Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
권호 표지
DOI QR코드

DOI QR Code

Characteristics of Language Profiles for Children with Autism Spectrum Disorder Depending on the Coexistence of Attention-Deficit Hyperactivity Disorder

  • Yang, Ji Sun (Department of Psychiatry and Myunggok Medical Research Institute, Konyang University College of Medicine) ;
  • Song, Seung Ha (Department of Communication Disorders, Ewha Woman's University) ;
  • Song, Dong Ho (Division of Child and Adolescent Psychiatry, Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine) ;
  • Lee, Sang Min (Department of Psychiatry and Myunggok Medical Research Institute, Konyang University College of Medicine) ;
  • Kim, Seung Jun (Department of Psychiatry and Myunggok Medical Research Institute, Konyang University College of Medicine) ;
  • Kim, Ji Woong (Department of Psychiatry and Myunggok Medical Research Institute, Konyang University College of Medicine) ;
  • Lim, Chae Hong (Yonsei Bom Psychiatry Clinic) ;
  • Lee, Seul Bi (Department of Psychiatry, National Health Institute Service Ilsan Hospital) ;
  • Im, Woo Young (Department of Psychiatry and Myunggok Medical Research Institute, Konyang University College of Medicine) ;
  • Cheon, Keun-Ah (Division of Child and Adolescent Psychiatry, Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine)
  • Received : 2016.07.29
  • Accepted : 2016.09.05
  • Published : 2016.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : The objective of this study was to investigate the characteristics of language profiles according to whether or not Korean children with autism spectrum disorder(ASD) also have ADHD, and to examine the relationship with executive function. Methods : Participants in the study were boys with ADHD aged 6 to 11 years who visited the clinic from January 2012 to December 2013. In this study, 25 boys with ASD were included, and completed scales included the Korean version of Autism Diagnostic Interview-Revised(K-ADI-R), Korean version of Autism Diagnostic Observation Schedule(K-ADOS), Korean ADHD Rating Scale(K-ARS), and Korean-Conners' Parent Rating Scale(K-CPRS). They also completed neuropsychological tests and assessed language profiles. Patients were categorized into two groups(with ADHD and without ADHD). T-test and Multivariate analysis of covariance (MANCOVA) was used for analysis. Results : Statistically, no difference was found in receptive and expressive language ability between the ASD groups with and without ADHD. However, a lower score in Test of Problem solving(TOPS) was observed for ASD with ADHD than for ASD without ADHD, with problem solving and finding cues showing significant differences. Conclusions : These findings suggest that language profiles in the ASD group without ADHD could be similar to those in the ASD group with ADHD, but comorbid ADHD could lead to more difficulty in linguistic ability for problem solving and could be related with executive function of the frontal lobe.

Keywords

References

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, DSM 5. Washington, DC: American Psychiatric Association;2013.
  2. Benjamin JS, Virginia AS, Pedro R. Kaplan & sadock's synopsis of psychiatry behavioral sciences/clinical psychiatry (11th Ed). Philladelpia: Wolters kluwer;2014.
  3. Volkmar FR, Lord C, Bailey A, Schulz RT, Klin A. Autism and pervasive developmental disorders. J Child Psychol Psychiatry 2004;45:135-170. https://doi.org/10.1046/j.0021-9630.2003.00317.x
  4. Volkmar FR. Autism and the pervasive developmental disorders. In: Lewis M, Baltimore, William & Wilkins, editors. Lewis's Child and Adolescent psychiatry(4th Ed). Philladelpia: Wolters kluwer;2007.
  5. Folstein SE, Rosen SB. Genetics of autism: complex a etiology for a heterogeneous disorder. Nat Rev Genet 2001;2:943-955. https://doi.org/10.1038/35103559
  6. Rimland B. Infantile autism: the syndrome and its implication for a natural theory of behavior. New York: Appleton-Century Crofts;1997.
  7. Piven J. The biological basis of autism. Curr Opin Neurobiol 1997;7:708-712. https://doi.org/10.1016/S0959-4388(97)80093-1
  8. Stokstad E. Development: New hints into the biological basis of autism. Science 2001;294:34-37. https://doi.org/10.1126/science.294.5540.34
  9. Ornitz EM, Ritvo ER. The syndrome of autism: a critical review. Am J Psychiatry 1976;133:609-621. https://doi.org/10.1176/ajp.133.6.609
  10. Demyer MK. Research in infantile autism: a strategy and its results. Biol Psychiatry 1975;10:433-452.
  11. Weiland IH. Development of psychotic children and their siblings. Develop Med Child Neurol 1964;8:552-560.
  12. Mahler MS. On early infantile psychoses: the symbiotic and autistic syndromes. J Am Acad Child Psychiatry 1965;4:554-568. https://doi.org/10.1016/S0002-7138(09)62158-0
  13. Smalley SL. Genetic influences in autism. Psychiatr Clin North Am 1991;14:125-139. https://doi.org/10.1016/S0193-953X(18)30329-0
  14. Smalley SL. Genetic influences in childhood onset psychiatric disorders: autism and attention-deficit/hyperactivity disorder. Am J Hum Genet 1997;60:1276-1282. https://doi.org/10.1086/515485
  15. Seol KI, Song SH, Kim KL, Oh ST, Kin YT, Im WY, Song DH, Cheion KA. A comparison of receptive-expressive language profiles between toddlers with autism spectrum disorder and developmental language delay. Yonsei Med J 2014;55:1721-1728. https://doi.org/10.3349/ymj.2014.55.6.1721
  16. Cho SJ, Kwak YS, Kang GM. A study on comorbid disorders and associated symptoms of pervasive developmental disorder children J Korean Acad Child Adolesc Psychiatry 1999;10:64-75.
  17. Comings DE, Comings BG. Clinical and genetic relationships between autism-pervasive developmental disorder and Tourette syndrome: A study of 19 cases. Am J Med Genet 1991;39:180-191. https://doi.org/10.1002/ajmg.1320390213
  18. Geurts HM, Embrechts M. Language profiles in ASD, SLI, and ADHD. J Autism Dev Disord 2008;38:1931-1943. https://doi.org/10.1007/s10803-008-0587-1
  19. Yoo H, Kwak Y. Korean version of Autism Diagnostic Observation Schedule(ADOS). Seoul: Hakjisa;2007.
  20. Yoo H. Korean version of Autism Diagnostic Interview-Revised(ADI-R). Seoul: Hakjisa;2007.
  21. Bahn GH, Shin MS, Cho SC, Hong KE. A preliminary study for the development of the assessment scale for ADHD in adolescents : reliability and validity for CASS. J Korean Acad Child Adolesc Psychiatry 2001;12:218-224.
  22. Park EH, So YK, Kim YS, Choi NK, Kim SJ, Noh JS, Ko YJ, Kim YS. The reliability and validity of Korean-Conners' parent and teacher rating scale. J Korean Acad Child Adolesc Psychiatry 2002;14:183-196.
  23. Bae SW, Im SS, Lee JH. Test of Problem solving(TOPS). Seoul: Seoul Community Rehabilitation Center;2000.
  24. Bae SW, Im SS, Lee JH, Jang HS. Korean Oral Syntax Expression Comprehension Test(KOSECT). Seoul: Seoul Community Rehabilitation Center;2004.
  25. Min JW, Lee WH, Hong MH, Bahn GH. A pilot studty of the usefulness of intelligence test in assessment of attentiondeficit hyperactivity disorder. J Korean Acad Child Adolesc Psychiatry 2012;23:196-203. https://doi.org/10.5765/jkacap.2012.23.4.196
  26. Assesmany A, McIntosh DE, Phelps L, Rizza MG. Discriminant validity of the WISC-III with children classified with ADHD. J Psychoeduc Assess 2001;19:137-147. https://doi.org/10.1177/073428290101900203
  27. Hong KE. Korean textbook of child psychiatry. Korea: Hakjisa;2014.
  28. Kim KW, Jo SJ, Kim WS. Research trends in reading skills of children with autism spectrum disorder. J Spec Educ 2015;16:307-330.
  29. Asberg J, Dahlgren SO, Sandberg AD. Basic reading skills in high-functioning Swedish children with autism spectrum disorders or attention disorder. Res Autism Spectr Disord 2008;2:95-109. https://doi.org/10.1016/j.rasd.2007.03.006
  30. Lee MJ, Ahn SW, Kim HJ, Seo YK. Brain science approach of childhood disorder; reading disability, ADHD and autism. J Spec Educ 2007;8:153-172.
  31. Filipek, PA. Neuroimaging in the developmental disorders: The state of the science. J Child Psychol Psychiatry 1999;40:113-128. https://doi.org/10.1111/1469-7610.00426
  32. Casey BJ, Castellanos FX, Giedd JN, Marsh WL, Hamburger SD, Schubert AB, Vauss YC, Vaituzis AC, Dickstein DP, Sarfatti SE, Rapoport JL. Implication of right frontostriatal circuitry in response inhibition and attention deficit-hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 1997;36:374-383. https://doi.org/10.1097/00004583-199703000-00016