Evidence map›Paper›PMID 31893022›Full record

ArticleMolecular autism2020

Sex differences in brain structure: a twin study on restricted and repetitive behaviors in twin pairs with and without autism.

Annelies Van't Westeinde, Élodie Cauvet, Roberto Toro, Ralf Kuja-Halkola, Janina Neufeld, Katell Mevel, Sven Bölte

Open access · goldAbstract read
In one paragraph

Article in Molecular autism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Distinct early development trajectories in Nf1Journal of neurodevelopmental disorders · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Decoding the genetic landscape of autism: A comprehensive review.World journal of clinical pediatrics · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Measurement invariance of the Autism Impact Measure (AIM) across sex in children with autism spectrum disorder.Autism research : official journal of the International Society for Autism Research · 2023
    Article
  14. Review
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  16. Article
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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

7 authors at 3 institutions in 3 countries.

Annelies Van't Westeinde *1Division of Neuropsychiatry, Department of Women's and Children's Health, Center of Neurodevelopmental Disorders at Karolinska Institutet, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-9208-3058
Élodie Cauvet *1Division of Neuropsychiatry, Department of Women's and Children's Health, Center of Neurodevelopmental Disorders at Karolinska Institutet, Karolinska Institutet, Stockholm, Sweden.
Roberto Toro3Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France.
Ralf Kuja-Halkola6Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Janina Neufeld1Division of Neuropsychiatry, Department of Women's and Children's Health, Center of Neurodevelopmental Disorders at Karolinska Institutet, Karolinska Institutet, Stockholm, Sweden.
Katell MevelLaboratory for the Psychology of Child Development and Education, CNRS Unit 8240, Paris-Descartes University and Caen University, Alliance for higher education and research Sorbonne Paris Cité (IDEX), Sorbonne, France.
Sven Bölte1Division of Neuropsychiatry, Department of Women's and Children's Health, Center of Neurodevelopmental Disorders at Karolinska Institutet, Karolinska Institutet, Stockholm, Sweden.
Karolinska Institutet · SECentre National de la Recherche Scientifique · FRCurtin University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Females with autism spectrum disorder have been reported to exhibit fewer and less severe restricted and repetitive behaviors and interests compared to males. This difference might indicate sex-specific alterations of brain networks involved in autism symptom domains, especially within cortico-striatal and sensory integration networks. This study used a well-controlled twin design to examine sex differences in brain anatomy in relation to repetitive behaviors. Methods: In 75 twin pairs ( Results: Co-twin control analyses revealed within-pair associations between RRBI symptoms and increased thickness of the right intraparietal sulcus and reduced volume of the right orbital gyrus in females only, even though the mean number of RRBIs did not differ between the sexes. In a sub-sample of ASD-discordant pairs, increased thickness in association with RRBIs was found exclusively in females in the orbitofrontal regions, superior frontal gyrus, and intraparietal sulcus, while in males RRBIs tended to be associated with increased volume of the bilateral pallidum. Limitations: However, due to a small sample size and the small difference in RRBI symptoms within pairs, the results of this exploratory study need to be interpreted with caution. Conclusions: Our findings suggest that structural alterations of fronto-parietal networks in association with RRBIs are found mostly in females, while striatal networks are more affected in males. These results endorse the importance of investigating sex differences in the neurobiology of autism symptoms, and indicate different etiological pathways underlying restricted and repetitive behaviors and interests in females and males.

Indexed as

BehaviorSex CharacteristicsAdolescentAdultAutistic DisorderBrainChildFemaleHumansMagnetic Resonance ImagingMaleTwinsYoung AdultAutismNeuroanatomyRepetitive behaviorsSex differencesTwins

Identifiers

PMID31893022
PMCPMC6937723
OpenAlexW3004396153

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.