Department of Psychiatry and Behavioral Health, Penn State College of Medicine, 500 University Dr., Hershey, PA, 17033, USA.
J Autism Dev Disord. 2021 Jul;51(7):2297-2307. doi: 10.1007/s10803-020-04697-9.
No study has analyzed the relative occurrence of a broad range of symptoms reported by mothers of children with autism, ADHD-Combined, and ADHD-Inattentive and typical controls. Mothers rated 1436 children with autism, 1056 with ADHD without autism, and 186 controls, 2-17 years, on 41 internalizing, externalizing, neurodevelopmental, and somatic problems. Most children with autism had symptoms of ADHD, oppositional defiant disorder, disruptive mood dysregulation disorder, and expressive language disorder and almost half had dysgraphia and receptive language disorder. Symptom overlap between autism and ADHD-Combined was high. Clinicians specializing in autism and ADHD must have expertise in evaluating and treating these comorbidities identified as most problematic by mothers in order to relieve family concerns and develop treatment plans relevant to families.
尚无研究分析自闭症、注意力缺陷多动障碍（混合型）、注意力缺陷多动障碍（不伴多动）患儿的母亲所报告的广泛症状的相对发生率，以及典型对照组患儿母亲的情况。研究人员对 1436 名自闭症患儿、1056 名无自闭症的注意力缺陷多动障碍患儿和 186 名对照组患儿（年龄 2-17 岁）的 41 项内化问题、外化问题、神经发育问题和躯体问题进行了评分。大多数自闭症患儿存在注意力缺陷多动障碍、对立违抗性障碍、情绪调节障碍和表达性语言障碍的症状，近一半患儿存在书写障碍和接受性语言障碍。自闭症与注意力缺陷多动障碍（混合型）之间存在较高的症状重叠。专门治疗自闭症和注意力缺陷多动障碍的临床医生必须具备评估和治疗这些共病的专业知识，这些共病是母亲认为最成问题的，以便减轻家庭的担忧，并制定与家庭相关的治疗计划。
