Anxiety Symptoms in Boys with Autism Spectrum Disorder, Attention-Deficit Hyperactivity Disorder, or Chronic Multiple Tic Disorder and Community Controls
Anxiety Symptoms in Boys with Autism Spectrum Disorder, Attention-Deficit Hyperactivity Disorder, or Chronic Multiple Tic Disorder and Community Controls
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DOI：
10.1007/s10803-010-0950-x
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发表时间：
2010-08-01
影响因子：
3.9
通讯作者：
Crowell, Judy
中科院分区：
文献类型：
--
作者：
Guttmann-Steinmetz, Sarit;Gadow, Kenneth D.;Crowell, Judy
我们比较了5组患有神经行为综合征的男孩的广泛性焦虑症（GAD）和分离焦虑症（SAD）的症状：注意力缺陷多动障碍（ADHD）+自闭症谱系障碍（ASD），ADHD+慢性多发性抽动障碍（CMTD），单纯ASD，单纯ADHD和社区对照。焦虑症状进行了评估，使用父母和教师版本的DSM-IV参考评级量表。所有三组患有共病ADHD的男孩比对照组表现出更严重的焦虑。焦虑的组间差异随症状、障碍、知情者和共病的功能而变化，这支持了共病神经行为综合征对共病焦虑症状的临床特征有不同影响的观点。研究结果还表明，GAD和SAD是现象学上独特的，即使在ASD儿童中。疾病分类学的影响进行了讨论。
We compared symptoms of generalized anxiety disorder (GAD) and separation anxiety disorder (SAD) in 5 groups of boys with neurobehavioral syndromes: attention-deficit/hyperactivity disorder (ADHD) plus autism spectrum disorder (ASD), ADHD plus chronic multiple tic disorder (CMTD), ASD only, ADHD only, and community Controls. Anxiety symptoms were assessed using parent and teacher versions of a DSM-IV-referenced rating scale. All three groups of boys with co-morbid ADHD evidenced more severe anxiety than Controls. Group differences in anxiety varied as a function of symptom, disorder, informant, and co-morbidity supporting the notion that co-morbid neurobehavioral syndromes differentially impact clinical features of co-occurring anxiety symptoms. Findings also suggest that GAD and SAD are phenomenologically unique, even in children with ASD. Implications for nosology are discussed.