Autistic traits in children with and without ADHD

Amelia Kotte; Gagan Joshi; Ronna Fried; Mai Uchida; Andrea Spencer; K. Yvonne Woodworth; Tara Kenworthy; Stephen V. Faraone; Joseph Biederman

doi:10.1542/peds.2012-3947

Autistic traits in children with and without ADHD

Amelia Kotte, Gagan Joshi, Ronna Fried, Mai Uchida, Andrea Spencer, K. Yvonne Woodworth, Tara Kenworthy, Stephen V. Faraone, Joseph Biederman^*

^*Corresponding author for this work

Psychiatry and Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

73 Scopus citations

Abstract

OBJECTIVE: To assess the implications of autistic traits (ATs) in youth with attention-deficit/hyperactivity disorder (ADHD) without a diagnosis of autism. METHODS: Participants were youth with (n = 242) and without (n = 227) ADHD and controls without ADHD in whom a diagnosis of autism was exclusionary. Assessment included measures of psychiatric, psychosocial, educational, and cognitive functioning. ATs were operationalized by using the withdrawn + social + thought problems T scores from the Child Behavior Checklist. RESULTS: A positive AT profile was significantly overrepresented among ADHD children versus controls (18% vs 0.87%; P <.001). ADHD children with the AT profile were significantly more impaired than control subjects in psychopathology, interpersonal, school, family, and cognitive domains. CONCLUSIONS: A substantial minority of ADHD children manifests ATs, and those exhibiting ATs have greater severity of illness and dysfunction.

Original language	English (US)
Pages (from-to)	e612-e622
Journal	Pediatrics
Volume	132
Issue number	3
DOIs	https://doi.org/10.1542/peds.2012-3947
State	Published - Sep 2013

Keywords

ADD
ADHD
AT
Attention deficit disorder
Attention-deficit/ hyperactivity disorder
Autism traits
Autistic traits
Comorbidity
Social disability

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health

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10.1542/peds.2012-3947

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title = "Autistic traits in children with and without ADHD",

abstract = "OBJECTIVE: To assess the implications of autistic traits (ATs) in youth with attention-deficit/hyperactivity disorder (ADHD) without a diagnosis of autism. METHODS: Participants were youth with (n = 242) and without (n = 227) ADHD and controls without ADHD in whom a diagnosis of autism was exclusionary. Assessment included measures of psychiatric, psychosocial, educational, and cognitive functioning. ATs were operationalized by using the withdrawn + social + thought problems T scores from the Child Behavior Checklist. RESULTS: A positive AT profile was significantly overrepresented among ADHD children versus controls (18% vs 0.87%; P <.001). ADHD children with the AT profile were significantly more impaired than control subjects in psychopathology, interpersonal, school, family, and cognitive domains. CONCLUSIONS: A substantial minority of ADHD children manifests ATs, and those exhibiting ATs have greater severity of illness and dysfunction.",

keywords = "ADD, ADHD, AT, Attention deficit disorder, Attention-deficit/ hyperactivity disorder, Autism traits, Autistic traits, Comorbidity, Social disability",

author = "Amelia Kotte and Gagan Joshi and Ronna Fried and Mai Uchida and Andrea Spencer and {Yvonne Woodworth}, K. and Tara Kenworthy and Faraone, {Stephen V.} and Joseph Biederman",

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doi = "10.1542/peds.2012-3947",

language = "English (US)",

volume = "132",

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AU - Kotte, Amelia

AU - Joshi, Gagan

AU - Fried, Ronna

AU - Uchida, Mai

AU - Spencer, Andrea

AU - Yvonne Woodworth, K.

AU - Kenworthy, Tara

AU - Faraone, Stephen V.

AU - Biederman, Joseph

PY - 2013/9

Y1 - 2013/9

N2 - OBJECTIVE: To assess the implications of autistic traits (ATs) in youth with attention-deficit/hyperactivity disorder (ADHD) without a diagnosis of autism. METHODS: Participants were youth with (n = 242) and without (n = 227) ADHD and controls without ADHD in whom a diagnosis of autism was exclusionary. Assessment included measures of psychiatric, psychosocial, educational, and cognitive functioning. ATs were operationalized by using the withdrawn + social + thought problems T scores from the Child Behavior Checklist. RESULTS: A positive AT profile was significantly overrepresented among ADHD children versus controls (18% vs 0.87%; P <.001). ADHD children with the AT profile were significantly more impaired than control subjects in psychopathology, interpersonal, school, family, and cognitive domains. CONCLUSIONS: A substantial minority of ADHD children manifests ATs, and those exhibiting ATs have greater severity of illness and dysfunction.

AB - OBJECTIVE: To assess the implications of autistic traits (ATs) in youth with attention-deficit/hyperactivity disorder (ADHD) without a diagnosis of autism. METHODS: Participants were youth with (n = 242) and without (n = 227) ADHD and controls without ADHD in whom a diagnosis of autism was exclusionary. Assessment included measures of psychiatric, psychosocial, educational, and cognitive functioning. ATs were operationalized by using the withdrawn + social + thought problems T scores from the Child Behavior Checklist. RESULTS: A positive AT profile was significantly overrepresented among ADHD children versus controls (18% vs 0.87%; P <.001). ADHD children with the AT profile were significantly more impaired than control subjects in psychopathology, interpersonal, school, family, and cognitive domains. CONCLUSIONS: A substantial minority of ADHD children manifests ATs, and those exhibiting ATs have greater severity of illness and dysfunction.

KW - ADD

KW - ADHD

KW - AT

KW - Attention deficit disorder

KW - Attention-deficit/ hyperactivity disorder

KW - Autism traits

KW - Autistic traits

KW - Comorbidity

KW - Social disability

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Autistic traits in children with and without ADHD

Abstract

Keywords

ASJC Scopus subject areas

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