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J Child Adolesc Psychopharmacol. 2006 Dec;16(6):737-46.

Attention-deficit hyperactivity disorder symptoms in a clinic sample of children and adolescents with pervasive developmental disorders.

Author information

  • 1Department of Psychiatry and Behavioral Sciences, Division of Child and Adolescent Psychiatry, Emory University School of Medicine, Atlanta, Georgia 30322, USA. douglaslee_jcbm@bellsouth.net

Abstract

OBJECTIVES:

The aims of this systematic chart review were to determine the frequency of attention-deficit/hyperactivity disorder (ADHD) in a clinic sample of children and adolescents with autism spectrum disorders (ASD), to compare ADHD symptoms in children with Autistic Disorder, Asperger's Disorder, and pervasive developmental disorders-not otherwise specified (PDD-NOS), to compare ADHD symptoms in individuals with and without ADHD-related chief complaints, and to determine the correlation between ADHD Rating Scale (ADHD RS) scores and age.

METHOD:

This systematic chart review examined data from children and adolescents who were consecutively referred to a university-based autism psychopharmacology program. All individuals were diagnosed by semistructured interview for ASD and ADHD, and ADHD symptoms were assessed using ADHD RS scores.

RESULTS:

Of 83 children, 78% fulfilled Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) criteria for ADHD and exceeded the 93rd percentile norm for the ADHD RS. Hyperactivity-impulsivity scores were significantly greater in individuals with autism than those with other ASDs. DSM-IV ADHD diagnosis was represented equally in individuals with and without ADHD as their chief complaints. ADHD RS hyperactivity-impulsivity and total scores were negatively correlated with age.

CONCLUSION:

ADHD symptoms are pervasive in clinically referred children and adolescents with ASD.

PMID:
17201617
[PubMed - indexed for MEDLINE]
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