Evidence map›Paper›PMID 40627089›Full record

ArticleJournal of autism and developmental disorders2025

Impact of ADHD Coexistence on Internet Addiction Symptoms in Children with ASD: Effects of Family- and School-Related Factors and Sex Differences.

Hiroyuki Kawabe, Sayaka Kawakami, Azusa Fujita, Junichi Yamamura, Atsushi Senju, Kenji J Tsuchiya, Tomoko Nishimura

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Article in Journal of autism and developmental disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Hiroyuki KawabeUnited Graduate School of Child Development, The University of Osaka, Kanazawa University, Hamamatsu University School of Medicine, Chiba University and University of Fukui, Osaka, Japan.
Sayaka KawakamiUnited Graduate School of Child Development, The University of Osaka, Kanazawa University, Hamamatsu University School of Medicine, Chiba University and University of Fukui, Osaka, Japan.
Azusa FujitaDepartment of Child and Adolescent Psychiatry, National Hospital Organization, Tenryu Hospital, Hamamatsu, Japan.
Junichi YamamuraDepartment of Child and Adolescent Psychiatry, National Hospital Organization, Tenryu Hospital, Hamamatsu, Japan.
Atsushi SenjuUnited Graduate School of Child Development, The University of Osaka, Kanazawa University, Hamamatsu University School of Medicine, Chiba University and University of Fukui, Osaka, Japan.
Kenji J TsuchiyaUnited Graduate School of Child Development, The University of Osaka, Kanazawa University, Hamamatsu University School of Medicine, Chiba University and University of Fukui, Osaka, Japan.
Tomoko NishimuraUnited Graduate School of Child Development, The University of Osaka, Kanazawa University, Hamamatsu University School of Medicine, Chiba University and University of Fukui, Osaka, Japan. nishimura.ugscd@osaka-u.ac.jp.ORCID http://orcid.org/0000-0002-4776-5153

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Research is lacking on whether the coexistence of attention-deficit/hyperactivity disorder (ADHD) increases the risk for Internet addiction (IA) in children with autism spectrum disorder (ASD). This study examined the impact of ADHD coexistence on IA symptoms in children with ASD, controlling the influence of family- and school-related factors. We also analyzed male and female participants separately to examine sex differences. IA symptoms were assessed using the Internet Addiction Test in children with ASD (n = 71) and ASD + ADHD (n = 93) admitted to a child and adolescent psychiatric hospital. Multiple regression analysis was performed with IA symptoms as the outcome variable and family- and school-related factors as the potential confounders. Similarly, a subgroup analysis was conducted for each sex of the participants. Results showed no differences in self-reported IA symptoms between the ASD and ASD + ADHD groups, but females in the ASD group had higher IA symptoms than the ASD + ADHD group. Low school attendance was significantly associated with higher IA symptoms for the entire target population and for males. In addition, for females, medication and bullying victimization were associated with lower and higher IA symptoms, respectively. In males, socio-economic status (SES) was associated with higher IA symptoms. ASD + ADHD coexistence does not necessarily increase the severity of IA symptoms and may not be a combination of different neurodevelopmental disorders, ASD and ADHD. Further research should examine the impact of ASD + ADHD coexistence on IA symptoms, considering sex differences and family- and school-related factors.

Indexed as

Attention-deficit/hyperactivity DisorderAutism Spectrum DisorderCoexistenceInternet AddictionSex Differences

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.