Evidence map›Paper›PMID 28592997›Full record

ArticleJournal of neurodevelopmental disorders2017

Diagnoses and characteristics of autism spectrum disorders in children with Prader-Willi syndrome.

Elisabeth M Dykens, Elizabeth Roof, Hailee Hunt-Hawkins, Nathan Dankner, Evon Batey Lee, Carolyn M Shivers, Christopher Daniell, Soo-Jeong Kim

Open access · goldAbstract read
In one paragraph

Article in Journal of neurodevelopmental disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
3.3field-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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 88 citations in OpenAlex.

  1. Pooled it
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  12. Autonomic nervous system dysfunction in Prader-Willi syndrome.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
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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

8 authors at 3 institutions in 1 country.

Elisabeth M DykensDepartments of Psychology and Human Development, Psychiatry and Pediatrics, One Magnolia Circle, Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN 37203 USA.
Elizabeth RoofDepartments of Psychology and Human Development, Psychiatry and Pediatrics, One Magnolia Circle, Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN 37203 USA.
Hailee Hunt-HawkinsDepartments of Psychology and Human Development, Psychiatry and Pediatrics, One Magnolia Circle, Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN 37203 USA.
Nathan DanknerDepartments of Psychology and Human Development, Psychiatry and Pediatrics, One Magnolia Circle, Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN 37203 USA.
Evon Batey LeeDepartments of Psychology and Human Development, Psychiatry and Pediatrics, One Magnolia Circle, Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN 37203 USA.
Carolyn M ShiversDepartment of Human Development, Virginia Polytechnic Institute and State University, 366 Wallace Hall, Blacksburg, VA 24061 USA.
Christopher DaniellDepartments of Psychology and Human Development, Psychiatry and Pediatrics, One Magnolia Circle, Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, TN 37203 USA.
Soo-Jeong KimDepartment of Psychiatry and Behavioral Science, University of Washington, 4909 25th Ave NE, Seattle, WA 98105 USA.
Vanderbilt University Medical Center · USUniversity of Washington · USVirginia Tech · US

Funding

Research Project: Sensory and Multisensory Contributions to AutismU54HD083211 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DYKENS, ELISABETH MAY · 2015 to 2019
$7.1M
NICHD NIH HHS U54 HD083211
6 · The paper itself

Abstract

backgroundA small percentage of people with autism spectrum disorders (ASD) have alterations in chromosome 15q11.2-q3, the critical region for Prader-Willi syndrome (PWS). Data are limited, however, on the rates and characteristics of ASD in PWS. Previous estimates of ASD in PWS (25 to 41%) are questionable as they are based solely on autism screeners given to parents. Inaccurate diagnoses of ASD in PWS can mislead intervention and future research.

methodsOne hundred forty-six children and youth with PWS aged 4 to 21 years (

resultsBest-estimate diagnoses of ASD were made in 18 children, or 12.3% of the sample, and the majority of them had the maternal uniparental disomy (mUPD) PWS genetic subtype. Compared to the PWS-only group, children with PWS + ASD had lower verbal and composite IQ's and adaptive daily living and socialization skills, as well as elevated stereotypies and restricted interests. Regardless of ASD status, compulsivity and insistence on sameness in routines or events were seen in 76-100% of children and were robustly correlated with lower adaptive functioning. The SCQ yielded a 29-49% chance that screen-positive cases will indeed have ASD. The ADOS-2 had higher sensitivity, specificity and predictive values. Communication problems were seen in children who were ADOS-2 positive but deemed not to have ASD by the clinical team.

conclusionsAutism screeners should not be the sole index of probable ASD in PWS; children need to be directly observed and evaluated. Compulsivity and insistence on sameness are salient in PWS and likely impede adaptive functioning. Most children with PWS only evidenced sub-threshold problems in social interactions that could signal risks for other psychopathologies.

Indexed as

ASD screenersAutism spectrum disorder (ASD)Best-estimate diagnosesInsistence on samenessPrader-Willi syndrome (PWS)Repetitive behaviorSocial impairment

Identifiers

PMID28592997
PMCPMC5458479
OpenAlexW2616235625

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.