的注意力缺陷多动障碍发生率更高。较低的社会经济地位和智商是主要的危险因素。社会经济地位和智商对自闭症谱系障碍共病和兄弟姐妹精神病理学风险增加的贡献值得进一步研究。