CohortJournal of autism and developmental disorders2024

Using the Infant Sibling-Design to Explore Associations Between Autism and ADHD Traits in Probands and Temperament in the Younger Siblings.

Linn Andersson Konke, Terje Falck-Ytter, Emily J H Jones and 2 others

PMID 37355531

WHAT IT FOUND

In families with an autistic older child, higher autistic traits in the sibling linked to lower approach in the infant, while higher ADHD traits linked to higher activity.

These were small associations, not predictions of a diagnosis.

Key findings

01Higher levels of autistic traits in the older sibling were associated with lower approach scores in the infant, even after accounting for ADHD traits.

02Higher levels of ADHD traits in the older sibling were associated with higher activity levels in the infant.

03Associations were modest, and links to soothability and fear did not survive statistical correction for multiple comparisons.

STILL TO COME

How it was doneWhat they found

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What it does not show

All data came from parent reports, which can be influenced by the parent's own perceptions or stress levels. The study only looked at associations at one point in time, so it cannot tell if these temperament traits lead to later diagnoses. There was a significant amount of missing data for the older siblings' ADHD and autism scores, which had to be estimated statistically. The two study sites (UK and Sweden) had different results for some traits, such as soothability, which was only significant in the UK cohort. The infants were very young (7-12 months), so these early temperament signs may change as they grow.

Declared interests

The authors declare no competing interests.

The easy way to misread this

Do not interpret these temperament scores as a diagnosis. The associations were modest, and many other factors influence whether an infant with a family history of autism will actually develop the condition.

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The study

Participants
216 infant siblings
Certainty of evidence
Low

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    Cite

    Linn Andersson Konke, Terje Falck-Ytter, Emily J H Jones, et al. Using the Infant Sibling-Design to Explore Associations Between Autism and ADHD Traits in Probands and Temperament in the Younger Siblings. Journal of autism and developmental disorders. 2024.

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