McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.
Rice University, Houston, TX, USA.
J Autism Dev Disord. 2023 Feb;53(2):688-700. doi: 10.1007/s10803-020-04852-2. Epub 2021 Jan 30.
There is substantial comorbidity between autism spectrum disorder (ASD) and attention deficit/hyperactivity disorder (ADHD), and there are well-documented executive functioning (EF) deficits in both populations. An important question concerns whether EF deficits in children with ASD are related to severity of ASD, ADHD, or both. We examined ADHD and ASD symptoms in relation to ratings of EF in the home and classroom. The sample comprised 64 children (55 males) diagnosed with ASD (mean age = 9.26 years; mean FSIQ = 92). Analyses indicated that parent and teacher ratings of EF (except Shift and Emotional Control) were consistently related to ADHD symptom severity, but not to ASD severity. Thus, functioning in the domains of Shift and Emotional control appear relatively spared, whereas performance in all other EF was impaired in relation to ADHD symptoms.
自闭症谱系障碍 (ASD) 和注意缺陷/多动障碍 (ADHD) 之间存在大量共病,这两种疾病的人群都存在明确记录的执行功能 (EF) 缺陷。一个重要的问题是,自闭症儿童的 EF 缺陷是否与 ASD 的严重程度、ADHD 或两者都有关。我们检查了与家庭和课堂 EF 评分相关的 ADHD 和 ASD 症状。该样本包括 64 名被诊断患有 ASD 的儿童(55 名男性;平均年龄=9.26 岁;平均 FSIQ=92)。分析表明,EF 的父母和教师评分(除了转换和情绪控制)与 ADHD 症状严重程度一致相关,但与 ASD 严重程度无关。因此,转换和情绪控制领域的功能似乎相对未受影响,而与 ADHD 症状相关的所有其他 EF 表现都受损。