National Center for Health Statistics, Hyattsville, MD, USA.
J Atten Disord. 2020 Jan;24(1):94-103. doi: 10.1177/1087054717713638. Epub 2017 Jun 14.
Children with ADHD frequently present with autism spectrum disorder (ASD) symptomatology, yet there is a notable gap in the treatment needs of this subpopulation, including whether the presence of ASD may be associated with more severe ADHD symptoms. Data from the 2014 National Survey of the Diagnosis and Treatment of ADHD and Tourette Syndrome ( = 2,464) were used to compare children diagnosed with ADHD and ASD with children with ADHD, but not ASD. Children were classified as needing treatment if it was received or their parents reported it was needed, but not received. Approximately one in eight children currently diagnosed with ADHD was also diagnosed with ASD. Children diagnosed with both disorders had greater treatment needs, more co-occurring conditions, and were more likely to have a combined hyperactive/impulsive and inattentive ADHD subtype. These findings highlight the complexity of children diagnosed with both ADHD and ASD.
患有注意力缺陷多动障碍（ADHD）的儿童常伴有自闭症谱系障碍（ASD）的症状，但这一亚群的治疗需求存在明显差距，包括 ASD 的存在是否与更严重的 ADHD 症状有关。使用 2014 年全国 ADHD 和图雷特综合征诊断和治疗调查的数据（=2464），比较了被诊断为 ADHD 和 ASD 的儿童与仅被诊断为 ADHD 的儿童。如果儿童接受了治疗或其父母报告需要治疗但未接受治疗，则将其归类为需要治疗。目前约有八分之一被诊断为 ADHD 的儿童也被诊断为 ASD。被诊断出两种疾病的儿童治疗需求更大，共病更多，且更有可能出现混合型多动/冲动和注意力不集中 ADHD 亚型。这些发现突出了同时被诊断为 ADHD 和 ASD 的儿童的复杂性。
