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首页> 外文期刊>Journal of Autism and Developmental Disorders >The Comorbidity of Pervasive Developmental Disorder and Attention Deficit Hyperactivity Disorder: Results of a Retrospective Chart Review
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The Comorbidity of Pervasive Developmental Disorder and Attention Deficit Hyperactivity Disorder: Results of a Retrospective Chart Review

机译：普遍性发育障碍和注意缺陷多动障碍的合并症：回顾性图表审查的结果

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Objective: To determine if a sample of children meeting diagnostic criteria for a Pervasive Developmental Disorder (PDD) display symptoms and impairment related to Attention Deficit Hyperactivity Disorder (ADHD) sufficient to warrant a comorbid diagnosis of ADHD. Further, do children with PDD displaying such symptoms demonstrate more impairment in daily life activities than those children only having PDD? Method: A retrospective chart review was conducted on children (N = 57) diagnosed with the PDD's of Autism or PDD-Not Otherwise Specified (PDD-NOS), or ADHD. Comparative analysis of questionnaire and neuropsychological test data was completed to determine the severity of ADHD-like symptoms presenting among children with PDD. Results: From the pool of subjects having PDD with sufficient data (N = 27), 7 or 26% met DSM-IV criteria for the combined type of ADHD. Nine or 33% met diagnostic criteria for the Inattentive Type of ADHD and 11 or 41% did not demonstrate a significant number of ADHD symptoms to warrant a comorbid diagnosis of ADHD. Results indicate that a subgroup of children with PDD displaying significant ADHD-like symptoms may in fact have ADHD thus warranting a comorbid diagnosis of ADHD. Current data did not suggest children with PDD and the combined type of ADHD demonstrated significantly more impairment in daily life functioning than those children only having PDD. However, this appeared likely the result of small sample size. The data, however, does indicate such children experience more difficulties in daily situations as rated by parents and teachers. Conclusion: These findings reinforce clinical observations indicating that some children with PDD may also experience an independent comorbid condition of ADHD, suggesting that a comorbid diagnosis of ADHD with PDD be considered in such cases. If further findings are replicated, the current exclusionary DSM-IV-TR criteria of making such a comorbid diagnosis should be re-considered.
机译：目的：确定符合诊断标准的儿童广泛性发育障碍（PDD）的症状和与注意力缺陷多动障碍（ADHD）有关的损伤是否足以确诊ADHD。此外，患有PDD表现出这种症状的儿童是否比仅患有PDD的儿童表现出更多的日常生活障碍？方法：对诊断为自闭症PDD或PDD-NOS或ADHD的儿童（N = 57）进行回顾性图表审查。完成问卷调查表和神经心理学测试数据的比较分析，以确定PDD儿童中ADHD样症状的严重程度。结果：从具有足够数据的PDD（N = 27）的受试者库中，有7％或26％符合ADHD合并类型的DSM-IV标准。 9名或33％的人患有注意力不集中型ADHD的诊断标准，而11名或41％的人没有表现出明显的ADHD症状，因此不能同时诊断ADHD。结果表明，PDD患儿表现出明显的ADHD样症状的亚组实际上可能患有ADHD，因此有必要对ADHD进行合并诊断。目前的数据并没有表明PDD患儿和ADHD合并症的患儿在日常生活功能上的损害要比仅PDD患儿多得多。但是，这似乎是样本量较小的结果。但是，数据确实表明，这些孩子在家长和老师的评价下在日常情况下遇到更多的困难。结论：这些发现加强了临床观察结果，表明某些PDD儿童也可能患有独立的ADHD合并症，这表明在这种情况下应考虑将ADHD与PDD合并诊断。如果可以复制更多的发现，则应重新考虑做出此类合并症诊断的现行DSM-IV-TR排除标准。

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