Risk factors for the existence of attention deficit hyperactivity disorder symptoms in children with autism spectrum disorders

Anna Linda Lamanna, Francesco Craig, Emilia Matera, Marta Simone, Maura Buttiglione, Lucia Margari Child Neuropsychiatry Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari “Aldo Moro”, Bari, Italy Abstract: Over the years, several auth...

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Autores principales:	Lamanna AL, Craig F, Matera E, Simone M, Buttiglione M, Margari L
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Autism spectrum disorders (ASD) Attention Deficit Hyperactivity Disorder (ADHD) ADHD Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/7a0d3aae03b14654802c7a8d4498cab8
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spelling	oai:doaj.org-article:7a0d3aae03b14654802c7a8d4498cab82021-12-02T00:35:52ZRisk factors for the existence of attention deficit hyperactivity disorder symptoms in children with autism spectrum disorders1178-2021https://doaj.org/article/7a0d3aae03b14654802c7a8d4498cab82017-06-01T00:00:00Zhttps://www.dovepress.com/risk-factors-for-the-existence-of-attention-deficit-hyperactivity-diso-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Anna Linda Lamanna, Francesco Craig, Emilia Matera, Marta Simone, Maura Buttiglione, Lucia Margari Child Neuropsychiatry Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari “Aldo Moro”, Bari, Italy Abstract: Over the years, several authors have reported symptoms of attention deficit hyperactivity disorder (ADHD) in patients with autism spectrum disorders (ASD); however, studies on the risk factors of ADHD symptoms in children with ASD are lacking. The aim of this cross-sectional study was to identify the risk factors for the development of ADHD symptoms in children with ASD. The sample consisted of 67 children with ASD who were assessed with Conner’s Parent Rating Scale-Revised (CPRS-R), and with a semi-structured detailed interview administered to parents, to collect a series of clinical data such as coexisting somatic and neuropsychiatric problems and familial and pre/peri/postpartum risk factors. We found that 55% of ASD children exceeded the cut-off of CPRS-R Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), total scale. The univariate analyses showed that children’s age (P=0.048), motor delay (P=0.039), enuresis (P=0.014), allergies (P<0.01), comorbid oppositional defiant disorder (P=0.026) and intellectual disabilities comorbidities (P=0.034) were associated to the CPRS-R DSM-IV total score. Some familial predictors such as neuropsychiatric family history of intellectual disabilities (P=0.003) and psychosis (P=0.039) were related to the CPRS-R DSM-IV total score. In particular, a model including allergies (P=0.000) and family history of psychosis (P=0.03) explained 25% (corrected R2=0.25) of the variance of the DSM-IV ADHD score. In conclusion, we identified some risk factors associated with the development of ADHD symptoms in ASD children that need to be studied further. Keywords: neurodevelopmental disorders, autism spectrum disorders, ASD, attention deficit hyperactivity disorder, ADHD, risk factorsLamanna ALCraig FMatera ESimone MButtiglione MMargari LDove Medical PressarticleAutism spectrum disorders (ASD)Attention Deficit Hyperactivity Disorder (ADHD)ADHDNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 1559-1567 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Autism spectrum disorders (ASD) Attention Deficit Hyperactivity Disorder (ADHD) ADHD Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Autism spectrum disorders (ASD) Attention Deficit Hyperactivity Disorder (ADHD) ADHD Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Lamanna AL Craig F Matera E Simone M Buttiglione M Margari L Risk factors for the existence of attention deficit hyperactivity disorder symptoms in children with autism spectrum disorders
description	Anna Linda Lamanna, Francesco Craig, Emilia Matera, Marta Simone, Maura Buttiglione, Lucia Margari Child Neuropsychiatry Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari “Aldo Moro”, Bari, Italy Abstract: Over the years, several authors have reported symptoms of attention deficit hyperactivity disorder (ADHD) in patients with autism spectrum disorders (ASD); however, studies on the risk factors of ADHD symptoms in children with ASD are lacking. The aim of this cross-sectional study was to identify the risk factors for the development of ADHD symptoms in children with ASD. The sample consisted of 67 children with ASD who were assessed with Conner’s Parent Rating Scale-Revised (CPRS-R), and with a semi-structured detailed interview administered to parents, to collect a series of clinical data such as coexisting somatic and neuropsychiatric problems and familial and pre/peri/postpartum risk factors. We found that 55% of ASD children exceeded the cut-off of CPRS-R Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), total scale. The univariate analyses showed that children’s age (P=0.048), motor delay (P=0.039), enuresis (P=0.014), allergies (P<0.01), comorbid oppositional defiant disorder (P=0.026) and intellectual disabilities comorbidities (P=0.034) were associated to the CPRS-R DSM-IV total score. Some familial predictors such as neuropsychiatric family history of intellectual disabilities (P=0.003) and psychosis (P=0.039) were related to the CPRS-R DSM-IV total score. In particular, a model including allergies (P=0.000) and family history of psychosis (P=0.03) explained 25% (corrected R2=0.25) of the variance of the DSM-IV ADHD score. In conclusion, we identified some risk factors associated with the development of ADHD symptoms in ASD children that need to be studied further. Keywords: neurodevelopmental disorders, autism spectrum disorders, ASD, attention deficit hyperactivity disorder, ADHD, risk factors
format	article
author	Lamanna AL Craig F Matera E Simone M Buttiglione M Margari L
author_facet	Lamanna AL Craig F Matera E Simone M Buttiglione M Margari L
author_sort	Lamanna AL
title	Risk factors for the existence of attention deficit hyperactivity disorder symptoms in children with autism spectrum disorders
title_short	Risk factors for the existence of attention deficit hyperactivity disorder symptoms in children with autism spectrum disorders
title_full	Risk factors for the existence of attention deficit hyperactivity disorder symptoms in children with autism spectrum disorders
title_fullStr	Risk factors for the existence of attention deficit hyperactivity disorder symptoms in children with autism spectrum disorders
title_full_unstemmed	Risk factors for the existence of attention deficit hyperactivity disorder symptoms in children with autism spectrum disorders
title_sort	risk factors for the existence of attention deficit hyperactivity disorder symptoms in children with autism spectrum disorders
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/7a0d3aae03b14654802c7a8d4498cab8
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Risk factors for the existence of attention deficit hyperactivity disorder symptoms in children with autism spectrum disorders

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