Evidence map›Paper›PMID 24528851›Full record

ArticleJournal of intellectual disability research : JIDR2014

Consistency between research and clinical diagnoses of autism among boys and girls with fragile X syndrome.

J Klusek, G E Martin, M Losh

Open access · greenAbstract read
In one paragraph

Article in Journal of intellectual disability research : JIDR, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Autonomic Function in Fragile X Syndrome: A Systematic Review.Journal of intellectual disability research : JIDR · 2026
    Pooled it
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  11. Language Skills Influence Transition Planning in Adolescents With Fragile X Syndrome.American journal on intellectual and developmental disabilities · 2024
    Article
  12. Adaptive, behavioral, and cognitive outcomes in individuals with fragile X syndrome with varying autism severity.International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience · 2023
    Article
  13. Article
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  15. ADHD and ASD symptoms in young males with fragile X syndrome: associations with early trajectories of inhibitory control.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2023
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15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

J KlusekFrank Porter Graham Child Development Institute, The University of North Carolina, Chapel Hill, North Carolina, USA.
G E Martin
M Losh
University of North Carolina at Chapel Hill · USNorthwestern University · US

Funding

UNC MRDD Research CenterP30HD003110 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BELGER, AYSENIL · 1985 to 2012
$28.7M
A Family-Genetic Study of Autism and Fragile X SyndromeR01MH091131 · NIMH · NORTHWESTERN UNIVERSITY · PI Molly C Losh · 2012 to 2026
$10.1M
A Family-Genetic Study of Language in AutismR01DC010191 · NIDCD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Molly C Losh · 2010 to 2026
$7.8M
Pragmatic Skills of Young Males and Females with Fragile X SyndromeR01HD038819 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MARTIN, GARY EVERETT · 2001 to 2011
$4.2M
Speech of Young Males with Fragile X SyndromeR01HD044935 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ZAJAC, DAVID J · 2003 to 2012
$4.0M
An Investigation of the Overlap of Autism and Fragile X SyndromeR03DC010880 · NIDCD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MARTIN, GARY EVERETT · 2010 to 2011
$146k
NICHD NIH HHS P30 HD003110NICHD NIH HHS P30HD03110NICHD NIH HHS R01 HD038819NICHD NIH HHS R01HD038819NICHD NIH HHS R01HD0388190NICHD NIH HHS R01 HD044935NICHD NIH HHS R01HD044935NIDCD NIH HHS 1R01DC010191NIDCD NIH HHS R01 DC010191NIDCD NIH HHS R03 DC010880NIDCD NIH HHS R03DC010880NIMH NIH HHS R01 MH091131NIMH NIH HHS R01MH091131
6 · The paper itself

Abstract

backgroundPrior research suggests that 60-74% of males and 16-45% of females with fragile X syndrome (FXS) meet criteria for autism spectrum disorder (ASD) in research settings. However, relatively little is known about the rates of clinical diagnoses in FXS and whether such diagnoses are consistent with those performed in a research setting using gold standard diagnostic tools.

methodThis study explored whether boys and girls with FXS met criteria for ASD in a research setting using the Autism Diagnostic Observation Schedule (ADOS) and the Autism Diagnostic Interview-Revised (ADI-R), and then compared these data with the frequency of parent-reported clinical diagnoses. We also examined child and family characteristics as potential diagnostic predictors across settings. Participants included 35 females and 51 males with FXS (mean age: 10 years), who were from Eastern and Midwestern regions of the USA.

resultsAbout half of the children met criteria for ASD on either the ADOS or ADI-R, with ASD occurring three times more frequently in males than females (∼75% vs. ∼25%). In contrast, ∼25% of participants of both genders had received a clinical diagnosis of ASD. While cognitive and language skills predicted diagnostic outcome on the ADOS and ADI-R, these skills did not predict clinical diagnoses. Executive functions predicted clinical diagnoses, but not diagnoses per the ADOS or ADI-R.

conclusionsASD in FXS may be under-diagnosed in clinical/educational settings, which raises questions regarding access to ASD-related services.

Indexed as

AdolescentChildChild Development Disorders, PervasiveChild, PreschoolComorbidityFemaleFragile X SyndromeHumansMalePsychiatric Status Rating ScalesADI-RADOSautismautism spectrum disordercomorbidityfragile X syndrome

Identifiers

PMID24528851
PMCPMC4207708
OpenAlexW2106217747

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.