Evidence map›Paper›PMID 31517641›Full record

ArticleAlzheimer disease and associated disorders

Behaviors Characteristic of Autism Spectrum Disorder in a Geriatric Cohort With Mild Cognitive Impairment or Early Dementia.

Elizabeth K Rhodus, Justin Barber, Erin L Abner, Danielle M C Duff, Shoshana H Bardach, Allison Caban-Holt, Donita Lightner, Graham D Rowles, Frederick A Schmitt, Gregory A Jicha

Abstract read
In one paragraph

Article in Alzheimer disease and associated disorders. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Feasibility of Telehealth Occupational Therapy for Behavioral Symptoms of Adults With Dementia: Randomized Controlled Trial.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2023
    Trial
  3. Review
  4. Article
  5. Association of neurodevelopmental conditions with Alzheimer's disease and related dementias and Parkinson's disease.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Protein-Altering Variants' Analysis in Autism Subgroups Uncovers Early Brain-Expressed Gene Modules Relevant to Autism Pathophysiology.Autism research : official journal of the International Society for Autism Research · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. The prevalence and incidence of early-onset dementia among adults with autism spectrum disorder.Autism research : official journal of the International Society for Autism Research · 2021
    Article
  17. Article
  18. Review
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

10 authors.

Elizabeth K RhodusGraduate Center for Gerontology.
Justin BarberThe Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY.
Erin L AbnerThe Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY.
Danielle M C DuffThe Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY.
Shoshana H BardachGraduate Center for Gerontology.
Allison Caban-HoltThe Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY.
Donita LightnerNeurology.
Graham D RowlesGraduate Center for Gerontology.
Frederick A SchmittThe Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY.
Gregory A JichaThe Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY.

Funding

University of Kentucky Alzheimer's Disease Research CenterP30AG072946 · NIA · UNIVERSITY OF KENTUCKY · PI LINDA J VAN ELDIK · 2021 to 2026
$23.5M
University of Kentucky Alzheimer's Disease Core Center - Biomarker CoreP30AG028383 · NIA · UNIVERSITY OF KENTUCKY · PI GOLD, BRIAN TIMOTHY, VAN ELDIK, LINDA J · 2006 to 2020
$23.3M
Training in Translational Research in Alzheimer's and Related Dementias (TRIAD)T32AG057461 · NIA · UNIVERSITY OF KENTUCKY · PI MURPHY, MICHAEL PAUL, VAN ELDIK, LINDA J · 2017 to 2021
$2.1M
NIA NIH HHS P30 AG028383NIA NIH HHS P30 AG072946NIA NIH HHS T32 AG057461
6 · The paper itself

Abstract

introductionAutism spectrum disorder (ASD) represents a heterogenous cluster of clinical phenotypes that are classically diagnosed by the time of adolescence. The possibility of late-life emergence of ASD has been poorly explored.

methodsTo more fully characterize the possibility of late-life emergence of behaviors characteristic of ASD in mild cognitive impairment and AD, we surveyed caregivers of 142 older persons with cognitive impairment from the University of Kentucky Alzheimer's Disease Center Longitudinal Cohort using the Gilliam Autism Rating Scale-2.

resultsParticipants with high autism index ratings (autism "possible/very likely," n=23) reported significantly (statistically and clinically) younger age at the onset of cognitive impairment than those who scored in the autism "unlikely" range (n=119): 71.14±10.9 vs. 76.65±8.25 (P=0.034). In addition, those in the autism "possible/very likely" group demonstrated advanced severity of cognitive impairment, indicated by the Clinical Dementia Rating Scale Sum of Boxes scores. DISCUSSION: Data demonstrate that ASD behaviors may seem de novo of degenerative dementia and such behaviors are more prevalent in those with early onset dementia. Further work elucidating a connection between ASD and dementia could shed light on subclinical forms of ASD, identify areas of shared neuroanatomic involvement between ASD and dementias, and provide valuable insights that might hasten the development of therapeutic strategies.

Indexed as

Age of OnsetAgedAutism Spectrum DisorderCaregiversCognitive DysfunctionCohort StudiesDementiaFemaleHumansLongitudinal StudiesMalePhenotypeProblem BehaviorSeverity of Illness IndexSurveys and Questionnaires

Identifiers

PMID31517641
PMCPMC7047536

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.