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ADHD severity as it relates to comorbid psychiatric symptomatology in children with Autism Spectrum Disorders (ASD).
Res Dev Disabil. 2017 Jan; 60:52-64.RD

Abstract

Comorbid diagnoses identified in pediatric samples have been correlated with a range of outcomes, including greater levels of emotional, behavioral, and educational impairment and the need for more intensive treatment. Given that previous research has documented high levels of comorbid Attention-Deficit/Hyperactivity Disorder (ADHD) in children with Autism Spectrum Disorders (ASD), this study closely examines the relationship between parent-reported ADHD symptoms (i.e., Conners' Parent Rating Scale, Revised [CPRS-R]) and the prevalence of additional comorbid psychiatric diagnoses in a pediatric ASD sample (n=99). Regression analyses revealed that greater severity of ADHD symptomatology was significantly related to a greater number of comorbid psychiatric diagnoses, as identified using the Diagnostic Interview for Children and adolescents, 4th Edition (DICA-IV). Additionally, more severe ADHD symptoms were also associated with higher levels of symptom severity on Child Behavior Checklist (CBCL) syndrome subscales. Interestingly, increasing severity of ASD symptomatology, as measured by the Autism Diagnostic Interview, Revised (ADI-R), was not associated with a higher prevalence of comorbid psychiatric diagnoses or CBCL syndrome severity. Our study concluded that higher levels of ADHD severity-not ASD severity-were associated with a higher prevalence of comorbid psychiatric symptomatology in school-age children with ASD. These findings may encourage clinicians to thoroughly assess ADHD symptomatology in ASD children to better inform treatment planning.

Authors+Show Affiliations

Department of Psychiatry & Behavioral Sciences, McGovern Medical School, University of Texas Health Science Center at Houston, United States. Electronic address: Rosleen.Mansour@uth.tmc.edu.Department of Educational Psychology, University of Houston, United States.Departments of Psychology and Statistics, Rice University, United States.Department of Psychiatry & Behavioral Sciences, McGovern Medical School, University of Texas Health Science Center at Houston, United States.Department of Psychiatry & Behavioral Sciences, McGovern Medical School, University of Texas Health Science Center at Houston, United States.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27889487

Citation

Mansour, Rosleen, et al. "ADHD Severity as It Relates to Comorbid Psychiatric Symptomatology in Children With Autism Spectrum Disorders (ASD)." Research in Developmental Disabilities, vol. 60, 2017, pp. 52-64.
Mansour R, Dovi AT, Lane DM, et al. ADHD severity as it relates to comorbid psychiatric symptomatology in children with Autism Spectrum Disorders (ASD). Res Dev Disabil. 2017;60:52-64.
Mansour, R., Dovi, A. T., Lane, D. M., Loveland, K. A., & Pearson, D. A. (2017). ADHD severity as it relates to comorbid psychiatric symptomatology in children with Autism Spectrum Disorders (ASD). Research in Developmental Disabilities, 60, 52-64. https://doi.org/10.1016/j.ridd.2016.11.009
Mansour R, et al. ADHD Severity as It Relates to Comorbid Psychiatric Symptomatology in Children With Autism Spectrum Disorders (ASD). Res Dev Disabil. 2017;60:52-64. PubMed PMID: 27889487.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - ADHD severity as it relates to comorbid psychiatric symptomatology in children with Autism Spectrum Disorders (ASD). AU - Mansour,Rosleen, AU - Dovi,Allison T, AU - Lane,David M, AU - Loveland,Katherine A, AU - Pearson,Deborah A, Y1 - 2016/11/24/ PY - 2015/07/07/received PY - 2016/10/06/revised PY - 2016/11/17/accepted PY - 2016/11/28/pubmed PY - 2017/6/9/medline PY - 2016/11/28/entrez KW - ASD-ADHD KW - Attention-Deficit/Hyperactivity disorder KW - Autism spectrum disorder KW - Comorbidity KW - DSM-5 diagnostic criteria KW - Psychiatric symptom severity SP - 52 EP - 64 JF - Research in developmental disabilities JO - Res Dev Disabil VL - 60 N2 - Comorbid diagnoses identified in pediatric samples have been correlated with a range of outcomes, including greater levels of emotional, behavioral, and educational impairment and the need for more intensive treatment. Given that previous research has documented high levels of comorbid Attention-Deficit/Hyperactivity Disorder (ADHD) in children with Autism Spectrum Disorders (ASD), this study closely examines the relationship between parent-reported ADHD symptoms (i.e., Conners' Parent Rating Scale, Revised [CPRS-R]) and the prevalence of additional comorbid psychiatric diagnoses in a pediatric ASD sample (n=99). Regression analyses revealed that greater severity of ADHD symptomatology was significantly related to a greater number of comorbid psychiatric diagnoses, as identified using the Diagnostic Interview for Children and adolescents, 4th Edition (DICA-IV). Additionally, more severe ADHD symptoms were also associated with higher levels of symptom severity on Child Behavior Checklist (CBCL) syndrome subscales. Interestingly, increasing severity of ASD symptomatology, as measured by the Autism Diagnostic Interview, Revised (ADI-R), was not associated with a higher prevalence of comorbid psychiatric diagnoses or CBCL syndrome severity. Our study concluded that higher levels of ADHD severity-not ASD severity-were associated with a higher prevalence of comorbid psychiatric symptomatology in school-age children with ASD. These findings may encourage clinicians to thoroughly assess ADHD symptomatology in ASD children to better inform treatment planning. SN - 1873-3379 UR - https://www.unboundmedicine.com/medline/citation/27889487/ADHD_severity_as_it_relates_to_comorbid_psychiatric_symptomatology_in_children_with_Autism_Spectrum_Disorders__ASD__ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0891-4222(16)30252-9 DB - PRIME DP - Unbound Medicine ER -