›› 2018, Vol. 36 ›› Issue (8): 621-.doi: 10.3969/j.issn.1000-3606.2018.08.014

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The behavior characteristics and executive functions of ADHD children with autistic traits

 JI Yiting1,3, FAN Yun3, ZHANG Ting3, FENG Wei3, SHU Yan3, CHEN Liangliang3, ZHU Tao3, LI Fei2,3, LIU Xin3   

  1. 1.Department of Developmental Behavioral Pediatrics, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China; 2.Child Health Care Department, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200029, China 3.MOE-Shanghai Key Laboratory of Children’s Environmental Health, Shanghai 200029, China
  • Received:2018-08-15 Online:2018-08-15 Published:2018-08-15

Abstract: Objective To assess behavior characteristics and social functioning of children with attention-deficit/ hyperactivity disorder (ADHD)-autistic traits (ATs) and ADHD control (without ATs), and to explore the associations between the executive functions and the impairments of behavior. Method A total of 175 ADHD children diagnosed in the Departmen of Behavior Pediatrics in Shanghai Children's Medical Center and Xinhua Hospital were selected and divided into ADHD with autism traits (ADHD-ATs) group (n=80) and ADHD without autism traits (ADHD) group (n=95) by the scores of social response scale. All participants completed IQ test and questionnaires such as SNAP-Ⅳ, Conners Parent Symptom Questionnaire and Behavior Rating Inventory of Executive Function.  Results  There was no significant difference between the two groups in age, gender and IQ (P>0.05). ADHD-ATs children behaved worse in hyperactivity/impulsive behavior (P<0.05), worse impaired in theory of mind than ADHD children (P<0.05). Further regression analysis found that the impact of cold and hot executive functions had a significant relationship with social behavior problems (behavior management index: β =-1.17, P <0.05, 95% CI: -2.00~-0.34; theory of mind (oral): β =0.72, P<0.05, 95% CI:0.51~0.93). Conclusions Children with ADHD-ATs had more serious symptoms than children with ADHD, and with impaired cold and hot executive functions.
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