ڋ็୰ᚠᠦտຨᘞޟࢅᏽȈݧཎΨીഞ!
ႆଢ଼ᇄٳղਿޟШၶ!
ሁড়ฦ!
ᇃѕѿҳఀىσᏰЖ౩ᇄᒚ୦Ᏸفఀ௲!ጾכჿ!
ᇃѕѿҳఀىσᏰЖ౩ᇄᒚ୦Ᏸفंـօ౩!؇ҝᆊ!
ᇃԊᚂᖝחЖ౩ৱȃᇃѕѿҳఀىσᏰЖ౩ᇄᒚ୦Ᏸفঙӈᖿৱ! ҏМᕕுऋོȞOTD:6.3524.I.293.113.NZ3ȂOTD:8.3521.I.244.122.!NZ3ȟंـ ငາЛࡻȄ!Ȫᄢ! ौȫ!
! ! ٥ථդੱᆶݙཀΚલഐၸੱԖӭ࣬՟ޑቻǴӵǺΓሞ֚ᜤǵݙཀΚ ୢᚒǵჹҥՉࣁǵᆣୢᚒᆶᏢਠᔈ֚ᜤǴ೭٤࣬՟ೀ٬ளᖏπբޣόܰ բр᠘ձບᘐǴࣗԿӢԜᇤບ܈ࢂۯᇤݯᕍǶҁЎޑЬाҞޑӧӣ៝Ԗᜢ٥ථ դੱᆶݙཀΚલഐၸੱ᠘ձບᘐϐ࣬ᜢЎǴ၂კᙶమԜᚒǴ٠ჹࣴزᆶ ჴ୍πբޣගрࡌǶ ᜢᗖຒǺٽูୢᚒǵݙཀΚલഐၸੱǵ٥ථդੱǵ᠘ձບᘐ!൦ȃࠉِ!
! ! ݧཎΨϚϛȃፐଢ଼ȃৠܾҡȃΡሬ ᜰ߽৯ȃৠܾଔތஈȃҩҬȃϚᔗுᄆِᢎ Փȃ࡞ᜲᒊΣღᡝȌȂኺޟࡆυџෆю ౪ӵձޟ٘ܖ፞ஆΰȂᇳζϚ᠙Ȃᆓζᆓ Ϛଢ଼ȂᡱΡϚᛄᅸȈȶтϚႆଢ଼ ڋȉȷȄڏᄂӵרঈಁϛࣼڗޟխ࣏ߒ ౪ȂधࡣᗴᙠޟџӨᆍϚӣޟ౩Ȃष ЅԞᚄ఼୰ᚠϠғጂຨᘞȂଶΟڞօ ᖝחώհޱஈࡣ៉ޟݽᕛܖᕛىॎหȂһ ቨё็ޟՌרᕣ၌ᇄઽȂᏰಬҢՌ Ϗޟᓺ༖پᔔ၄ܖՌϏޟϚٗȂᗗջᎴ ԙϚ࿋ޟфᓻ࣏ȇӣਢȂζᡱ็ں ൜ޟড়ΡЅৱߝȃӣᏰ้ȂΟ၌тঈޟሯ ؑЅ֨ᜲȂоඪټӫۣޟڞօȄ! ! ΙૡܚᒝޟɆႆଢ଼ڋɇȂғԒޟᚂᏰຨ ᘞӪᆎ࣏ȶݧཎΨીഞႆଢ଼ȷȞAttention Deficit/Hyperactivity Disorder Ȃ о ή ᙏ ᆎ ADHDȟȄкौޟ୰ᚠߒ౪ӵέএቹ७Ȉݧ ཎΨϚيȃࣀଢ଼໔ႆӻȃ࣏ፐଢ଼ȄМᝦϛ ࡾ ю ݧ ཎ Ψ ી ഞ ႆ ଢ଼ ᇄ ٳ ղ ਿ ȞAsperger’s DisorderȂоήᙏᆎ AspDȟϞ Ԥ೨ӻࣺխޟ੫ȂԃȈΡሬ֨ᜲȃݧཎ Ψ୰ᚠȃᄇҳ࣏ȃᆱ୰ᚠᇄᏰਮᎌᔖ֨ ᜲ้ȞClark, Feehan, Tinline, & Vostanis,1999; Ghaziuddin, Weidmer-Mikhail, & Ghaziuddin 1998; Goldstein & Schwebach, 2004; Lee & Ousley, 2006; Perry, 1998; Yoshida & Uchiyama, 2004; ጾכჿȂ2009ȟȄ๋ޱӵᖝ חώհϛһᢎᄆڗȂ೨ӻӰ࣏ݧཎΨܖΡ ሬϣଢ଼୰ᚠࠉپؑຨЅڧຟեޟএਰ ϛȂԤ೨ӻٮϚસޟ ADHD ޱȂтঈ ζӣਢբᓍԤᄆឈᇄᒱᜋΡሬጣષޟ֨ ᜲȂၶฒݲમӵтΡޟᢎᘈپࡦՃȂᆱኸ ଔኸဣȂھஈܻ੫ۡޟᑹ፸ܖ༞ԁȂፙၗல ࠁ३ܻ࢚এ੫ۡкᚠΰȂᇄΡᄇፙޟѽԤ ३้୰ᚠȄ܁܁ӵငႆ໌Ι؏ޟຟեࡣȂ ี౪тঈಒӫ AspD ޟຨᘞȄ ! ! ߖԑپѴϐԤϚЍԤᜰ ADHD ᇄ AspD ᠦտຨᘞޟंـൢ֙ച៉ีߒȂϱ ᏰޱһۖЙଆԪΙڎԤᏰᇄᄂ १ौܒޟដᚠȄҏМၐყоМᝦӱޟП ԒȂᖝחᇄंـൢ֙ϛԤᜰ ADHD ᇄ AspD ޱӵ࣏੫ΰޟӣϞёоᐌ ౩ȂהఖᙤԪඪЀσಀᄇԪដᚠϞᕣ၌ᇄ १ຜȄ
ຯȃᖝחຨᘞྥ!
! ! Ҭࠉᖝחΰᄇڋ็ᆠડ໌ຨᘞ кौ௴ҢሬϷΪގȞICD-10; WHO, 1992ȟЅᆠડຨᘞᇄಛॎЙы Ѳގ८ཱིގȞDSM-IV-TR; APA, 2000ȟϛ ޟຨᘞྥȄҏМਲ਼ᐃ DSM-IV-TR ຨᘞف ಛȂϷտବᄇ ADHD ᇄ AspD ޟкौޑȃ ౾ᇄႱࡣᇳ݂ԃήȄ ȞΙȟݧཎΨીഞႆଢ଼! ! ! DSM-IV-TR ADHD ᘪ࣏ݧཎΨી ѶЅؚນܒ࣏ȞAttention- Deficit and Disruptive Behavior DisordersȟޟΙᆍȂӖ юޟ ADHD ᖝחߒ౪ѓࢂоήέএቹ७Ȉ ݧཎΨϚϛȃࣀଢ଼໔ႆӻȃ࣏ፐଢ଼Ȅ 1. ݧཎΨϚϛ ! ! ฒݲϛݧཎΨўׇԙΙӇώհܖၽ ᔛȇѴࣨΙԤϧቄᖐॱܖږᐭȂΰ൷ೝᙽ ಋȇᇄтঈ७ᄇ७ᖿၗਢȂலᡱΡԤΙᆍཐ ឈȶтԁٮؠԤӵ᠙Ȅȷᗶณζџоᇄӣ ԑឭޟω݉ЄΙଔޖȂծσӻөଢ଼ᄘܒޟ ၽᔛȂՄиலོўϓᘙтΡٺၽᔛؠԤᒲݲ ៉Ȃᄇܻᓗᄘޟၽᔛࠌ܁܁ฒݲׇԙȂୈ ђ፞ܖၽᔛਢШၶϚݧཎڗಠܖலӰ ಗЖσཎՄୈᒿȂՄиϚᓞୈڗȂᄇ ܻሯौࡻδϛᆠડޟٱȂԃୈհཾȂོଠ ᗗܖܢ๘ўୈȇώհܖࣀଢ଼ܚሯޟݍՙȂϚ ޣܹӵ٥၇Ȃᝒ१ޟࣥՍؐЈலೣޟٱζ ོןȄ 2. ࣀଢ଼໔ႆӻ ! ! ӵᏰឭࠉȂσഋӋޟΡᄇтঈޟຟᇭӻȶࣀዑԁଢ଼ȷȂȶ፡ҪೖȷȄலலࣼڗ ޟؠԤᒲݲԁԁӴֲӵාυΰȂϚଢ଼Й ଢ଼ယȂׯଢ଼٘ᡝȂ൷ֲҳϚԊȂΰ፞ਢᚔ ৴՝ȄເپເўȂၰΰၰήȇᓗϚήپȂ ࡞ᜲٱᓗᄘࣀଢ଼ȂԤޟၗ࡞ӻȂலብብ൏ ൏ᖿএϚୄȄ 3. ࣏ፐଢ଼ ! ! ܁܁ᗙҐ᠙ׇ୰ᚠ൷ӱ๎Ȃல҈ᘞտΡ ޟፙၗܖࣀଢ଼ȂϚٯٯӴ௶้ঐȄएณ юЙΡȂҐငтΡӣཎȂՌڥтΡސ ࠢȂϚᆓ֏ӠᓎȂтདୈ൷ୈȄ ! ! ϚؐΙ՝ႆଢ଼ڋԤоΰܚԤ ޑȄԤٲࡆυޟߒ౪оݧཎΨϚϛ࣏кȂ Ԥٲࠌоࣀଢ଼໔ӻЅፐଢ଼࣏кȂԤٲࠌ ӣਢӫځоΰέᆍ੫ܒȄٲޑӵΜྑϞ ࠉȂ൷ϐԆӵȂՄиலЕีᇯޣᏰಬȃΡሬ ϣଢ଼ȃ࣏ᇄᆱΰޟ୰ᚠȂӰՄॊҡюᏰ ਮᇄҡࣀᎌᔖޟ֨ᜲȞBarkley, 2006ȟȄ ! ! ӵҬࠉҡސᆠડᚂᏰีήȂϐငԤٲ ᜌᐃᡗҰ ADHD σသޟಠཌђФٹޟ ๖ݎȂ੫տӵσသࠉဨഋӋȄԤџӑ ЈܖࡣЈӰશഅԙȄӰ࣏ᆍᡐӵҡϽҡ ౩ޟϷυቹ७ȂܚоသݰܖႫသᘞቹᔮࢥ ฒݲጂϸᔮกюپȂᖝחຨᘞкौҥடཾΡ ষٷᐃএਰϞѬȃᖝחߒЅ࣏ߒ౪پ ጂۡȄ ! ! DSM-IV-TR ࡾюᏰឭڋ็ޟ ADHD ౾ ࣏ 3~7ʦȂظτШघ࣏ 4Ȉ1 ڗ 9Ȉ1Ȅ ϱंـࠌี౪ȂᇃᢊӴୢ ADHD ౾ घ࣏ 7~12%Ȟቓס้ΡȂ2006ȟȄԤٲ ڋ็ڗΟߧЍԑਢȂޑོጥ၌Ȃծϫघ Ԥ 70~80%ޟߧЍԑࡻ៉ю౪ ADHD ޟࣺ ᜰ ޑ ᇄ ࣏ Ȟ Barkley, 2000/2002 ȟ Ȃ 25~55%ࣥՍџю౪Іޥོܒ࣏ܖࠢ ȞЕՌ Barkley, 2006ȟȄ50~65ʦADHD ޱޟޑོࡻ៉ՍԙԑȂѫԤ 10~20ʦ ޟ এ ਰ ོ ׇ Ӓ ؠ Ԥ ޑ Ȟ Barkley, 2000/2002ȟȄଡᙹंـี౪Ȃ30ʦADHD ޱڗԙԑਢȂᎌᔖђ࡞ԁȂघ 50~60 ʦADHD ޱӵԙԑϫࡻ៉֕౪Ϛட Жȃፐଢ଼ޟ୰ᚠȂघԤ 10~15ʦӵԙԑԤ ᆠડ֨ᘙܖІޥོ࣏ȞYoung, 2000ȟȄ ! ! ΙૡՄِȂԃݎϚငႆݽᕛܖ੫տ ౩ȂADHD এਰӰ࣏ݧཎΨϚܾϛȃ ࣏ፐଢ଼ȃࣀଢ଼໔ଽ้੫፴Ȃٺுтঈӵԙߝ ႆแϛȂฒ፣ӵ፞ཾᏰಬܖΡሬᜰ߽П७ Шၶৠܾഅԙ୰ᚠȂٽԃȈԙᕼߒ౪Ϛ౩ དȇΡሬᜰ߽ϚԁȂܾڧӣᏔ௶ᔠȇਢலᎏ ڗЮҔܖՂৱጪȂીмՌ߬ȇӫځ៉ีޟ ᒑυᜰ߽ȃᏰਮЅޥོᎌᔖϚيȃᏰಬራ ᛤȃЅᆱ୰ᚠ้Ȅ ȞΠȟٳղਿ! ! ! DSM-IV-TR AspD ᘪ࣏ᇄՌഖ ӣ Ι ޟ ኄ ݿ ܒ ี Ȟ Pervasive Developmental Disorders ȟ ޟ Ι ᆍ Ȃ ᄇ ܻ AspD ޟᖝחߒ౪ජक़ѓࢂޥོϣଢ଼ࠢ፴ ৯Ȃࠁ३Մ१ፒړݖޟ࣏ȃᑹ፸Ѕࣀଢ଼ ԒȄ! 1. ޥོϣଢ଼ࠢ፴৯! ! ! ᇄΡϣଢ଼ਢȂலಁડឝಋȂຜጣញ ৯ȂᄇтΡᆱᒱᜋ৯ȂலฒݲΟ၌тΡߨ ᇭِଉȞ٘ᡝ࠼༖ȃЙ༖ܖᇳၗޟᇭ้ȟ ޟཎဎȂᡗு࡞ȶҩҬȷȂᄇܻտΡܚᇳޟ
ၗலѫ౩၌ԅ७ޟཎࡦȂலװտΡᇳޟޖ રၗܖၗ࿋ઍȇڷтঈޟϣଢ଼ϛலឈு܄ ԪޟᆱؠԤҺࢺޟȂΡሬϣଢ଼ѽᡗு ҂ȃϚԙዣȂтঈᇄၶԑ҂ޱܖၶԑߝޱ ޟϣଢ଼ІইШӣᏔԁȄڷΡޟϣଢ଼லѫࠁ ३ܻՌϏԤᑹ፸ޟٱސȂٽԃȈтঈџོ ΙޢᇳএϚୄȂѫፙՌϏདᇳܖଜޟٱ ȂฒݲܖϚў౩ོᄇПޟཐڧȂζҐՃ໔ ᄇၗਢΙپΙ܁ޟೣࠌȄ 2. ࠁ३Մ१ፒړݖޟ࣏ȃᑹ፸Ѕࣀଢ଼Ԓ! ! ! ӵРலҡࣀޟࣀଢ଼ܖ࣏ΰࣺ࿋ړݖ ՄھۡȂٽԃȈࣀଢ଼ޟਢᇄϱৠΙԙϚ ᡐȃીмኆܒȂΙҍԤܚᡐଢ଼ོᜲоڧܖ Ԥ੨ޟᆱІᔖȇтঈᄇܻՌϏଜޟٱ ސலོݧσ໔ޟਢȃᆠΨᢣंڏϛȂܚ ଜޟٱސζ܁܁ܻӣᏔȂٽԃȈЬٙ ဴȃਢړߒȃ௦ၼၯጣყ้ȄԤਢζོᢎᄆ ڗтঈԤٲՄ१ፒޟ٘ᡝଢ଼հȂȈ ܯיήБȃརਓُ้ȇӵଢ଼հΰȂζலོ ᡱΡឈுтঈၶ࣏ಏܭՄಗᏇޟȄӵޖޖ ڎܖᢎᄆݍՙਢȂтঈலོ܇ΟސӇޟђ ȂՄѫடݧӵ࢚এഋ՝ܖႭӇΰȂٽԃȈ ػᙽଢ଼ޟٙᎈȂᐠడԒӴ௶ӖᑖУ้Ȅ ! ! ᜰܻ AspD ޟӰȂҬࠉۦҐׇӒΟ ၌ȂџޟনӰѓࢂՓᡝܖஅӰޟலȂ ડငفಛޟཬ༌ȞԃȈωသȃጢفಛȟܖ ડင༈Ᏺސ፴ϷݪѶ࿋ȞԃȈӻБₕᇄՖ఼ શலȟȂӵড়ఊԙষζலَོڗխ ޑю౪Ȃ೨ӻंـөஅӰ୰ᚠ໌Ȃծᕗ ცӰυޟኇζϚৠω㐀Ȅ ! ! оΰޑٮߨؐΙོӵএਰޟҡ ࣀϛᢎᄆڗȂؐ՝এਰζϚོԤࣺӣޟ ޑߒ౪ȄΙૡՄِȂӵӱྗএਰޟีᐣแ ЅᏰಬငᡛਢȂඁнϚོี౪݂ᡗဣࡣޟޑ ݷȂծᓍԙߝȂޑளپޟኇംᅚᡗ ౪ȂٽԃȈӵΡሬϣଢ଼ΰȂтঈৠܾӰ࣏Ϛ ԙዣޟޥҺѽՄೝӣᏔቛરܖ௶Ҍȇ ޟِᖞХலЕΡҬȇᐭ੨Մᛖีܒޟ ᆱᡐϽலٺσড়ཱՄሉϞȄӵᏰಬΰȂтঈ ོݧཎΨѫܹӵՌϏԤᑹ፸ޟٱސܖऋ ҬΰȂσ໔ޟਢȃᆠΨႆ࡙ݧܻএΡᑹ ፸џኇᏰཾߒ౪Ȅᓍԙߝтঈџം ᅚᄆឈՌϏᇄӣᏔޟϚӣȂՄю౪Ιٲф ᓻЅ፡ᎌޟ๊ȂٽԃȈ֏ᇯȃՌσȃϚ ࿋ޟҽȃІᔖܒܖၵڗՌϏޟད жࣨ၇ȞAttwood, 2007ȟȄ ! ! AspD এਰٮؠԤӈդ٘ᡝܖҡ౩ΰ ޟ੫џоୈ࣏րᘞޟྥࠌȂтঈғலޟᇯ ޣђζலོٺտΡᄇܻтঈޟޥҺѽ ܲࡻଽ࡙ޟȄ ! ! ӵᖝחΰȂAspD ৠܾᇄڏтڋ็ᆠ ડȂ೨ӻޱӵጂҳ࣏ AspD ຨᘞ ࠉȂෆငᐣႆޟޑݷџѓࢂȈӵᔉ҂ڋਢ ೝ ຨ ᘞ ࣏ Ռ ഖ Ȃ ܖ ӑ ࠉ ೝ ຨ ᘞ ࣏ ADHDȃᇭِራᛤȃଢ଼հራᛤȃᆱራᛤȃ ॵ ራ ᛤ ȃ ܖ ߨ ᇭ ِ ޟ Ᏸ ಬ ራ ᛤ ้ ȞAttwood, 2007ȟȂޱζོӰ࣏ຨᘞΰޟ ৯ȂՄೝࢊоϚӣޟݽᕛПਰȂޢڗጂᇯ ڏ AspD ޟຨᘞࡣȂϗବᄇڏ੫Ԥޟ֨ᜲ໌ ݽᕛȄԪѴȂҬࠉ AspD Ԇӵӻৈຨᘞྥ ࠌȂಀӻຨᘞྥࠌϞϣԤΙमᇄݢϞ ȂиӨຨᘞྥࠌᜲоᐌӫ࣏Ιএџೝӓӣ ᇯۡޟຨᘞفಛȞMayes, Calhoun, & Crites, 2001ȟȄ
! ! ंـࡾюȂAspD ޱޟຨᘞᐣแҁ֯ ᐣਢ 5.5 ԑȞHowlin & Asgharian, 1999ȟȂ ؑ ຨ ႆ Ѳ ڗ Ϥ ՝ Ϛ ӣ ޟ ᚂ ৱ Ѕ ட ড় Ȟ Goin-Kochel, Mackintosh, & Myers, 2006ȟȄAspD ޱலఏՍᏰឭϗШၶ џೝี౪ԤȂᗶณߖԑپ AspD ޟҁ֯ ຨ ᘞ ԑ ឭ ϐ 11 ྑ ം ᅚ ६ ڗ 6 ྑ ȞGoin-Kochel et al., 2006ȟȂծϫ࡞ᜲӵ໌ ΣωᏰࠉᑢᔮюپȂ೨ӻΡӵߧЍԑܖ ԙΡϗೝᄆឈȂиघԤ 50%ޟ AspD ޱ ӵԙԑϞࠉҐෆೝຟեȃຨᘞܖݽᕛႆ ȞKhouzam, El-Gabalawi, Pirwani, & Priest, 2004ȟȄ
! ! DSM-IV-TR ϛٮҐ݂ጂࡾю AspD ޟ ౾Ȃਲ਼ᐃߖԑپޟंـեॎȂAspD ౾ घϷϞ 2-4 ՍϷϞ 60 Ϛ้Ȃٮ Ԥംԑቨёޟᗍ༖ȞWing & Potter, 2002ȟȂ DSM-IV-TR ࡾюظτШघ࣏ 5Ȉ1Ȅଡᙹ ंـี౪ȂAspD ޑޟኇலོࡻ៉ತ ҡȇ։ٺؠԤᇯޣΨીཬܖԞᇭِี ᒶጥޟלȂAspD ޱӵ໌ΣߧЍԑЅ ԙԑࡣȂҡࣀᎌᔖϫϚ౩དȞKhouzam, et al., 2004ȟȄ50%ޟޱҡࣀՌ౩ΨЅӄ ҡࣀԊ௶ΨϚٹȂ95%Ԥޥོϣଢ଼֨ ᜲȄԪѴȂAspD ԙΡԤၶӻᆃ֨ᜲȃ फ़༊өȃڙΨϚٹ้୰ᚠȂघԤ 35% ོю౪ȃᚖྃܒཐڷफ़้ ᆠડȞЕՌ Khouzam et al. 2004ȟȄ ! ! ᆣ ӫ Մ ِ Ȃ ADHD ޟ ౾ ଽ ܻ AspDȂڍᆍ֯ظӻܻτȂтঈޟ ޑᇄ࣏੫ᄇܻএΡีᐣแޟኇσ ӻࡻ៉ತҡȂࣥՍԤٲޱџӣਢԤڏт ᆠડܖҡࣀᎌᔖΰޟ֨ᜲȄӰԪȂᄇ ޱҏ٘ᇄ٘லញޟΡȞٽԃȈড়Ρȃ ৱߝȃӣᏔȃк้ȟȂܚ७ᄇޟΙࢲᅞ ߝޟӰᔖᇄ፡ᎌᐣแȄ
ȃᠦտຨᘞޟ֨ᜲ!
! ! ҥоΰ DSM-IV-TR ޟຨᘞྥپࣼȂ AspD ᇄ ADHD ᔖᄠณϚӣޟڋ็ᆠ ડȂՄи DSM-IV-TR ϛ݂МೣۡȂष ޱ ϐ Ԥ ኄ ݿ ܒ ี Ȟ Pervasive Developmental DisorderȂоήᙏᆎ PDDȟ ޟຨᘞȂࠌϚӔϠ ADHD ޟຨᘞȂһ։ ष࢚ڋ็ϐೝຨᘞ࣏ AspDȂᄇܻܚю౪ޟ ݧཎΨЅႆଢ଼ޑȂϚϠ ADHD ޟຨ ᘞȄณՄȂӵᖝחΰ AspD ޱю౪݂ᡗ ADHD ޑޟݷٮϚЍَȂࣥՍԤٲ AspD ޱӵጂҳ AspD ຨᘞࠉȂෆೝຨᘞ ࣏ ADHDȞAttwood, 2007ȟȂџَԞᠦ տ AspD ᇄ ADHD ޟϚܾȄ ! ! ႆўШၶ AspD ᇄ ADHD ӣޟМᝦ σӻ AspDȃଽђՌഖȞHFAȟЅ Ґຝ݂Ϟ PDDȞPDD-NOSȟএਰઽ࣏ΙಢȂ ಛᆎ࣏ PDD ܖݿՌഖȞAutism Spectrum DisordersȂоήᙏᆎ ASDȟಢȄ੫տܣ༓ AspD এਰᐿԙಢȂᇄ ADHD ಢёоШၶ ޟंـϚӻȄӰԪȂҏМԪڍМᝦޟӱ Ϸտ֕౪ȄȞΙȟQEE ܖ BTE ᇄ BEIE ޟШၶ!
! ! Ԟӵ 1970-80 ԑфȂCampbell ้Ρᇄ Geller ้Ρࣺ߯ඪю ASD ޱӣਢζԤ ADHD ޑޟ౪ຫȞЕՌ Lee & Ousley,
2006ȟȄPerryȞ1998ȟࡾю PDD ᇄ ADHD ڎԤ೨ӻࣺխϞȂڏᖝחᢎᄆᇄंـ֯ี ౪ȂPDD ৠܾೝᇲຨ࣏ ADHDȂӰ࣏ڍᆍ џю౪ࣀଢ଼໔ЅݧཎΨޟ୰ᚠȂ࿋ ᖝחώհޱܖᚂৱ༊өܻႆ࡙ᜰݧ ADHD ϞޑᇄސݽᕛਢȂࠌৠܾ܇ PDD ޟ џܒȂӰՄᏲमᒿᇲܖϚᎌ࿋ޟݽᕛȄ Clark, Feehan, Tinline ᇄ VostanisȞ1999ȟо ՌഖྥᔮਯߒᑢᔮؑຨএਰȂี౪ӵ 78 Ӫಒӫ ADHD ຨᘞྥޟএਰϛȂघԤ 65~80%ೝЮҔൢ֙юԤޥҺЅྜΰޟ֨ ᜲȂЎڏӵӣ౩ЖȃӣᏔᜰ߽ȃདΨȃߨ ᇭِྜᇄᆰࡻᄇၗ้П७Ԥᡗၶ৯ޟ לȂӰԪ௰፣࡞џڏϛԤٲ PDD এਰ ೝຨᘞԙ ADHDȂࡾюڍᆍຨᘞџࣺϣ Ϟ౪ຫȄ ! ! Lee ᇄ OusleyȞ2006ȟޟفಛܒᐣӱ ंـี౪Ȃ83 Ӫ PDD এਰϛȂԤ 78%ޟ এਰಒӫ ADHD ຨᘞȂӵ ADHD ຟ໔ߒ Ȟ Attention Deficit Hyperactivity Disorder Rating Scale, ADHD RSȟϞுϷһଽܻᖝח ϸᄠϷኵȞԻϷ้ 93ȟȄġ ȞΠȟBtqE ᇄ BEIE ޟШၶ! ! ! Ghaziuddin, Weidmer-Mikhail Ѕ GhaziuddinȞ1998ȟี౪ȂAspD Ϟڋ็ߧ Ѝԑघ 65%ԤڏтӓϞᆠડຨᘞȂ ڏϛӓШശଽޟؚ࣏ນܒ࣏ Ȟѓࢂ ADHDȃᄇҳܒІתЅࠢ ȟȂӓघ 61.7%Ȃтঈፙ 35 Ӫ AspD এਰȂڏϛԤ 29%Ȟ10 Ӫȟӣਢζಒ ӫ ADHD ޟຨᘞྥȄ၎ंـζี౪ȂϚ ӣԑឭቹޟ AspD ޱၶலю౪ޟӓຨ ᘞϚӣȂ6~12 ྑ AspD ڋ็ശலю౪ޟӓ ຨᘞ࣏ ADHDȞघլ 50%ȟȂ13 ྑоΰ AspD ޱശலю౪ޟӓຨᘞࠌ࣏ Ȅġ ! ! ᆣᢎԤᜰ PDD ܖ AspD ޱӓ ADHD ޑޟМᝦี౪Ȃӓघ 17.2% Ս 85% Ϛ ้ Ȟ Ghaziuddin et al., 1998; Goldstein & Schwebach, 2004; Lee & Ousley, 2006; Yoshida & Uchiyama, 2004ȟȂᗶณӨ ंـեॎϞӓԤܚ৯Ȃծٲंـ֯ ΙमࡾюȂPDD ܖ AspD ӵຨᘞΰৠܾᇄ ADHD ࣺȂܖ܄ԪԆӵӓϞݷȄ
ဓȃᖝחຟեߒ౪ޟШၶ!
! ! ࣏Οᚄ఼ AspD ᇄ ADHD ڍᆍຨᘞ ޟ৯ܒȂଶΟᖝחᚂৱޟߞຨఐፙᇄຨᘞ ϞѴȂһԤϚЍंـޱᙤҥ໌Ι؏ޟᖝחຟ եܖЖ౩ᒋᠦپଆڍޟӣϞȄ ȞΙȟBEIE ޑᇄ࣏੫ޟຟե! ! ! ӵޑߒ౪П७ȂPerryȞ1998ȟٺҢ ΙᄇΙޟఐፙᇄຟեȂၐყᚄ఼ PDD ڷ ADHD ޟຨᘞȂтี౪ڍᆍӵԞ џю౪ࣀଢ଼໔ЅݧཎΨޟ୰ᚠȂծ PDD ڋ็խнԤӻޟᄇҳ࣏ܖኸΨ࣏ȇڍ ޱԤҺЄޟ֨ᜲȂծ PDD ڋ็ޟޥོϣ ଢ଼֨ᜲแ࡙ၶଽȂиၶીмᚖөޟϣଢ଼Ȃᇄ ЮҔޟٷߣᜰ߽ζၶ৯ȇࣺᄇӴȂADHD ڋ็ޟၽᔛПԒၶԤഺཎȂζၶڧҡࣀ հܖಬᄛޟᡐȂ݂ᡗϚӣܻ PDD ڋ็ ھۡи१ፒޟԒȄጾכჿȞ2009ȟһี౪Ȃࣺᄇܻ ADHD ಢȂAspD ಢԤၶӻޟ AspD ޑᇄޥҺ୰ᚠȂиΡሬϣଢ଼ѽၶ৯Ȅ ! ! 1998 ԑ Ghaziuddin, Weidmer-Mikhail Ѕ Ghaziuddin о๖ᄺܒఐፙȞK-SADSȟ ፙ 35 Ӫ AspD এਰȂڏϛԤ 29%Ȟ10 Ӫȟ ӣਢζಒӫ ADHD ޟຨᘞྥȄLee Ѕ OusleyȞ2006ȟٺҢ ADHD ຟե໔ߒȞADHD Rating Scale, ADHD RSȟຟե 83 Ӫҥᐣ ӱᑢᒵюϞ PDD এਰȂڏϛ 78%ޟএਰ ಒӫ ADHD ຨᘞȂڏӵ ADHD RS ϞுϷ ଽܻᖝחϸᄠϷኵȞԻϷ้ 93ȟȄ ! ! Hattori ้ΡȞ2006ȟٺҢ ADHD RS ᇄ ݿ Ռ ഖ ᑢ ᔮ ໔ ߒ Ȟ Autism Spectrum Screening Questionnaire, ASSQȟᔮก 15 Ӫ PDD ڋ็ȃ20 Ӫ ADHD ڋ็ᇄ 40 ӪΙૡ ڋ็ȂݧཎΨຟեϞ๖ݎี౪ȂPDD ڋ็ ᇄ ADHD ڋ็ࣱԤၶᝒ१ޟݧཎΨ୰ᚠȂ ߒ౪ၶΙૡಢڋ็৯ȄTani ้ΡȞ2006ȟ ࠌᄇ 20 Ӫ AspD ԙΡޱٺҢྣኈนт໔ ߒȞWender-Utah Rating Scale for ADHDȟȂ ҥএਰӱωਢঐޟ ADHD ࣺᜰޑߒ ౪ȇंـ๖ݎี౪Ȃ70%ޟ AspD এਰڎԤ ӓ ADHD ޑޟ౪ຫȂӵ ADHD ޑு ϷΰȂADHD ԙΡலޟҁ֯ுϷ࣏ 62 ϷȂAspD ԙΡএਰޟҁ֯ுϷ࣏ 46 ϷȂ ሉଽܻΙૡΡޟҁ֯ுϷȞ16 ϷȟȄ ! ! Schatz, Weimer Ѕ TraunerȞ2002ȟо TOVA ݧཎΨกᡛᔮก 8 Ӫ AspD এਰᇄғ லޱޟݧཎΨߒ౪Ȃี౪ 62.5ʦޟ AspD এ ਰߒ౪ၶ༊өܻ ADHD ᖝחএਰϞߒ౪Ȃ ໌Ι؏ШၶϷுϷี౪Ȃڍಢӵᒸᅓȃ ᒿᇲᇄҁ֯Іᔖਢΰࣱฒ৯ȂծӵϚ ӣږᐭୢࢲޟІᔖᡐܒΰȂࠌԤᡗ৯ ȄጾכჿȞ2009ȟоஶઽЪ៉ߒ౪กᡛ ȞCPT-IIȟຟեݧཎΨȂี౪ AspD ᇄ ADHD ڍಢڋ็ӵݧཎΨߒ౪ΰฒᡗ৯ȂՄڍ ಢ ড় ߝ ବ ᄇ ADHD ޑ ޟ ຟ ໔ ȞSNAP-IVȟȂฒ፣ݧཎΨȃႆଢ଼ፐଢ଼ܖ ᄇҳІת࣏֯ฒᡗ৯Ȅ ȞΠȟBtqE ޑᇄ࣏੫ޟຟե! ! ! Luteijn ้ΡȞ2000ȟٺҢڋ็࣏ᔮ ਯߒȞCBCLȟȃՌഖ࣏໔ߒȞAutism Behaviour Checklistȟᇄڋ็ޥོ࣏໔ߒ Ȟ C h i l d r e n ’ s S o c i a l B e h a v i o u r Questionnaireȟຟե PDD-NOS ᇄ ADHD ڋ ็Ȃ๖ݎี౪ PDD-NOS ڋ็ӵ CBCL ᖂϷ ЅޥҺ୰ᚠᝒ१࡙֯ᡗଽܻ ADHD ڋ ็ȇӵՌഖޑᇄޥོ࣏П७Ȃᗶณڍ ಢڋ็ೝЮҔൢ֙юڎԤϚӫۣޟޥོ ϣଢ଼Ȃծ PDD-NOS ڋ็ӵޥོϣଢ଼ȃޥོ ଝᕻȃྜ୰ᚠᇄՌഖޑࣱႀڗ१࡙ી ཬޟแ࡙Ȃᝒ१࡙֯ᡗଽܻ ADHD ڋ็Ȅġ ! ! Hattori ้ΡȞ2006ȟᔮก PDD ڋ็Ȟ15 ӪȟȃADHD ڋ็Ȟ20 ӪȟᇄΙૡڋ็Ȟ40 ӪȟޟݿՌഖޑȂ๖ݎี౪ PDD ڋ็ ޟϷኵᡗଽܻ ADHD ಢȂծ ADHD ڋ็ ޟݿՌഖޑߒ౪แ࡙ζᡗଽܻΙૡ ڋ็Ȅ ! ! ӵЖස౩፣П७ȂAspD ޱӵЖස౩ ፣ΨȞ౩၌тΡޟདݲᇄཎყȟޟีၶ ࣏ᒶጥȂΙૡڋ็ܻέྑ߯ีюپϞЖස ౩፣ߑۖΨȂAspD ޱڗѲՍϲྑਢϗ ۖีȂΙૡڋ็ܻϲྑџีюޟЖස
౩፣໌ΨȂAspD ޱࠌڗΪྑѾѡϗ ۖีȞFlavell, 1999ȇGillberg, 2002ȟȄ ҬࠉϱѴࣺᜰंـϛȂޢШၶ ADHD ڋ็ᇄ AspD ڋ็Жස౩፣ΨޟंـϚ ӻȄंـี౪ȂADHD ڋ็ޟᆱᒱᜋ Ψ ߒ ౪ ᇄ Ι ૡ ӣ ឭ ڋ ็ ฒ Ȟ Strange, 1999ȟȂӵଽޟЖස௰กΨȞٽԃȈ ౩၌ᒞږȃ၆ȃޖરЅᇳᗀ้ȟޟߒ౪ζ ڷΙૡӣឭڋ็ฒȞCharman, Carroll, Sturge, 2001; Sodian, Hulsken, 2005ȟȇ೨֗ ಫȞ2007ȟһี౪ ADHD ڋ็ӵЖස౩፣ กᡛ໌ގޟߒ౪ᇄΙૡڋ็ฒ৯Ȅ AspD ڋ็ࠌӵਲ਼ᐃಁડ௰กтΡᆱᇄ དݲޟΨΰȞһ։ಁડᒱᜋกᡛߒ౪ȟȂ ߒ౪ᡗճܻΙૡڋ็ȞKaland & Callescen, et al., 2008ȟȇ༁МܑȞ2009ȟี౪ AspD ಢڋ็ӵಁડᒱᜋกᡛޟߒ౪Ш ADHD ಢ ЅΙૡಢڋ็৯Ȃծ AspD ಢᇄ ADHD ಢ ޟ৯ҐႀᡗȄጾכჿȞ2009ȟһี౪ AspD ಢᇄ ADHD ಢޟಁડᒱᜋกᡛߒ౪ Ґႀᡗ৯Ȃծ AspD ಢڋ็ޟЖස౩፣ กᡛߒ౪Ш ADHD ಢᡗၶ৯Ȅ
ӂȃ๖ᇭ!
! ! ADHD ᇄ AspD ڍᆍӵഋϷޑ ߒ౪ΰޟࣺխܒȂഅԙᖝחᠦտຨᘞޟ֨ ᜲȄӱޟМᝦϛȂี౪ҬࠉၶЍंـޢ Шၶ AspD ᇄ ADHD ޱޟޑߒ౪ᇄ ࣏੫Ȃӻኵंـ AspD এਰᇄڏт PDD ܖ ASD এਰᘪ࣏Ιಢپᇄ ADHD ಢ ШၶȄӣਢȂӨंـ๖ݎۦԤތដᇄϚΙम ϞȂӵຨᘞΰـത ADHD ᇄ AspD ڍᆍ ᔖӣਢٮҳܖԃդୈ఼ཿȃ݂ጂޟ ୢᒱȂϫሯ໌Ι؏ޟंـȂีڎᡝޟ ຟե๊ЅᠦտࡾȂپᚄ఼ڍޟ ӣϞȄΙૡՄِȂӓ౪ຫᄇܻޟݽ ᕛᇄႱࡣԤ१σኇȂԤ ADHD ӓຨᘞ Ϟ ASD এਰȂШଔؠԤӓຨᘞޟএਰȂ ڏޥོЅྜ֨ᜲޟᝒ१࡙ࣺᄇၶଽȞde Bruin et.al., 2007ȟȂҡࣀᎌᔖ֨ᜲһၶᝒ१ ȞGoldstein & Schwebach, 2004ȟȄසғ லޟ ASD এਰȂषӣਢԤ ADHD ޑਢȂ ড়ߝᇄᚂৱலܾݧཎڗ ADHD ޑȂІՄ ོ܇ၶϚᡗܖၶϚܾᄆឈޟՌഖࣺ ᜰޑȞPerry, 1998ȟȄӰԪ࡚ដӵຨᘞܖ ຟե AspD ᇄ ADHD ਢȂᔖӣਢବᄇՌഖ ࣺᜰޑᇄݧཎΨ/ࣀଢ଼໔໌ຟեȄฒ ፣Ҭޟौᠦտ AspD ᇄ ADHDȂܖՃኌ ϠӓຨᘞȂषӣਢବᄇڍᆍޟ ޑհᔮกȂׇᐌиғጂӴᕣ၌এਰޟ୰ᚠȂ ПٺএਰᕕுӫᎌԤਝޟݽᕛᇄڞօȄചȃՃМᝦ!
೨֗ಫȞ2007ȟȄݧཎΨીѶ/ႆଢ଼ڋ ็ᇄଽђՌഖڋ็ӵЖස౩፣ Ψΰޟ৯ȄሄϦσᏰЖ౩Ᏸंـܚᖝ חЖ౩ಢᆈρ፣МȂҐюގȂᇃѕȄ ༁МܑȞ2009ȟȄಁડᒱᜋกᡛڋ็ގޟ߬ ਝ࡙ंـȈଆᇃᢊᏰ็Жස௰ก ΨȄߝ۸σᏰᖝח࣏ऋᏰंـܚᖝח Ж౩ಢᆈρ፣МȂҐюގȂੀ༪ᑪȄ ጾכჿȞ2009ȟȄᇃᢊٳղਿᇄݧཎΨ ીѶ/ႆଢ଼ڋ็ޟᖝח੫ϞШ ၶȄߝ۸σᏰᖝח࣏ऋᏰंـܚᖝחЖ౩ಢᆈρ፣МȂҐюގȂੀ༪ᑪȄ ቓסȃቓρཟȃ୦ՍႦȃݓұȃ؇ߝឭȃ
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