Evidence map›Paper›PMID 30191778›Full record

ArticlePsychological medicine2019

Genetic and environmental contribution to the overlap between ADHD and ASD trait dimensions in young adults: a twin study.

Laura Ghirardi, Erik Pettersson, Mark J Taylor, Christine M Freitag, Barbara Franke, Philip Asherson, Henrik Larsson, Ralf Kuja-Halkola

Abstract readTwin Study
In one paragraph

Article in Psychological medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

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3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Acetaminophen's Role in Autism and ADHD: A Mitochondrial Perspective.International journal of molecular sciences · 2025
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  14. Challenges in the Differential Classification of Individual Diagnoses from Co-Occurring Autism and ADHD Using Survey Data.... IEEE-EMBS International Conference on Biomedical and Health Informatics. IEEE-EMBS International Conference on Biomedical and Health Informatics · 2024
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Laura GhirardiDepartment of Medical Epidemiology and Biostatistics,Karolinska Institutet,Stockholm,Sweden.
Erik PetterssonDepartment of Medical Epidemiology and Biostatistics,Karolinska Institutet,Stockholm,Sweden.
Mark J TaylorDepartment of Medical Epidemiology and Biostatistics,Karolinska Institutet,Stockholm,Sweden.
Christine M FreitagDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy,University Hospital Frankfurt, Goethe University,Frankfurt am Main,Germany.
Barbara FrankeDepartment of Human Genetics and Psychiatry,Donders Institute for Brain, Cognition and Behaviour,Nijmegen,The Netherlands.
Philip AshersonSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology, and Neuroscience, King's College London,London,UK.
Henrik LarssonDepartment of Medical Epidemiology and Biostatistics,Karolinska Institutet,Stockholm,Sweden.
Ralf Kuja-HalkolaDepartment of Medical Epidemiology and Biostatistics,Karolinska Institutet,Stockholm,Sweden.

Funding

Department of Health NGF-SI-0616-10040
6 · The paper itself

Abstract

backgroundTraits of attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) are strongly associated in children and adolescents, largely due to genetic factors. Less is known about the phenotypic and aetiological overlap between ADHD and ASD traits in adults.

methodsWe studied 6866 individuals aged 20-28 years from the Swedish Study of Young Adult Twins. Inattention (IA) and hyperactivity/impulsivity (HI) were assessed using the WHO Adult ADHD Self-Report Scale-V1.1. Repetitive and restricted behaviours (RRB) and social interaction and communication (SIC) were assessed using the Autism-Tics, ADHD, and other Comorbidities inventory. We used structural equation modelling to decompose covariance between these ADHD and ASD trait dimensions into genetic and shared/non-shared environmental components.

resultsAt the phenotypic level, IA was similarly correlated with RRB (r = 0.33; 95% Confidence Interval (CI) 0.31-0.36) and with SIC (r = 0.32; 95% CI 0.29-0.34), whereas HI was more strongly associated with RRB (r = 0.38; 95% CI 0.35-0.40) than with SIC (r = 0.24; 95% CI 0.21-0.26). Genetic and non-shared environmental effects accounted for similar proportions of the phenotypic correlations, whereas shared environmental effects were of minimal importance. The highest genetic correlation was between HI and RRB (r = 0.56; 95% 0.46-0.65), and the lowest was between HI and SIC (r = 0.33; 95% CI 0.23-0.43).

conclusionsWe found evidence for dimension-specific phenotypic and aetiological overlap between ADHD and ASD traits in adults. Future studies investigating mechanisms underlying comorbidity between ADHD and ASD may benefit from exploring several symptom-dimensions, rather than considering only broad diagnostic categories.

Indexed as

Attention Deficit Disorder with HyperactivityAutism Spectrum DisorderRegistriesAdultComorbidityEnvironmentFemaleHumansMalePhenotypeSwedenYoung AdultAdulthoodattention-deficit/hyperactivity disorderautism spectrum disorderhyperactivity/impulsivityinattentionquantitative geneticsrepetitive and restricted behaviourssocial interaction and communication

Identifiers

PMID30191778
PMCPMC6601357

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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.