自闭症和ADHD儿童内化和外化症状与智商的关系

IF 1.6 4区医学 Q2 EDUCATION, SPECIAL

Journal of Mental Health Research in Intellectual Disabilities Pub Date : 2022-01-26 DOI:10.1080/19315864.2022.2029643

S. Mayes, R. Baweja, D. Waschbusch, S. Calhoun

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引用次数: 4

摘要

关于智商与自闭症和ADHD共病关系的研究结果并不一致。方法母亲对1436名自闭症儿童和1056名ADHD非自闭症儿童(智商9 ~ 149，年龄2 ~ 17岁)进行儿童行为量表评分。结果iq < 70(对照≥70)患儿的对立行为、易怒、发脾气、行为问题、广泛性焦虑、抑郁较少，分离焦虑较多。adhd -注意力不集中儿童的合并症比自闭症儿童和adhd -合并儿童少。对于自闭症，80%的人有多动症合并症状，9%的人有多动症注意力不集中症状。大多数患有自闭症和多动症且智商≥70的儿童患有对立违抗性障碍，几乎一半智商< 70的儿童也是如此。对于自闭症，45%的智商≥70的人有广泛性焦虑，47%的智商< 70的人有分离焦虑。结论:鉴于自闭症和ADHD的合并症发生率较高，临床医生应警惕并评估精神合并症。

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Relationship between IQ and Internalizing and Externalizing Symptoms in Children with Autism and Children with ADHD

ABSTRACT Introduction Findings regarding the relationship between IQ and comorbidity in autism and ADHD are inconsistent. Methods Mothers rated 1,436 children with autism and 1,056 with ADHD without autism (IQs 9–149, ages 2–17) on the Pediatric Behavior Scale. Results Children with IQs < 70 (vs. ≥ 70) had less oppositional behavior, irritability, tantrums, conduct problems, generalized anxiety, and depression and more separation anxiety. Children with ADHD-Inattentive had less comorbidity than children with autism and children with ADHD-Combined. For autism, 80% had ADHD-Combined symptoms and 9% had ADHD-Inattentive symptoms. Most children with autism and with ADHD-Combined with IQs ≥ 70 had oppositional defiant disorder, as did almost half with IQs < 70. For autism, 45% with IQs ≥ 70 had generalized anxiety and 47% with IQs < 70 had separation anxiety. Conclusions Given high rates of comorbid symptoms in autism and ADHD, clinicians should be alert to and assess for psychiatric comorbidity.

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来源期刊

Journal of Mental Health Research in Intellectual Disabilities Multiple-

CiteScore

3.30

自引率

8.00%

发文量