Autistic Traits in Children With and Without ADHD

Kotte, Amelia; Joshi, Gagan; Fried, Roland; Uchida, Mai; Spencer, Andrea; Woodworth, K. Yvonne; Kenworthy, Tara; Faraone, Stephen V.; Biederman, Joseph

doi:10.1542/peds.2012-3947

Cited by 89 publications

(92 citation statements)

References 52 publications

(58 reference statements)

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“…This is important, as children who have ADHD and comorbidities respond optimally to a combination of medication and behavioral interventions. 29 Our finding of a high prevalence of ASD in our ADHD cohort is consistent with recent literature, 30 and is of interest given that DSM-V now permits the concurrent diagnoses of ADHD and ASD. 31 Consistent with previous research, 32 peer problems were elevated in our ADHD group, with large effect sizes observed.…”

Section: Discussionsupporting

confidence: 89%

Functional Status in Children With ADHD at Age 6–8: A Controlled Community Study

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT: Children who have attentiondeficit/hyperactivity disorder (ADHD) attending clinical services have poorer outcomes in adolescence on a range of measures. However, it is unknown how early in development these impairments appear, particularly for community-ascertained samples.WHAT THIS STUDY ADDS: At age 6 to 8 years, children in the community with ADHD have significantly poorer mental health, academic performance and social function compared with control children. Children who have impairing ADHD symptoms should be referred early for assessment and intervention. abstract OBJECTIVES: To examine the functional status (mental health, academic performance, peer problems) of a community-based sample of children who have attention-deficit/hyperactivity disorder (ADHD) and non-ADHD controls, and to investigate gender and subtype differences. METHODS:Children aged 6 to 8 years were recruited through 43 Melbourne schools, using a 2-stage screening (parent and teacher Conners 3 ADHD index) and case confirmation (Diagnostic Interview Schedule for Children, Version IV; [DISC-IV]) procedure. Outcome measures were mental health disorders (DISC-IV), academic performance (Wide Range Achievement Test 4), and peer problems (Strength and Difficulties Questionnaire). Unadjusted and adjusted linear and logistic regression were used to compare ADHD and non-ADHD controls.RESULTS: A total of 179 children who have ADHD and 212 non-ADHD controls were recruited. Compared with controls, children who had ADHD had higher odds of externalizing (odds ratio [OR], 11.0; 95% confidence interval [CI], 5.6-21.6; P , .001) and internalizing (OR, 2.9; 95% CI, 1.2-7.2; P = .02) disorders; poorer reading (effect size, 20.66) and mathematics (effect size, 20.69) performance; and more peer problems (P , .001). Boys and girls who had ADHD were equally impaired. Only 17% of children in our ADHD group had been previously diagnosed. Previous diagnosis was higher in the Combined group and for boys. CONCLUSIONS:In their second year of school, children who had ADHD performed worse than controls across all functional domains, yet only a minority had been formally diagnosed with ADHD. Findings highlight the need for earlier diagnosis and intervention. Pediatrics 2014;134: e992-e1000 Dr Efron conceptualized and designed the study and drafted the initial manuscript; Dr Sciberras contributed to the conception and design of the study, carried out the analyses, reviewed and revised the manuscript, and provided critical input; Drs Anderson and Hazell contributed to the conception and design of the study, reviewed and revised the manuscript, and provided critical input; Dr Ukoumunne contributed to the conception and design of the study, reviewed and revised the manuscript, and provided statistical input; Dr Jongeling contributed to the conception and design of the study and reviewed and revised the manuscript; Mr Bisset and Ms Schilpzand coordinated the study, collected study data, and reviewed and revised the manuscript; Dr Nicholson contrib...

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Section: Discussionsupporting

confidence: 89%

Functional Status in Children With ADHD at Age 6–8: A Controlled Community Study

et al. 2014

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“…En cuanto al ámbito de la severidad de la sintomatología, los resultados obtenidos en nuestra investigación indican que la presencia del TDAH en los sujetos diagnosticados con TEA aumenta significativamente la severidad de la propia sintomatología autista (Gadow et al, 2006;Rao y Landa, 2014;Sprenger et al, 2013;Yerys et al, 2009), la presencia de rabietas y problemas de conducta (Goldin et al, 2013;Grzadzinski et al, 2011;Jang et al, 2013b;Konst et al, 2013;Yerys et al, 2009), e igualmente aumenta la severidad de la sintomatología depresiva y otros trastornos internalizantes (Grzadzinski et al, 2011;Kotte et al, 2013).…”

Section: Discussionunclassified

“…Por otra parte, diversos estudios se han propuesto estudiar si la comorbilidad de TEA y TDAH tiene un efecto en la severidad de las conductas autistas (Gadow, DeVincent y Pomeroy, 2006;Goldstein y Schwebach, 2004;Rao y Landa, 2014;Sprenger et al, 2013;Yerys et al, 2009), en la severidad de los comportamientos disruptivos (Holtmann, Bölte y Pustka, 2007; Goldin, Matson, Tureck, Cervantes y Jang, 2013;Grzadzinski et al, 2011;Jang, Matson, Cervantes y Goldin, 2013b;Konst, Matson y Turygin, 2013;Tureck, Matson, May y Turygin, 2013;Yerys et al, 2009), o en la sintomatología depresiva y otros trastornos internalizantes (Grzadzinski et al, 2011;Holtmann et al, 2007;Kotte et al, 2013). El enfoque que han adoptado la mayoría de estos trabajos es el de la comparación de la severidad de la sintomatología en al menos 2 grupos: un grupo de sujetos con TEA+TDAH y uno o dos grupos de sujetos que presentaban solo uno de estos diagnósticos de manera aislada.…”

Section: Severidad De Las Conductas Autistas Y De Los Comportamientosunclassified

Comorbilidad de TEA y TDAH: revisión sistemática de los avances en investigación

Rico-Moreno

Mínguez²

2016

AN PSICOL-SPAIN

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Resumen: La reciente publicación del DSM-5, introduce la novedad de aceptar la posibilidad de un diagnóstico comórbido de los Trastorno de Espectro Autista (TEA) y el Trastorno por Déficit de Atención/Hiperactividad (TDAH). En este artículo se realiza una revisión de trabajos que han estudiado esta comorbilidad. Se revisaron un total de 28 investigaciones, estableciendo 4 temáticas diferentes. La investigación muestra tasas variables de comorbilidad de TEA y TDAH dependiendo de la edad y procedencia de las muestras, y de los criterios diagnósticos empleados. Cuando se da la comorbilidad de TEA y TDAH aumenta la severidad de la sintomatología autista y de trastornos externalizantes e internalizantes. Sin embargo, ello no parece relacionarse con un empeoramiento del estrés parental ni de la calidad de vida familiar. Palabras clave: Trastorno de Espectro Autista; Trastorno por Déficit de Atención con Hiperactividad; comorbilidad; DSM-5; educación.Title: ASD and ADHD comorbidity: a systematic review of advances in research. Abstract: The recent publication of DSM-5, introduces as novelty to accept the comorbidity between the Autism Spectrum Disorder (ASD) and the Attention Deficit/Hyperactivity Disorder (ADHD). This article reviews previous researches that have studied this comorbidity. A total of 28 investigations were reviewed, establishing 4 different themes. The research shows variable ASD and ADHD comorbidity rates depending on the age and origin of the samples, as well as the diagnostic criteria used. When ASD and ADHD comorbidity occurs, the autistic symptomatology and the externalizing and internalizing disorders increase. However, this does not seem to have a relation with a worsening of the parental stress or the quality of family life. Key words: Autism Spectrum Disorders; Attention Deficit Hyperactivity Disorder; comorbidity; DSM-5; education. IntroducciónEn Mayo de 2013 se publicó el nuevo Manual Diagnóstico y Estadístico de los Trastornos Mentales (DSM-5), APA (2013). Esta nueva publicación introduce cambios que afectan, entre otros, al criterio diagnóstico de los Trastornos del Espectro Autista (TEA) y el Trastorno por Déficit de Atención con Hiperactividad (TDAH). Uno de los cambios más significativos y que finalmente ha sido tenido en cuenta en esta nueva versión es la eliminación del criterio de exclusión que impedía la posibilidad de diagnóstico comórbido de los TEA y TDAH. El presente trabajo constituye una revisión de los principales trabajos que, antes de la publicación del DSM-5, ya contemplaban la comorbilidad de TEA y TDAH. Esta revisión pretende tratar de ayudar a comprender e interpretar mejor los motivos que han llevado los autores del DSM a admitir la presencia comórbida de ambos trastornos en un mismo sujeto. Definición, prevalencia y diagnóstico del TEA y TDAHEl autismo es un trastorno del neurodesarrollo caracterizado por déficits en la comunicación, la interacción social y el lenguaje, y por la presencia de intereses restringidos y comportamientos estereotipados, cuyos síntomas puede...

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“…Kotte et al (2013) found that children with AD/HD and autistic traits were more likely to have more problems with siblings than children with AD/HD alone. Kotte et al (2013) also found that AD/HD children with autistic traits had a higher rate of pregnancy and infancy complications than other children with AD/HD alone. The authors commented that prenatal and perinatal complications alone, or in combination with genetic risk factors could account for the development of autistic traits in some children with AD/HD.…”

Section: Parental Stress and Psychological Distressmentioning

confidence: 94%

Attention-deficit/hyperactivity disorder (AD/HD) in autism spectrum disorder

Mannion

Leader

2014

Research in Autism Spectrum Disorders

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The purpose of this review is to provide an overview of the research on AttentionDeficit/Hyperactivity (AD/HD) in individuals with autism spectrum disorder (ASD). Topics explored are the prevalence of AD/HD, the importance of studying AD/HD, as well as the questionnaire measures used to measure AD/HD in individuals with ASD. Research on the relationship between AD/HD in ASD and parental stress and psychological distress, developmental regression, language and communication, adaptive behavior, social skills, autism severity, challenging behavior, comorbid psychopathology, gastrointestinal symptoms, sleep problems, epilepsy, sensory issues, motor difficulties, and quality of life are also discussed. Research on cardiac reactivity and executive functioning are also explored.Finally, recommendations for treatment are given as well as areas where future research is needed.

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Autistic Traits in Children With and Without ADHD

Cited by 89 publications

References 52 publications

Functional Status in Children With ADHD at Age 6–8: A Controlled Community Study

Functional Status in Children With ADHD at Age 6–8: A Controlled Community Study

Comorbilidad de TEA y TDAH: revisión sistemática de los avances en investigación

Attention-deficit/hyperactivity disorder (AD/HD) in autism spectrum disorder

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