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Volume 49, Issue 3, Pages 267-276 (March 2010)


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Genetic Variance for Autism Screening Items in an Unselected Sample of Toddler-Age Twins

Rebecca L.H. Stilp, M.S., Morton Ann Gernsbacher, Ph.D., Emily K. Schweigert, M.S., Carrie L. Arneson, M.S., H. Hill Goldsmith, Ph.D.Corresponding Author Informationemail address

Accepted 17 November 2009. published online 08 February 2010.

Refers to article:
Autism Research Comes of (a Young) Age
Tony Charman
Journal of the American Academy of Child & Adolescent Psychiatry
March 2010 (Vol. 49, Issue 3, Pages 208-209)
Full Text | Full-Text PDF (92 KB)
Objective

Twin and family studies of autistic traits and of cases diagnosed with autism suggest high heritability; however, the heritability of autistic traits in toddlers has not been investigated. Therefore, this study's goals were (1) to screen a statewide twin population using items similar to the six critical social and communication items widely used for autism screening in toddlers (Modified Checklist for Autism in Toddlers); (2) to assess the endorsement rates of these items in a general population; and (3) to determine their heritability.

Method

Participants composed a statewide, unselected twin population. Screening items were administered to mothers of 1,211 pairs of twins between 2 and 3 years of age. Twin similarity was calculated via concordance rates and tetrachoric and intraclass correlations, and the contribution of genetic and environmental factors was estimated with single-threshold ordinal models.

Results

The population-based twin sample generated endorsement rates on the analogs of the six critical items similar to those reported by the scale's authors, which they used to determine an autism threshold. Current twin similarity and model-fitting analyses also used this threshold. Casewise concordance rates for monozygotic (43%) and dizygotic (20%) twins suggested moderate heritability of these early autism indicators in the general population. Variance component estimates from model-fitting also suggested moderate heritability of categorical scores.

Conclusions

Autism screener scores are moderately heritable in 2- to 3-year-old twin children from a population-based twin panel. Inferences about sex differences are limited by the scarcity of females who scored above the threshold on the toddler-age screener.

University of Wisconsin–Madison

Corresponding Author InformationCorrespondence to: Dr. Goldsmith, UW-Madison, Department of Psychology, 1202 West Johnson Street, Madison, WI 53706

 This article is discussed in an editorial by Dr. Tony Charman on page 208.

 This research was supported by National Institute of Mental Health awards R01-MH069793 (Goldsmith and Gernsbacher, PIs) and R01-MH059785 (Goldsmith, PI) and a Menzies Scholarship (Stilp). Infrastructure support provided by National Institute of Child Health and Human Development award P30-HD03352 (Marsha Seltzer, Center Director).

 Disclosure: Ms. Stilp, Ms. Schweigert, Ms. Arneson, and Drs. Gernsbacher and Goldsmith report no biomedical financial interests or potential conflicts of interest.

PII: S0890-8567(09)00060-4

doi:10.1016/j.jaac.2009.11.012


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