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患有孤独症谱系障碍或注意力缺陷多动障碍单一诊断的青少年与患有这两种诊断的青少年在焦虑及相关精神共病水平上的差异。

Variations in Anxiety and Related Psychiatric Comorbidity Levels Among Youths With Individual Diagnoses of Autism Spectrum Disorder or Attention Deficit Hyperactivity Disorder and Those With Both Diagnoses.

作者信息

Wu Michael, Joubran Ernesto, Kumar Divya, Assadi Nasser D, Nguyen Hoang

机构信息

Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.

Osteopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.

出版信息

Cureus. 2023 Jul 12;15(7):e41759. doi: 10.7759/cureus.41759. eCollection 2023 Jul.

Abstract

Children with attention deficit hyperactivity disorder (ADHD) or autism spectrum disorder (ASD) individually and those with co-occurring ADHD and ASD experience higher rates of total anxiety and psychiatric comorbidities such as gender dysphoria and locomotor skills compared to their typically developing (TD) peers. In this study, it was hypothesized that youth with comorbid ADHD and ASD would experience higher levels of overall anxiety, specifically separation, generalized, and social anxiety. A literature review of relevant studies published from 2007 to 2020 was performed, with a search involving key terms such as "Anxiety," "ADHD" and "ASD'". It was discovered that individuals with ADHD or ASD had higher levels of anxiety compared to their peers. Furthermore, children who have co-occurring ADHD and ASD had more serve levels of anxiety than children with an individual diagnosis of ADHD or ASD. Children with ASD, ADHD, and co-occurring ADHD and ASD had a higher prevalence of gender dysphoria and impaired locomotor skills, which lead to higher levels of psychiatric comorbidities seen in this population. It can be hypothesized psychiatric comorbidities could also have implications for the high anxiety levels seen in this population but further research is needed to confirm this.

摘要

患有注意力缺陷多动障碍(ADHD)或自闭症谱系障碍(ASD)的儿童,以及同时患有ADHD和ASD的儿童,与发育正常(TD)的同龄人相比,出现总体焦虑和精神共病(如性别焦虑症和运动技能问题)的比率更高。在本研究中,研究假设是,同时患有ADHD和ASD的青少年会经历更高水平的总体焦虑,特别是分离焦虑、广泛性焦虑和社交焦虑。对2007年至2020年发表的相关研究进行了文献综述,搜索涉及“焦虑”、“ADHD”和“ASD”等关键词。研究发现,患有ADHD或ASD的个体与同龄人相比焦虑水平更高。此外,同时患有ADHD和ASD的儿童比单独诊断为ADHD或ASD的儿童焦虑程度更高。患有ASD、ADHD以及同时患有ADHD和ASD的儿童中,性别焦虑症和运动技能受损的患病率更高,这导致该人群中出现更高水平的精神共病。可以推测,精神共病也可能是该人群焦虑水平高的原因,但需要进一步研究来证实这一点。

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