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Investigation of the Rates of Comorbid Symptoms in Children with ADHD Compared to Children with ASD

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Abstract

There is a scarcity of research looking at how comorbid psychological disorders impact the assessment of children with autism spectrum disorders (ASD). The present study aimed to extend the literature in this area by evaluating rates of comorbid symptoms in both children with ASD and those with attention-deficit/hyperactivity disorder (ADHD). Children with ASD, ADHD, or no psychological diagnosis participated in this study. Internalizing and externalizing symptoms were assessed with the Autism Spectrum Disorders - Comorbidity for Children (ASD-CC). Multivariate and univariate main effect analyses with post-hoc comparisons were then conducted. Children with ASD evinced higher rates of comorbid symptoms than children with ADHD. Additionally, both children with ASD and those with ADHD exhibited more comorbid symptoms than children without a psychological disorder. These findings are in accordance with previous research and support the need for broadband assessment of psychiatric conditions in children presenting with developmental delays or externalizing behaviors. Other implications of these findings are discussed.

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References

  • Abdekhodaie, Z., Tabatabaei, S. M., & Gholizadeh, M. (2012). The investigation of ADHD prevalence in kindergarten children in northeast Iran and a determination of the criterion validity of Conners’ questionnaire via clinical interview. Research in Developmental Disabilities, 33, 357–361.

    Article  PubMed  Google Scholar 

  • Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-Age forms & profiles. Burlington: University of Vermont, Research Center for Children, Youth, & Families.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th Ed. With text revisions). Washington: APA.

    Book  Google Scholar 

  • Angold, A., Costello, E. J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry, 40, 57–88.

    Article  PubMed  Google Scholar 

  • Barkley, R. A. (1997). ADHD and the nature of self-control. New York: Guilford Press.

    Google Scholar 

  • Barkley, R. A. (2003). Attention-deficit/hyperactivity disorder. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology (pp. 75–143). New York: The Guilford Press.

    Google Scholar 

  • Barkley, R. A., & Cunningham, C. E. (1979). Stimulant drugs and activity level in hyperactive children. The American Journal of Orthopsychiatry, 49, 491–499.

    Article  PubMed  Google Scholar 

  • Barkley, R. A., DuPaul, G. J., & McMurray, M. B. (1990). A comprehensive evaluation of attention deficit disorder with and without hyperactivity. Journal of Consulting and Clinical Psychology, 58, 775–589.

    Article  PubMed  Google Scholar 

  • Barrett, P. M., Duffy, A. L., Dadds, M. R., & Rapee, R. M. (2001). Cognitive-behavioral treatment of anxiety disorders in children: long-term (6-year) follow-up. Journal of Consulting and Clinical Psychology, 69, 135–141.

    Article  PubMed  Google Scholar 

  • Biederman, J., Newcorn, J., & Sprich, S. (1991). Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders. The American Journal of Psychiatry, 148, 564–577.

    PubMed  Google Scholar 

  • Burns, G. L., Boe, B., Walsh, J. A., Sommers-Flannagan, R., & Teegarden, L. A. (2001). A confirmatory factor analysis on the DSM-IV ADHD and ODD symptoms: what is the best model for the organization of these symptoms? Journal of Abnormal Child Psychology, 29, 339–349.

    Article  PubMed  Google Scholar 

  • Chowdhury, M., Benson, B. A., & Hillier, A. (2010). Changes in restricted repetitive behaviors with age: a study of high-functioning adults with autism spectrum disorders. Research in Autism Spectrum Disorders, 4, 210–216.

    Article  Google Scholar 

  • Chung, S. Y., Luk, S. L., & Lee, P. W. H. (1990). A follow-up study of infantile autism in Hong Kong. Journal of Autism and Developmental Disorders, 20, 221–232.

    Article  PubMed  Google Scholar 

  • Clark, M. L., Cheyne, J. A., Cunningham, C. E., & Siegel, L. S. (1988). Dyadic peer interaction and task orientation in attention-deficit-disordered children. Journal of Abnormal Child Psychology, 16, 1–15.

    Article  PubMed  Google Scholar 

  • Clark, T., Feehan, C., Tinline, C., & Vostanis, P. (1999). Autistic symptoms in children with attention deficit hyperactivity disorder. European Child & Adolescent Psychiatry, 8, 50–55.

    Article  Google Scholar 

  • Compton, S. N., March, J. S., Brent, D., Albano, A. M., Weersing, R., & Curry, J. (2004). Cognitive-behavioral psychotherapy for anxiety and depressive disorders in children and adolescents: an evidence-based medicine review. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 930–959.

    Article  PubMed  Google Scholar 

  • Conners, C. K. (1997). Conners rating scales-revised. Toronto: Multi-Health Systems.

    Google Scholar 

  • Cunningham, C. E., & Siegel, L. S. (1987). Peer interactions of normal and attention-deficit disordered boys during free-play, cooperative task, and simulated classroom situations. Journal of Abnormal Child Psychology, 15, 247–268.

    Article  PubMed  Google Scholar 

  • Dane, A. V., Schachar, R. J., & Tannock, R. (2000). Does actigraphy differentiate ADHD subtypes in a clinical research setting? Journal of the American Academy of Child and Adolescent Psychiatry, 39, 752–760.

    Article  PubMed  Google Scholar 

  • De Bruin, E. L., Ferdinand, R. F., Meester, S., de Nijs, F. A., & Verheij, F. (2007). Higher rates of psychiatric co-morbidity in PDD-NOS. Journal of Autism and Developmental Disorders, 37, 877–886.

    Article  PubMed  Google Scholar 

  • Donnellan, A. M., Mirenda, P. L., Mesaros, R. A., & Fassbender, L. L. (1984). Analyzing the communicative functions of aberrant behavior. Journal of the Association for Persons with Severe Handicaps, 9, 201–212.

    Google Scholar 

  • Du Paul, G. J., Power, T. J., Anastopoulos, A. D., & Reid, R. (1998). ADHD rating scale-IV: checklists, norms, and clinical interpretation. New York: Guildford Press.

    Google Scholar 

  • Duffy, C., & Healy, O. (2011). Spontaneous communication in autism spectrum disorder: a review of topographies and intervention. Research in Autism Spectrum Disorders, 5, 977–983.

    Article  Google Scholar 

  • DuPaul, G. J., Barkley, R. A., & McMurray, M. B. (1994). Response of children with ADHD to methylphenidate: interaction with internalizing symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 894–903.

    Article  PubMed  Google Scholar 

  • DuPaul, G. J., McGoey, K. E., Eckert, T. L., & VanBrakle, J. (2001). Preschool children with attention-deficit/hyperactivity disorder: impairments in behavioral, social, and school functioning. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 508–515.

    Article  PubMed  Google Scholar 

  • Efstratopoulou, M., Janssen, R., & Simons, J. (2012). Differentiating children with attention-deficit/hyperactivity disorder, conduct disorder, learning disabilities and autistic spectrum disorder by means of their motor behavior characteristics. Research in Developmental Disabilities, 33, 196–204.

    Article  PubMed  Google Scholar 

  • Erhardt, D., & Hinshaw, S. P. (1994). Initial sociometric impressions of attention-deficit hyperactivity disorder and comparison boys: predictions from social behaviors and from nonbehavioral variables. Journal of Consulting and Clinical Psychology, 62, 833–842.

    Article  PubMed  Google Scholar 

  • Fischer, M., Barkley, R. A., Edelbrock, C. S., & Smallish, L. (1990). The adolescent outcome of hyperactive children diagnosed by research criteria: II. Academic, attentional, and neuropsychological status. Journal of Consulting and Clinical Psychology, 58, 580–588.

    Article  PubMed  Google Scholar 

  • Fodstad, J. C., Matson, J. L., Hess, J. A., & Neal, D. (2009). Social and communication behaviours in infants and toddlers with autism and pervasive developmental disorder-not otherwise specified. Developmental Neurorehabilitation, 12, 152–157.

    Article  PubMed  Google Scholar 

  • Fujiwara, T., Okuyama, M., & Funahashi, K. (2011). Factors influencing time lag between first parental concern and first visit to child psychiatric services in children with autism spectrum disorders in Japan. Research in Autism Spectrum Disorders, 5, 584–591.

    Article  Google Scholar 

  • Gadow, K. D., & Drabick, D. A. G. (2012). Symptoms of autism and schizophrenia spectrum disorders in clinically referred youth with oppositional defiant disorder. Research in Developmental Disabilities, 33, 1157–1168.

    Article  PubMed  Google Scholar 

  • Handen, B. L., Johnson, C. R., & Lubetsky, M. (2000). Efficacy of methylphenidate among children with autism and symptoms of attention-deficit hyperactivity disorder. Journal of Autism and Developmental Disorders, 30, 245–255.

    Article  PubMed  Google Scholar 

  • Hartsough, C. S., & Lambert, N. M. (1985). Medical factors in hyperactivity and normal children: prenatal, developmental, and health history findings. The American Journal of Orthopsychiatry, 55, 190–210.

    Article  PubMed  Google Scholar 

  • Hermans, H., Jelluma, N., van der Pas, F. H., & Evenhuis, H. M. (2012). Feasibility, reliability and validity of the Dutch translation of the anxiety, depression, and mood scale in older adults with intellectual disabilities. Research in Developmental Disabilities, 33, 315–323.

    Article  PubMed  Google Scholar 

  • Hinshaw, S. P. (1992). Externalizing behavior problems and academic underachievement in childhood and adolescence: causal relationships and underlying mechanisms. Psychological Bulletin, 111, 127–155.

    Article  PubMed  Google Scholar 

  • Holtmann, M., Bolte, S., & Postka, F. (2007). Attention deficit hyperactivity disorder symptoms in pervasive developmental disorders: association with autistic behavior domains and coexisting psychopathology. Psychopathology, 40, 172–177.

    Article  PubMed  Google Scholar 

  • Jensen, P. S., Shervette, R. E., Xanakis, S. N., & Bain, M. W. (1988). Psychosocial and medical histories of stimulant-treated children. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 798–801.

    Article  PubMed  Google Scholar 

  • Kasari, C., & Lawton, K. (2010). New directions in behavioral treatment of autism spectrum disorders. Current Opinion in Neurology, 23, 137–143.

    Article  PubMed  Google Scholar 

  • Krug, D. A., & Arick, J. R. (2003). Krug Asperger’s disorder index. Austin: Pro-Ed Inc.

    Google Scholar 

  • Lahey, B. B., Applegate, B., McBurnett, K., Biederman, J., Greenhill, L., Hynd, G. W., & Shaffer, D. (1994). DSM-IV field trials for attention deficit/hyperactivity disorder in children and adolescents. The American Journal of Psychiatry, 151, 1673–1685.

    PubMed  Google Scholar 

  • Lainhart, J. (1999). Psychiatric problems in individuals with autism, their parents and siblings. International Review of Psychiatry, 11, 278–298.

    Article  Google Scholar 

  • Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., & Lainhart, J. E. (2006). Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36, 849–861.

    Article  PubMed  Google Scholar 

  • Lin, Y. J., Lai, M. C., & Gau, S. S. (2012). Youths with ADHD with and without tic disorders: comorbid psychopathology, executive function and social adjustment. Research in Developmental Disabilities, 33, 951–963.

    Article  PubMed  Google Scholar 

  • Lord, C., Rutter, M., & LeCouteur, A. (1994). Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.

    Article  PubMed  Google Scholar 

  • Lovell, B., Moss, M., & Wetherell, M. A. (2012). With a little help from my friends: psychological, endocrine, and health corollaries of social support in parental caregivers of children with autism or ADHD. Research in Developmental Disabilities, 33, 682–687.

    Article  PubMed  Google Scholar 

  • LoVullo, S. V., & Matson, J. L. (2009). Comorbid psychopathology in adults with autism spectrum disorders and intellectual disabilities. Research in Developmental Disabilities, 30, 1288–1296.

    Article  PubMed  Google Scholar 

  • Luk, S. (1985). Direct observations studies of hyperactive behaviors. Journal of the American Academy of Child and Adolescent Psychiatry, 24, 338–344.

    Article  Google Scholar 

  • Matson, J. L. (2007). Current status of differential diagnosis for children with autism spectrum disorders. Research in Developmental Disabilities, 28, 109–118.

    Article  PubMed  Google Scholar 

  • Matson, J. L., & Boisjoli, J. A. (2007). Differential diagnosis of PDDNOS in children. Research in Autism Spectrum Disorders, 1, 75–84.

    Article  Google Scholar 

  • Matson, J. L., & Gonzalez, M. L. (2007a). Autism spectrum disorders – comorbidity – child version. Baton Rouge: La. Disability Consultants, LLC.

    Google Scholar 

  • Matson, J. L., & Gonzalez, M. L. (2007b). Autism spectrum disorders – diagnostic – child version. Baton Rouge: La. Disability Consultants, LLC.

    Google Scholar 

  • Matson, J. L., & LoVullo, S. V. (2008). A review of behavioral treatments for self-injurious behaviors of persons with autism spectrum disorders. Behavior Modification, 32, 61–76.

    Article  PubMed  Google Scholar 

  • Matson, J. L., & Neal, D. (2009). Psychotropic medication use for challenging behaviors in persons with intellectual disabilities: an overview. Research in Developmental Disabilities, 30, 572–586.

    Article  PubMed  Google Scholar 

  • Matson, J. L., & Wilkins, J. (2008a). Nosology and diagnosis of Asperger’s symptoms. Research in Autism Spectrum Disorders, 2, 288–300.

    Article  Google Scholar 

  • Matson, J. L., & Wilkins, J. (2008b). Reliability of the Autism Spectrum Disorders-Comorbidity for Children (ASD-CC). Journal of Developmental and Physical Disabilities, 20, 155–165.

    Article  Google Scholar 

  • Matson, J. L., Baglio, C. S., Smiroldo, B. B., Hamilton, M., Packlowskyj, T., Williams, D., & Kirkpatrick-Sanchez, S. (1996). Characteristics of autism as assessed by the Diagnostic Assessment for the Severely Handicapped-II (DASH-II). Research in Developmental Disabilities, 17, 135–143.

    Article  PubMed  Google Scholar 

  • Matson, J. L., Carlisle, C. B., & Bamburg, J. W. (1998). The convergent validity of the Matson Evaluation of Social Skills for Individuals with Severe Retardation (MESSIER). Research in Developmental Disabilities, 19, 493–500.

    Article  PubMed  Google Scholar 

  • Matson, J. L., Dempsey, T., LoVullo, S. V., & Wilkins, J. (2008). The effects of intellectual functioning on the range of core symptoms of autism spectrum disorders. Research in Developmental Disabilities, 29, 341–350.

    Article  PubMed  Google Scholar 

  • Matson, J. L., Dempsey, T., & Fodstad, J. C. (2009a). The effect of autism spectrum disorders on adaptive independent living skills in adults with severe intellectual disability. Research in Developmental Disabilities, 30, 1203–1211.

    Article  PubMed  Google Scholar 

  • Matson, J. L., LoVullo, S. V., Rivet, T. T., & Boisjoli, J. A. (2009b). Validity of the Autism Spectrum Disorder – Comorbid for Children (ASD-CC). Research in Autism Spectrum Disorders, 3, 345–357.

    Article  Google Scholar 

  • Matson, J. L., Wilkins, J., Sharp, B., Knight, C., Sevin, J. A., & Boisjoli, J. A. (2009c). Sensitivity and specificity of the Baby and Infant Screen for Children with aUtIsm Traits (BISCUIT): Validity and cutoff scores for autism and PDD-NOS in toddlers. Research in Autism Spectrum Disorders, 3, 924–930.

    Article  Google Scholar 

  • Matson, J. L., Mahan, S., Fodstad, J. C., Worley, J. A., Neal, D., & Sipes, M. (2011). Effects of symptoms of co-morbid psychopathology on challenging behaviours among infants and toddlers with Autistic Disorder and PDD-NOS as assessed with the Baby and Infant Screen for Children with aUtIsm Traits (BISCUIT). Developmental Neurorehabilitation, 14, 129–139.

    Article  PubMed  Google Scholar 

  • Matsushima, N., Miyawki, D., Tsuji, H., Takahashi, K., Horino, A., Kawaguchi, T., & Kiriike, N. (2008). Evaluation of attention-deficit/hyperactivity disorder symptoms in male children with high-functioning pervasive developmental disorders. Osaka City Medical Journal, 54, 1–10.

    PubMed  Google Scholar 

  • Miller, L. J., Nielsen, D. M., & Schoen, S. A. (2012). Attention deficit hyperactivity disorder and sensory modulation disorder: A comparison of behavior and physiology. Research in Developmental Disabilities, 33, 804–818.

    Article  PubMed  Google Scholar 

  • Moree, B., & Davis, T. E., III. (2010). Cognitive-behavioral therapy for anxiety in children diagnosed with Autism Spectrum Disorders: Modification trends. Research in Autism Spectrum Disorders, 4, 346–354.

    Article  Google Scholar 

  • Muris, P., Steerneman, P., Merckelback, H., Holdrinet, I., & Meesters, C. (1998). Comorbid anxiety symptoms in children with pervasive developmental disorders. Journal of Anxiety Disorders, 12, 387–393.

    Article  PubMed  Google Scholar 

  • Newcorn, J. H., Halperin, J. M., Jensen, P. S., Abikoff, H. B., Arnold, E., Cantwell, D. P., & Vitiello, B. (2001). Symptom profiles in children with ADHD: Effects of Comorbidity and Gender. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 137–146.

    Article  PubMed  Google Scholar 

  • Newman, D. L., Moffitt, T. E., Caspi, A., Magdol, L., Silva, P. A., & Stanton, W. R. (1996). Psychiatric disorder in a birth cohort of young adults: prevalence, comorbidity, clinical significance, and new case incidence from ages 11–21. Journal of Consulting Psychology, 64, 552–562.

    Article  Google Scholar 

  • Oosterlaan, J., Logan, G. D., & Sergent, J. A. (1998). Response inhibition in AD/HD, CD, comorbid AD/HD + CD, anxious, and control children: A meta-analysis of studies with the stop task. Journal of Child Psychology and Psychiatry, 39, 411–425.

    Article  PubMed  Google Scholar 

  • Ornitz, E. M. (1989). Autism at the interface between sensory and information processing. In G. Dawson (Ed.), Autism: Nature, diagnosis, and treatment (pp. 174–207). New York: Guilford Press.

    Google Scholar 

  • Patzold, L., Richdale, A., & Tonge, B. (1998). An investigation into the sleep characteristics of children with autism and Asperger’s disorder. Journal of Pediatrics and Child Health, 34, 528–533.

    Article  Google Scholar 

  • Pillow, D. R., Pelham, W. E., Jr., Hoza, B., Molina, B. S. G., & Stultz, C. H. (1998). Confirmatory factor analyses examining attention deficit hyperactivity disorder symptoms and other childhood disruptive behaviors. Journal of Abnormal Child Psychology, 26, 293–309.

    Article  PubMed  Google Scholar 

  • Pliszka, S. R. (1989). Effect of anxiety on cognition, behavior, and stimulant response in ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 882–887.

    Article  PubMed  Google Scholar 

  • Poon, K. K. (2012). Challenging behaviors among children with autism spectrum disorders and multiple disabilities attending special schools in Singapore. Research in Developmental Disabilities, 33, 578–582.

    Article  PubMed  Google Scholar 

  • Porrino, L. J., Rapoport, J. L., Behar, D., Sceery, W., Ismond, D. R., & Bumney, E. E., Jr. (1983). A naturalistic assessment of the motor activity of hyperactive boys. Archives of General Psychiatry, 40, 681–687.

    Article  PubMed  Google Scholar 

  • Powell, T. H., Hecimovic, A., & Christensen, L. (1992). Meeting the unique needs of families. In D. E. Berkell (Ed.), Autism: identification, education, and treatment (pp. 187–224). Hillsdale: Erlbaum.

    Google Scholar 

  • Reynolds, C. R., & Kamphaus, R. W. (2004). Behavioral assessment system for children manual (2nd ed.). Circle Pines: AGS Publishing.

    Google Scholar 

  • Richdale, A. (1999). Sleep problems in autism: prevalence, cause and intervention. Developmental Medicine and Child Neurology, 41, 60–66.

    Article  PubMed  Google Scholar 

  • Richdale, A., & Prior, M. (1995). The sleep/wake rhythm in children with autism. European Child & Adolescent Psychiatry, 4, 175–186.

    Article  Google Scholar 

  • Santosh, P. J., Baird, G., Pityaratstian, N., Tavare, E., & Gringas, P. (2006). Impact of comorbid autism spectrum disorders on stimulant response in children with attention deficit hyperactivity disorder: a retrospective and prospective effectiveness study. Child: Care, Health and Development, 32, 575–583.

    Article  Google Scholar 

  • Schopler, E., Reichler, R. J., DeVellis, R. F., & Daly, K. (1980). Toward objective classification of childhood autism: childhood autism rating scale (CARS). Journal of Autism and Developmental Disorders, 10, 91–103.

    Article  PubMed  Google Scholar 

  • Seguin, J. R., Boulerice, B., Harden, P. W., Tremblay, R. E., & Pihl, R. O. (1999). Executive functions and physical aggression after controlling for attention deficit hyperactivity disorder, general memory, and IQ. Journal of Child Psychology and Psychiatry, 40, 1197–1208.

    Article  PubMed  Google Scholar 

  • Shimoni, M., Engel-Yeger, B., & Tirosh, E. (2012). Executive dysfunctions among boys with Attention Deficit Hyperactivity Disorder (ADHD): Performance-based test and parents report. Research in Developmental Disabilities, 33, 858–865.

    Article  PubMed  Google Scholar 

  • Silverman, W. K., & Albano, A. M. (1996). Anxiety Disorders Interview Schedule for DSM- IV(Child and Parent Versions). San Antonio: Psychological Corporation.

    Google Scholar 

  • Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 921–929.

    Article  PubMed  Google Scholar 

  • Sinzig, J., Walter, D., & Doepfner, M. (2009). Attention deficit/hyperactivity disorder in children and adolescents with autism spectrum disorder: Symptom or syndrome? Journal of Attention Disorders, 13, 117–126.

    Article  PubMed  Google Scholar 

  • Sipes, M., Matson, J. L., Worley, J. A., & Kozlowski, A. M. (2011). Gender differences in symptoms of autism spectrum disorders in toddlers. Research in Autism Spectrum Disorders, 5, 1465–1470.

    Article  Google Scholar 

  • Smith, K. R. M., & Matson, J. L. (2010a). Behavior problems: Differences among intellectually disabled adults with co-morbid autism spectrum disorders and epilepsy. Research in Developmental Disabilities, 31, 1062–1069.

    Article  PubMed  Google Scholar 

  • Smith, K. R. M., & Matson, J. L. (2010b). Psychopathology: Differences among adults with intellectually disabled, comorbid autism spectrum disorders and epilepsy. Research in Developmental Disabilities, 31, 743–749.

    Article  PubMed  Google Scholar 

  • Smith, K. R. M., & Matson, J. L. (2010c). Social skills: Differences among adults with intellectual disabilities, co-morbid autism spectrum disorders, and epilepsy. Research in Developmental Disabilities, 31, 1366–1372.

    Article  PubMed  Google Scholar 

  • Sofronoff, K., Attwood, T., & Hinton, S. (2005). A randomized controlled trial of a CBT intervention for anxiety in children with Asperger syndrome. Journal of Child Psychology and Psychiatry, 46, 1152–1160.

    Article  PubMed  Google Scholar 

  • Sparrow, S. S., Balla, D. A., & Cicchetti, D. V. (2005). Vineland Adaptive Behavior Scales (2nd ed.). Circle Pines: American Guidance Service, Inc.

    Google Scholar 

  • Steinhausen, H. C., & Merzke, C. (2004). Differentiating the behavioral profile in autism and mental retardation and testing of a screener. European Child and Adolescent Psychiatry, 13, 214–220.

    Google Scholar 

  • Szatmari, P., Offord, D. R., & Boyle, M. H. (1989). Correlates, associated impairments, and patterns of service utilization of children with attention deficit disorders: Findings from the Ontario Child Health Study. Journal of Child Psychology and Psychiatry, 30, 205–217.

    Article  PubMed  Google Scholar 

  • Tannock, R. (2000). Attention-deficit/hyperactivity disorder with anxiety disorders. In T. E. Brown (Ed.), Attention deficit disorders and comorbidities in children, adolescents, and adults (pp. 125–170). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Thorson, R. T., & Matson, J. L. (2012). Cutoff scores for the Autism Spectrum Disorder – Comorbid for Children (ASD-CC). Research in Autism Spectrum Disorders, 6, 556–559.

    Article  Google Scholar 

  • Whalen, C. K., Henker, B., Collins, B. E., McAuliffe, S., & Vaux, A. (1979). Peer interaction in structured communication task: Comparisons of normal and hyperactive boys and of methylphenidate (Ritalin) and placebo effects. Child Development, 50, 388–401.

    PubMed  Google Scholar 

  • White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29, 216–229.

    Article  PubMed  Google Scholar 

  • Wiers, R. W., Gunning, W. B., & Sargent, J. A. (1998). Is a mild deficit in executive functions in boys related to child ADHD or to parental multigenerational alcoholism. Journal of Abnormal Child Psychology, 26, 415–430.

    Article  PubMed  Google Scholar 

  • World Health Organization. (1992). International classification of diseases (10th ed.). Geneva, Switzerland: Author.

  • Yerys, B. E., Wallace, G. L., Sokoloff, J. L., Shook, D. A., James, J. D., & Kenworthy, L. (2009). Attention deficit/hyperactivity disorder symptoms moderate cognition and behavior in children with autism spectrum disorders. Autism Research, 2, 322–333.

    PubMed  Google Scholar 

  • Yoshida, Y., & Uchiyama, T. (2004). The clinical necessity for assessing attention deficit/hyperactivity disorder (AD/HD) symptoms in children with high-functioning pervasive developmental disorder (PDD). European Child & Adolescent Psychiatry, 13, 307–314.

    Article  Google Scholar 

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Tureck, K., Matson, J.L., May, A. et al. Investigation of the Rates of Comorbid Symptoms in Children with ADHD Compared to Children with ASD. J Dev Phys Disabil 25, 405–417 (2013). https://doi.org/10.1007/s10882-012-9320-2

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