University of Edinburgh, UK.
Cardiff University School of Medicine, UK.
J Atten Disord. 2023 Oct;27(12):1360-1376. doi: 10.1177/10870547231177466. Epub 2023 Jun 7.
ADHD commonly co-occurs with ASD without ID in young people. It has been difficult to obtain accurate prevalence estimates of ADHD in this population, as a dual-diagnosis was not permitted until DSM-V. We systematically reviewed the literature on the prevalence of ADHD symptoms in young people with ASD without ID.
9,050 articles were identified through six databases. Articles were reviewed against inclusion and exclusion criteria and 23 studies were included.
ADHD symptom prevalence varied from 2.6% to 95.5%. We discuss these findings according to the ADHD assessment measure, informant, diagnostic criteria, risk of bias rating and recruitment pool.
ADHD symptoms are common in young people with ASD without ID, but there is substantial variance in study reporting. Future studies should recruit participants from community sources, provide information on key sociodemographic sample characteristics and assess ADHD with standardized diagnostic criteria, using both parent/carer and teacher report.
ADHD 常与 ASD 共病而不伴有 ID 发生于年轻人中。由于 DSM-V 之前不允许双重诊断，因此很难准确估计该人群中 ADHD 的患病率。我们系统地回顾了关于 ASD 无 ID 的年轻人中 ADHD 症状患病率的文献。
通过六个数据库确定了 9050 篇文章。根据纳入和排除标准对文章进行了审查，纳入了 23 项研究。
ADHD 症状的患病率从 2.6%到 95.5%不等。我们根据 ADHD 评估工具、信息来源、诊断标准、偏倚风险评分和招募人群讨论了这些发现。
ADHD 症状在 ASD 无 ID 的年轻人中很常见，但研究报告存在很大差异。未来的研究应从社区来源招募参与者，提供关键社会人口学样本特征的信息，并使用父母/照顾者和教师报告，采用标准化的诊断标准评估 ADHD。
