Cited by 413Autism Spectrum Disorder ResearchAttention Deficit Hyperactivity DisorderDevelopmental and Educational Neuropsychology

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The Comorbidity of Pervasive Developmental Disorder and Attention Deficit Hyperactivity Disorder: Results of a Retrospective Chart Review

Goldstein, Sam, Schwebach, Adam J.·2004·Journal of Autism and Developmental Disorders

DOI 10.1023/b:jadd.0000029554.46570.68

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Abstract

Objective To determine if a sample of children meeting diagnostic criteria for a Pervasive Developmental Disorder (PDD) display symptoms and impairment related to Attention Deficit Hyperactivity Disorder (ADHD) sufficient to warrant a comorbid diagnosis of ADHD. Further, do children with PDD displaying such symptoms demonstrate more impairment in daily life activities than those children only having PDD?Method A retrospective chart review was conducted on children (N = 57) diagnosed with the PDD's of Autism or PDD-Not Otherwise Specified (PDD-NOS), or ADHD. Comparative analysis of questionnaire and neuropsychological test data was completed to determine the severity of ADHD-like symptoms presenting among children with PDD.Results From the pool of subjects having PDD with sufficient data (N = 27), 7 or 26% met DSM-IV criteria for the combined type of ADHD. Nine or 33% met diagnostic criteria for the Inattentive Type of ADHD and 11 or 41% did not demonstrate a significant number of ADHD symptoms to warrant a comorbid diagnosis of ADHD. Results indicate that a subgroup of children with PDD displaying significant ADHD-like symptoms may in fact have ADHD thus warranting a comorbid diagnosis of ADHD. Current data did not suggest children with PDD and the combined type of ADHD demonstrated significantly more impairment in daily life functioning than those children only having PDD. However, this appeared likely the result of small sample size. The data, however, does indicate such children experience more difficulties in daily situations as rated by parents and teachers.Conclusion These findings reinforce clinical observations indicating that some children with PDD may also experience an independent comorbid condition of ADHD, suggesting that a comorbid diagnosis of ADHD with PDD be considered in such cases. If further findings are replicated, the current exclusionary DSM-IV-TR criteria of making such a comorbid diagnosis should be re-considered.

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Authors: Goldstein, S., & Schwebach, A. J.
Affiliations: University of Utah (US)
Corresponding author: Goldstein, Sam
ORCID: Goldstein, Sam
Venue: Journal of Autism and Developmental Disorders
Publisher: Springer Science and Business Media LLC
Published: 2004-06
Volume: 34
Issue: 3
Pages: 329-339
ISSN: 0162-3257 (ISSN-L)
1573-3432
DOI: 10.1023/b:jadd.0000029554.46570.68
OpenAlex: W1968626581
Cited by: 412
References: 26
Citations by year: 2026: 3 · 2025: 6 · 2024: 5 · 2023: 11 · 2022: 7 · 2021: 11 · 2020: 17 · 2019: 16 · 2018: 12 · 2017: 19 · 2016: 14 · 2015: 23 · 2014: 30 · 2013: 34 · 2012: 32
FWCI: 8.03
Type: journal article
Language: en
Open access: closed
Licence: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
Locations: Journal of Autism and Developmental Disorders (publishedVersion)
PubMed (publishedVersion)
Funders: University of Utah
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
Keywords: pervasive developmental disorders, autism spectrum disorder, attention deficit hyperactivity disorder, comorbidities, ADHD diagnosis, DSM-IV diagnostic criteria, inattentive type ADHD, combined type ADHD, children
MeSH terms: Attention Deficit Disorder with Hyperactivity, Child, Child Development Disorders, Pervasive, Child, Preschool, Diagnosis, Differential, Female, Humans, Male, Retrospective Studies, Severity of Illness Index, Comorbidity, Diagnostic and Statistical Manual of Mental Disorders

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The Comorbidity of Pervasive Developmental Disorder and Attention Deficit Hyperactivity Disorder: Results of a Retrospective Chart Review

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