Simplex and Multiplex Stratification in ASD and ADHD Families: A Promising Approach for Identifying Overlapping and Unique Underpinnings of ASD and ADHD?

被引:13
作者
Oerlemans, Anoek M. [1 ,2 ]
Hartman, Catharina A. [3 ]
De Bruijn, Yvette G. E. [1 ,2 ]
Van Steijn, Daphne J. [1 ]
Franke, Barbara [4 ,5 ]
Buitelaar, Jan K. [1 ,2 ]
Rommelse, Nanda N. J. [1 ,4 ]
机构
[1] Univ Ctr Nijmegen, NL-6525 GC Nijmegen, Netherlands
[2] Radboud Univ Nijmegen, Med Ctr, Donders Inst Brain, Dept Cognit Neurosci, NL-6525 ED Nijmegen, Netherlands
[3] Univ Groningen, Univ Med Ctr Groningen, Dept Psychiat, Groningen, Netherlands
[4] Radboud Univ Nijmegen, Med Ctr, Dept Psychiat, Donders Inst Brain Cognit & Behav, NL-6525 ED Nijmegen, Netherlands
[5] Radboud Univ Nijmegen, Med Ctr, Dept Human Genet, NL-6525 ED Nijmegen, Netherlands
关键词
Autism spectrum disorders (ASD); Attention-deficit/hyperactivity disorder (ADHD); Simplex-multiplex stratification; Family; Unaffected relative; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DEFICIT-HYPERACTIVITY-DISORDER; AUTISM SPECTRUM DISORDER; QUOTIENT AQ; RELIABILITY; POPULATION; PHENOTYPE; SYMPTOMS; CHILDREN; VALIDITY;
D O I
10.1007/s10803-014-2220-9
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Autism spectrum disorders (ASD) and attention-deficit/hyperactivity disorder (ADHD) are highly heterogeneous neuropsychiatric disorders, that frequently co-occur. This study examined whether stratification into single-incidence (SPX) and multi-incidence (MPX) is helpful in (a) parsing heterogeneity and (b) detecting overlapping and unique underpinnings of the disorders. ASD and ADHD traits were measured in 56 ASD/31 ADHD SPX families, 59 ASD/171 ADHD MPX families and 203 control families. In ASD but not ADHD, behavioral traits were less elevated in SPX than MPX unaffected relatives, suggesting that SPX-MPX stratification may thus help parse ASD, but not ADHD heterogeneity. Particularly unaffected relatives from MPX ASD/ADHD families displayed elevated trait levels of both disorders, indicating shared (multifactorial) underpinnings underlying ASD and ADHD in these families. Cross-disorder traits were highest in MPX ASD unaffected siblings.
引用
收藏
页码:645 / 657
页数:13
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