Timing of the Diagnoses of Attention Deficit Hyperactivity Disorder and Autism Spectrum Disorder in Taiwan

Han-Ting Wei; Ju-Wei Hsu; Kai-Lin Huang; Ya-Mei Bai; Tung-Ping Su; Cheng-Ta Li; Wei-Chen Lin; Shih-Jen Tsai; Tai-Long Pan; Tzeng-Ji Chen; Mu-Hong Chen

doi:10.1007/s10803-018-3655-1

Timing of the Diagnoses of Attention Deficit Hyperactivity Disorder and Autism Spectrum Disorder in Taiwan

J Autism Dev Disord. 2021 Mar;51(3):790-797. doi: 10.1007/s10803-018-3655-1.

Authors

Han-Ting Wei^{1

2}, Ju-Wei Hsu^{3

4}, Kai-Lin Huang^{5

1}, Ya-Mei Bai^{5

1}, Tung-Ping Su^{5

1

6}, Cheng-Ta Li^{5

1}, Wei-Chen Lin^{5

1}, Shih-Jen Tsai^{5

1}, Tai-Long Pan^{7

8

9}, Tzeng-Ji Chen^{10

11}, Mu-Hong Chen^{12

13}

Affiliations

¹ Department of Psychiatry, College of Medicine, National Yang-Ming University, Taipei, Taiwan.
² Branch of Linsen, Chinese Medicine, and Kunming, Taipei City Hospital, Taipei, Taiwan.
³ Department of Psychiatry, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Sec. 2, 11217, Taipei, Taiwan. jwhsu@vghtpe.gov.tw.
⁴ Department of Psychiatry, College of Medicine, National Yang-Ming University, Taipei, Taiwan. jwhsu@vghtpe.gov.tw.
⁵ Department of Psychiatry, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Sec. 2, 11217, Taipei, Taiwan.
⁶ Department of Psychiatry, General Cheng Hsin Hospital, Taipei, Taiwan.
⁷ School of Traditional Chinese Medicine, Chang Gung University, Taoyuan, Taiwan.
⁸ Research Center for Industry of Human Ecology, Chang Gung University of Science and Technology, Taoyuan, Taiwan.
⁹ Liver Research Center, Division of Hepatology, Department of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
¹⁰ Department of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
¹¹ Institute of Hospital and Health Care Administration, National Yang-Ming University, Taipei, Taiwan.
¹² Department of Psychiatry, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Sec. 2, 11217, Taipei, Taiwan. kremer7119@gmail.com.
¹³ Department of Psychiatry, College of Medicine, National Yang-Ming University, Taipei, Taiwan. kremer7119@gmail.com.

PMID: 29982895
DOI: 10.1007/s10803-018-3655-1

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.

Keywords: ADHD; ASD; Delayed diagnosis; Timing of the diagnosis.

MeSH terms

Adolescent
Attention Deficit Disorder with Hyperactivity / diagnosis*
Attention Deficit Disorder with Hyperactivity / epidemiology
Autism Spectrum Disorder / diagnosis*
Autism Spectrum Disorder / epidemiology
Child
Comorbidity
Female
Humans
Male
Taiwan / epidemiology