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Brief Report: Prevalence of Attention Deficit/Hyperactivity Disorder Among Individuals with an Autism Spectrum Disorder
Authors:Ellen Hanson  Bettina M. Cerban  Chelsea M. Slater  Laura M. Caccamo  Janine Bacic  Eugenia Chan
Affiliation:1. Division of Developmental Medicine, Children’s Hospital Boston, 300 Longwood Avenue, Boston, MA, 02115, USA
2. Division of Developmental Medicine, Harvard Medical School, Boston, MA, 02115, USA
3. Clinical Research Program, Children’s Hospital Boston, Boston, MA, 02115, USA
4. Department of Health Policy and Management, Boston University School of Public Health, Boston, MA, 02115, USA
Abstract:Currently, both the DSM-IV-TR and ICD-10 preclude the diagnosis of Attention Deficit/Hyperactivity Disorder (ADHD) in cases that present with an Autism Spectrum Disorder (ASD). This criterion will be removed in the upcoming DSM-V, but the relationship between ASD and ADHD, and in particular the prevalence of ADHD among the ASD population, remains controversial. Previous studies have reported clinically significant ADHD symptoms in one-third to three-quarters of ASD-affected individuals (probands). In our sample of 1,838 simplex children and adolescents with ASD, we found that less than 16 % met clinically significant levels of ADHD symptoms, per parent report. When both parent and teacher reports were considered, the comorbidity rate was even lower, at 2 %.
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