Kiddie-SADS Reveals High Rates of DSM-IV Disorders in Children and Adolescents with Autism Spectrum Disorders
Kiddie-SADS Reveals High Rates of DSM-IV Disorders in Children and Adolescents with Autism Spectrum Disorders
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DOI：
10.1007/s10803-010-1095-7
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发表时间：
2011-06-01
影响因子：
3.9
通讯作者：
Sponheim, Eili
中科院分区：
文献类型：
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作者：
Gjevik, Elen;Eldevik, Sigmund;Sponheim, Eili
目前共患DSM-IV障碍的患病率在ASD儿童和青少年特殊学校人群(N=71，年龄6.0-17.9岁)中进行了评估，代表了所有认知水平和主要ASD亚组。通过家长访谈对症状进行评估，并探讨与儿童特征的关联。72%的人被诊断出至少患有一种共病障碍。焦虑症(41%)和注意力缺陷/多动障碍(31%)最普遍。强迫症在年龄较大的儿童中更常见，对立违抗障碍/品行障碍在普及性发育障碍中更常见，未另行说明。我们的结果显示DSM-IV并存障碍的发生率很高，并强调了在儿童ASD中进行此类评估的重要性。然而，诊断方面的挑战是存在的，未来需要对共病精神障碍的诊断有效性进行研究。
Prevalence of current comorbid DSM-IV disorders was assessed in a special school population of children and adolescents with ASD (N = 71, age 6.0-17.9 years), representing all cognitive levels and main ASD subgroups. Symptoms were assessed through parent interview and association to child characteristics was explored. Seventy-two percent was diagnosed with at least one comorbid disorder. Anxiety disorders (41%) and attention deficit/hyperactivity disorder (31%) were most prevalent. Obsessive-compulsive disorder was more common in older children, and oppositional defiant disorder/conduct disorder more prevalent in pervasive developmental disorder, not otherwise specified. Our results show high rates of comorbid DSM-IV disorders and underscore the importance of such evaluation in children ASD. However, diagnostic challenges are present and future research on the diagnostic validity of comorbid psychiatric disorders is needed.