Phenotypic and Genetic Overlap Between Autistic Traits at the Extremes of the General Population

University of Cambridge, Cambridge, England, United Kingdom
Journal of the American Academy of Child & Adolescent Psychiatry (Impact Factor: 7.26). 11/2006; 45(10):1206-14. DOI: 10.1097/01.chi.0000230165.54117.41
Source: PubMed


To investigate children selected from a community sample for showing extreme autistic-like traits and to assess the degree to which these individual traits--social impairments (SIs), communication impairments (CIs), and restricted repetitive behaviors and interests (RRBIs)--are caused by genes and environments, whether all of them are caused by the same genes and environments, and how often they occur together (as required by an autism diagnosis).
The most extreme-scoring 5% were selected from 3,419 8-year-old pairs in the Twins Early Development Study assessed on the Childhood Asperger Syndrome Test. Phenotypic associations between extreme traits were compared with associations among the full-scale scores. Genetic associations between extreme traits were quantified using bivariate DeFries-Fulker extremes analysis.
Phenotypic relationships between extreme SIs, CIs, and RRBIs were modest. There was a degree of genetic overlap between them, but also substantial genetic specificity.
This first twin study assessing the links between extreme individual autistic-like traits (SIs, CIs, and RRBIs) found that all are highly heritable but show modest phenotypic and genetic overlap. This finding concurs with that of an earlier study from the same cohort that showed that a total autistic symptoms score at the extreme showed high heritability and that SIs, CIs, and RRBIs show weak links in the general population. This new finding has relevance for both clinical models and future molecular genetic studies.

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    • "Third , the internal consistency of some of the ASD dimensions was relatively low , in particular for AQ - Short Routine and Switch . This was presumably due to the low number of items or heterogeneity among these scale items . Low alphas for ASD dimensions have been reported before [ Ronald et al . , 2006 ; Hoekstra et al . , 2011 ] , and future studies should aim to optimize the collection of autistic dimensions in the ( adult ) general population ."
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    • "The maximum possible score was 30; a score of 15 or above maximizes sensitivity (100%) and specificity (97%) to an ASC diagnosis [Williams et al., 2005]. In-line with prior studies [Ronald et al., 2006], the CAST was divided into three subscales corresponding to DSM-IV- TR [APA, 2000] autism symptoms: social; communication; and repetitive, restricted behaviors and interests (RRBI). "
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    American Journal of Medical Genetics Part B Neuropsychiatric Genetics 10/2014; 165(7). DOI:10.1002/ajmg.b.32262 · 3.42 Impact Factor
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