This study characterized the rates of rates of attention-deficit/hyperactivity disorder (ADHD) in adolescent and young adult males with fragile X syndrome (FXS) using a multi-method approach integrating a DSM-based parent interview (Children’s Interview for Psychiatric Syndromes; P-ChIPS, Fristad et al., 1998) and a parent rating scale (Child Behavior Checklist; CBCL, Achenbach, 2001). Thirty-one males with FXS, aged 16-24 years, participated. Forty-two percent met DSM-5 criteria for ADHD and 35% exceeded the CBCL cut-offs. Agreement between the two classification methods was fair (κ=0.38). Autism symptom severity and nonverbal cognitive ability did not predict ADHD diagnoses/symptoms. Results show high rates of ADHD in males with FXS during late adolescence and young adulthood, which are not accounted for by impaired nonverbal cognitive skills or autism symptom severity. DSM-based ADHD-specific scales are recommended over broadband symptom scales to improve accurate identification.
Digital Object Identifier (DOI)
Postprint version. Published in American Journal on Intellectual and Developmental Disabilities, Volume 127, Issue 3, 2022, pages 213-230.
© AAIDD, 2022
Klusek, J., O'Connor, S., Hickey, A., Hills, K., Abbeduto, L., & Roberts, J. (2022). Attention/Deficit Hyperactivity Disorder in Adolescent and Young Adult Males With Fragile X Syndrome. American Journal On Intellectual And Developmental Disabilities, 127(3), 213-230. https://doi.org/10.1352/1944-7558-127.3.213