Kılıç Buket, Kültür Sadriye E Ç
Department of Child and Adolescent Psychiatry, Hacettepe University, Ankara, Türkiye.
J Neuropsychol. 2025 Jan 8. doi: 10.1111/jnp.12411.
This study aims to demonstrate that children and adolescents diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) who exhibit autism traits have a more severe clinical profile in terms of emotion regulation, clinical features related to ADHD, and functionality, compared to those diagnosed with ADHD without these traits. 50 patients with and 64 patients without autism traits between the ages of 8-16 were recruited for the study among the children and adolescents diagnosed with ADHD. The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version, DSM-5-2016-Turkish Adaptation (K-SADS-PL-DSM-5-T) was used to exclude the diagnosis of Autism Spectrum Disorder (ASD) and detect comorbid psychiatric diagnosis. The Social Reciprocity Scale (SRS) was completed by parents to determine groups based on autism traits. Children completed the Childhood Anxiety Sensitivity Index (CASI) and the Affective Reactivity Index (ARI). The Strengths and Difficulties Questionnaire (SDQ), Affective Reactivity Index-Parent Report (ARI-P) and Weiss Functional Impairment Rating Scale-Parent Report (WFIRS-P) were completed by the parents. We found that the group with autism traits had significantly more hyperactivity/inattention, conduct problems, emotional problems, and peer problems and significantly more irritability and frequent separation anxiety disorder. Although there was no significant impairment in functionality in either group, the level of impairment was significantly higher in the group with autism traits. Children diagnosed with Attention Deficit Hyperactivity Disorder who exhibit autism traits experience higher levels of irritability and separation anxiety disorder, as well as greater impairment in functionality, compared to those without these traits.
本研究旨在证明，与未表现出自闭症特征的注意力缺陷多动障碍（ADHD）患儿相比，表现出自闭症特征的ADHD儿童和青少年在情绪调节、ADHD相关临床特征及功能方面具有更严重的临床概况。在确诊为ADHD的儿童和青少年中，招募了50名年龄在8至16岁之间表现出自闭症特征的患者和64名未表现出自闭症特征的患者参与该研究。使用《学龄儿童情感障碍和精神分裂症问卷-目前和终生版，DSM-5-2016-土耳其语改编版》（K-SADS-PL-DSM-5-T）排除自闭症谱系障碍（ASD）诊断并检测共病精神科诊断。家长完成社会互惠量表（SRS）以根据自闭症特征确定分组。儿童完成儿童焦虑敏感性指数（CASI）和情感反应指数（ARI）。家长完成长处和困难问卷（SDQ）、情感反应指数-家长报告（ARI-P）和韦斯功能损害评定量表-家长报告（WFIRS-P）。我们发现，有自闭症特征的组多动/注意力不集中、品行问题、情绪问题和同伴问题显著更多，易怒及频繁的分离焦虑症也显著更多。尽管两组在功能方面均无显著损害，但有自闭症特征的组损害水平显著更高。与未表现出这些特征的儿童相比，表现出自闭症特征的注意力缺陷多动障碍患儿经历更高水平的易怒和分离焦虑症，以及更大的功能损害。
