The relationship between autism spectrum disorders and attention-deficit/hyperactivity disorder: an overview.
L et al. (2013) gives you the back-story on ASD-ADHD overlap, but you need later papers for real-world drug and physiology guidance.
01Research in Context
What this study did
Matson et al. (2013) wrote a story-style review. They pulled together old papers that talk about kids who have both autism and ADHD.
The paper does not give new data. It only sums up what others already found.
What they found
The review says autism and ADHD often show up in the same child. It lists traits that overlap, like trouble sitting still and shifting attention.
No numbers or trials are given. The paper is a map, not a test.
How this fits with other research
Patra et al. (2019) zooms in on one drug. Their meta-analysis shows atomoxetine can mildly cut parent-rated hyperactivity in autistic kids with ADHD, but it also ups stomach pain and sleep loss. Matson et al. (2013) never named atomoxetine, so the newer paper adds a tool you can actually use.
Perez et al. (2015) checked hearts and reaction times. They found no heart-score gap between ASD+ADHD teens and ADHD-only teens, and stimulants helped speed equally in both groups. This extends Matson et al. (2013) by giving real physiology data that says the two diagnoses do not split cleanly on heart reactivity.
Murphy (1982) warned that stimulants often flop in autism. That view seems to clash with Perez et al. (2015), but the gap is about age and design. G relied on early case reports in kids with severe autism, while M used teen lab tasks. The field has simply moved on: teens with ASD+ADHD can respond to stimulants, but you still need to watch younger or more impaired children.
Why it matters
You now know the overlap is common, but the 2013 paper alone will not tell you what to do. Pair it with Patra et al. (2019) when parents ask about non-stimulant meds, and remember Perez et al. (2015) if heart worries block stimulant trials. Start with the broad map, then pick the later tool that fits your client’s age and profile.
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02At a glance
03Original abstract
The autism spectrum has become a highly studied topic, perhaps the most researched of all developmental disorders. A host of related topics are being studied, with one of the most common being comorbidity of autism with other conditions such as epilepsy, sleep, and anxiety disorders. One of the most prevalent of these comorbid conditions is attention-deficit/hyperactivity disorder (AD/HD). A considerable amount of research has appeared on this topic with respect to symptom expression, prevalence of overlap, type of symptom overlap, and the effect of these two conditions co-occurrence on other symptoms and disorders. Given the substantial data base that has accrued, review and synthesis of these data are in order. This is the purpose of the present manuscript.
Research in developmental disabilities, 2013 · doi:10.1016/j.ridd.2013.05.021