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Oppositional Defiant and Conduct Disorder Behaviors in Boys With Autism Spectrum Disorder With and Without Attention-Deficit Hyperactivity Disorder Versus Several Comparison Samples
Authors:Sarit Guttmann-Steinmetz  Kenneth D. Gadow  Carla J. DeVincent
Affiliation:(1) The New School of Psychology, The Interdisciplinary Center Herzliya (IDC), Herzliya, Israel;(2) Department of Psychiatry and Behavioral Science, Putnam Hall-South Campus, SUNY at Stony Brook, Stony Brook, NY 11794-8790, USA;(3) Department of Pediatrics, State University of New York at Stony Brook, Stony Brook, NY, USA
Abstract:We compared disruptive behaviors in boys with either autism spectrum disorder (ASD) plus ADHD (n = 74), chronic multiple tic disorder plus ADHD (n = 47), ADHD Only (n = 59), or ASD Only (n = 107). Children were evaluated with parent and teacher versions of the Child Symptom Inventory-4 including parent- (n = 168) and teacher-rated (n = 173) community controls. Parents rated children in the three ADHD groups comparably for each symptom of oppositional defiant disorder (ODD) and conduct disorder. Teacher ratings indicated that the ASD + ADHD group evidenced a unique pattern of ODD symptom severity, differentiating them from the other ADHD groups, and from the ASD Only group. The clinical features of ASD appear to influence co-morbid, DSM-IV-defined ODD, with implications for nosology.
Keywords:Autism spectrum disorder  Autism  Attention-deficit hyperactivity disorder  Oppositional defiant disorder  Conduct disorder  Chronic multiple tic disorder
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