自闭症和多动症多动症的对立挑战性障碍
Susan D Mayes1, Sara K Pardej2, Daniel A Waschbusch2
1Department of Psychiatry and Behavioral Health, Penn State College of Medicine, 500 University Dr., Hershey, PA, 17033, USA. smayes@psu.edu.
Journal of autism and developmental disorders
|July 27, 2024
概括
反对挑性障碍 (ODD) 在患有自闭症和ADHD组合的儿童中非常普遍. ADHD-Combined是ODD最强的风险因素,特别是当与自闭症共患时.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 神经发育障碍 神经发育障碍
- 行为科学 行为科学
背景情况:
- 反对挑性障碍 (ODD) 经常与自闭症谱系障碍 (ASD) 和注意力缺陷/多动症障碍 (ADHD) 一起发生.
- 了解ASD和不同的ADHD表现对ODD的具体贡献对于准确的诊断和有效的治疗至关重要.
研究的目的:
- 为了比较自闭症儿童中ODD的患病率和特征,ADHD-综合呈现和ADHD-注意力缺失呈现.
- 识别风险因素,了解自闭症,多动症和多动症之间的相互作用.
主要方法:
- 2,400名患有自闭症和/或多动症儿童 (3-17岁) 的母亲完成了儿科行为量表.
- 在诊断组中分析了患病率,ODD分数以及与其他行为问题的相关性.
主要成果:
- 与ADHD结合的呈现显示了最高的ODD患病率 (53%),当与自闭症并发症时增加到62%.
- 自闭症是ODD的一个独立风险因素,特别是易怒/愤怒的因素.
- 在自闭症+ADHD组合组中,ODD得分最高,其次是ADHD组合组,然后是自闭症+ADHD无注意和自闭症组,在ADHD无注意组中最低.
结论:
- ADHD-Combined是ODD最强的风险因素,它与自闭症的高并发症在很大程度上解释了自闭症儿童的ODD率升高.
- 临床医生应该对所有三个条件 (ADHD-Combined,自闭症,ODD) 进行评估,并实施基于证据的干预措施以改善结果.
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