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Children (Basel). 2017 Jul 27;4(8). pii: E62. doi: 10.3390/children4080062.

DSM-5 Changes in Attention Deficit Hyperactivity Disorder and Autism Spectrum Disorder: Implications for Comorbid Sleep Issues.

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Department of Psychiatry, Compass Health Network, Wentzville, MO 63385, USA.
Division of Child and Adolescent Psychiatry, University of Missouri-Columbia School of Medicine, 1 Hospital Drive, Columbia, MO 65212, USA.


Attention Deficit Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD) are the most common neurodevelopmental disorders. Despite significant comorbidity, the previous diagnostic criteria prohibited the simultaneous diagnosis of both disorders. Sleep problems are highly prevalent in both disorders; however, these have been studied independently for ADHD and ASD. In the context of revised criteria in the Diagnostic Statistical Manual of Mental Disorders 5th edition (DSM-5) that allows combined diagnosis of ADHD and ASD, this short review presents an overview of relationship between sleep problems, ADHD and ASD, as well as conceptualizing the shared pathophysiology. The practical considerations for clinical management of sleep problems in combination with ADHD and ASD are also discussed.


ADHD; DSM-5; autism; comorbidity; neurodevelopmental disorders; sleep

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