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

  • FAN Yun ,
  • ZHANG Ting ,
  • FENG Wei ,
  • SHU Yan ,
  • LIU Xin ,
  • CHEN Liangliang ,
  •  JI Yiting ,
  • ZHU Tao ,
  • LI Fei
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  • 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 date: 2018-08-15

  Online 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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Cite this article

FAN Yun , ZHANG Ting , FENG Wei , SHU Yan , LIU Xin , CHEN Liangliang ,  JI Yiting , ZHU Tao , LI Fei . The behavior characteristics and executive functions of ADHD children with autistic traits[J]. Journal of Clinical Pediatrics, 2018 , 36(8) : 621 . DOI: 10.3969/j.issn.1000-3606.2018.08.014

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