Journal
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
Volume 39, Issue 7, Pages 976-985Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10803-009-0706-7
Keywords
Autism spectrum disorder; Autism; Attention-deficit hyperactivity disorder; Oppositional defiant disorder; Conduct disorder; Chronic multiple tic disorder
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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.
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