注意缺陷多动障碍和自闭症谱系障碍成人的ADOS-2评分比较。
Comparison of ADOS-2 scores in adults with attention deficit hyperactivity disorder and autism spectrum disorder.
作者信息
Hanawa Yoichi, Hayashi Wakaho, Nakamura Dan, Suzuki Hirohisa, Aoyagi Keisuke, Iwami Yuriko, Yamauchi Misato, Seki Shizuka, Iwanami Akira
机构信息
Department of Psychiatry Showa University School of Medicine Setagaya-ku Tokyo Japan.
Department of Psychiatry Showa University Northern Yokohama Hospital Yokohama-shi Kanagawa Japan.
出版信息
PCN Rep. 2025 May 19;4(2):e70118. doi: 10.1002/pcn5.70118. eCollection 2025 Jun.
AIM
Attention deficit hyperactivity disorder (ADHD) symptoms persist significantly into adulthood; however, only a few studies have examined the overlap between ADHD and autism spectrum disorder (ASD) symptoms in adults. This study compared ASD symptoms in adults with ASD, ADHD, and neurotypical controls using the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2).
METHODS
In total, 150 adults (69 with ADHD [mean age, 34.5 years; 43 men], 50 with ASD [mean age, 33.8 years; 35 men], and 31 controls [mean age, 38.7 years; 17 men]) completed Module 4 of the ADOS-2, the Autism Spectrum Quotient, Conners' Adult ADHD Rating Scale, and the Wechsler Adult Intelligence Scale.
RESULTS
Consistent with juvenile studies, adults with ADHD exhibited significant ASD symptoms, which were between those with ASD and neurotypical individuals. Item-level analysis suggested more similarities than differences between the two disorders; the differences may be of degree rather than quality.
CONCLUSION
This study shows the importance of assessing full ASD symptoms in adults with ADHD.
目的
注意缺陷多动障碍（ADHD）症状会显著持续至成年期；然而，仅有少数研究探讨了成人ADHD与自闭症谱系障碍（ASD）症状之间的重叠情况。本研究使用《自闭症诊断观察量表第二版》（ADOS - 2）比较了患有ASD、ADHD的成人以及神经典型对照组的ASD症状。
方法
总共150名成人（69名患有ADHD [平均年龄34.5岁；43名男性]，50名患有ASD [平均年龄33.8岁；35名男性]，以及31名对照组 [平均年龄38.7岁；17名男性]）完成了ADOS - 2的第4模块、自闭症谱系商数、康纳斯成人ADHD评定量表以及韦氏成人智力量表。
结果
与青少年研究一致，患有ADHD的成人表现出显著的ASD症状，其症状程度介于患有ASD的成人与神经典型个体之间。项目层面的分析表明，这两种障碍之间的相似之处多于差异；差异可能在于程度而非性质。
结论
本研究表明评估患有ADHD的成人的完整ASD症状的重要性。
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