Abstract
ADHD comorbidity has been associated with delayed diagnosis of ASD, but no study has investigated this association in an Asian country. Children with ASD were included and divided into three groups: ADHD before ASD, ADHD same/after ASD, and ASD only. Timing of ASD and ADHD diagnoses were assessed. The logistic regression model was performed to investigate the likelihood of being diagnosed with ASD after 6 years of age between three groups. ADHD before ASD (OR 10.93) group was more likely to being diagnosed with ASD after 6 years of age compared with ADHD same/after ASD (OR: 1.37) and ASD only groups. ADHD comorbidity would delay the diagnosis of ASD in the general clinical settings in Taiwan.
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Acknowledgments
We thank Mr I-Fan Hu for his friendship and support.
Funding
The study was supported by Grant from Taipei Veterans General Hospital (V103E10-001, V104E10-002, V105E10-001-MY2-1, V105A-049, V106B-020, V107B-010, V107C-181). The funding source had no role in any process of our study.
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HTW, JWH, and MHC designed the study, performed the analysis, wrote the protocol and manuscripts; KLH, YMB, TPS, CTL, WCL, SJT, and TLP assisted with the preparation and proof-reading of the manuscript; YMB, TJC, and MHC provided the advices on statistical analysis.
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All authors have no financial relationships and conflict of interest relevant to this article to disclose.
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This study was based on Taiwan National Health Insurance Research Database. Individual medical records included in the NHIRD are anonymous to protect personal privacy. Taipei Veterans General Hospital Institutional Review Board permitted this study.
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Wei, HT., Hsu, JW., Huang, KL. et al. Timing of the Diagnoses of Attention Deficit Hyperactivity Disorder and Autism Spectrum Disorder in Taiwan. J Autism Dev Disord 51, 790–797 (2021). https://doi.org/10.1007/s10803-018-3655-1
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DOI: https://doi.org/10.1007/s10803-018-3655-1