Department of Human Services, School of Education and Human Development, University of Virginia, Charlottesville, VA, USA.
J Autism Dev Disord. 2024 Jul;54(7):2552-2563. doi: 10.1007/s10803-023-05987-8. Epub 2023 May 4.
The co-occurrence of autism spectrum disorder (ASD) and attention- deficit/hyperactivity disorder (ADHD) is significant and associated with a host of negative outcomes. Studies investigating social functioning in the presence of the ASD/ADHD co-occurrence have produced mixed findings. The present study further evaluated the impact of co-occurring ADHD on social functioning among youth with ASD and compared treatment response to a social competence intervention between youth with ASD and ASD + ADHD.
Two-way repeated measures analyses of variance (ANOVAs) were computed with diagnostic group and time as the independent variables and measures of social functioning as dependent variables. Group and Time effects and Group by Time interactions were examined.
Youth with co-occurring ADHD displayed more impairments related to social awareness, but not in other social areas. Participants in both the ASD and ASD + ADHD groups demonstrated significant improvement following a social competence intervention.
Co-occurring ADHD did not negatively affect treatment response. Youth with ASD + ADHD may benefit highly structured interventions with a scaffolded teaching design.
自闭症谱系障碍（ASD）和注意缺陷多动障碍（ADHD）共病的发生率较高，与许多不良后果相关。研究表明，在 ASD/ADHD 共病的情况下，社交功能会受到影响，但研究结果存在差异。本研究进一步评估了 ADHD 共病对 ASD 儿童社交功能的影响，并比较了 ASD 和 ASD+ADHD 儿童对社交能力干预的治疗反应。
采用双向重复测量方差分析（ANOVA），以诊断组和时间为自变量，以社交功能测量为因变量。检验组间和时间效应以及组间时间交互作用。
伴有 ADHD 的儿童在社交意识方面表现出更多与社交相关的障碍，但在其他社交领域则没有。在接受社交能力干预后，ASD 和 ASD+ADHD 组的参与者都有显著的改善。
ADHD 共病并未对治疗反应产生负面影响。ASD+ADHD 儿童可能受益于高度结构化的干预措施，这些措施具有结构化的教学设计。
