Department of Psychology, Syracuse University, 800 University Avenue, Syracuse, NY, 13244, USA.
Curr Psychiatry Rep. 2019 Mar 22;21(5):34. doi: 10.1007/s11920-019-1020-5.
Autism spectrum disorder (ASD) and attention deficit/hyperactivity disorder (ADHD) are both increasing in prevalence and commonly co-occur with each other. The goal of this review is to outline what has been published recently on the topics of ASD, ADHD, and the comorbid state (ASD+ADHD) with a particular focus on shared phenomenology, differential diagnosis, and treatment considerations.
ASD and ADHD have shared genetic heritability and are both associated with shared impairments in social functioning and executive functioning. Quantitative and qualitative differences exist, however, in the phenotypic presentations of the impairments which characterize ASD and ADHD. For ASD interventions to be maximally efficacious, comorbid ADHD needs to be considered (and vice versa). The research on ASD and ADHD suggests some overlap between the two disorders yet enough differences to indicate that these conditions are sufficiently distinct to warrant separate diagnostic categories.
自闭症谱系障碍(ASD)和注意缺陷多动障碍(ADHD)的发病率都在增加,并且经常同时发生。本综述的目的是概述最近关于 ASD、ADHD 以及共病状态(ASD+ADHD)的研究,特别关注共有的现象学、鉴别诊断和治疗考虑。
ASD 和 ADHD 具有共同的遗传遗传性,并且都与社会功能和执行功能的共同障碍相关。然而,在 ASD 和 ADHD 特征的损害的表型表现中存在定量和定性的差异。为了使 ASD 干预措施最大限度地有效,需要考虑共患 ADHD(反之亦然)。ASD 和 ADHD 的研究表明,这两种疾病之间存在一些重叠,但也存在足够的差异,表明这些情况足够不同,值得单独分类诊断。