Evidence map›Paper›PMID 37350028›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2023

Co-development of attention deficit hyperactivity disorder and autistic trait trajectories from childhood to early adulthood.

Amy Shakeshaft, Jon Heron, Rachel Blakey, Lucy Riglin, George Davey Smith, Evie Stergiakouli, Kate Tilling, Anita Thapar

Open access · hybridAbstract read
In one paragraph

Article in Journal of child psychology and psychiatry, and allied disciplines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

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  5. Research Review: A review of the past decade of family and genomic studies on adolescent mental health.Journal of child psychology and psychiatry, and allied disciplines · 2025
    Review
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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 2 institutions in 1 country.

Amy ShakeshaftDivision of Psychological Medicine and Clinical Neurosciences, Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Cardiff, UK.ORCID 0000-0003-1412-5413
Jon HeronPopulation Health Sciences and MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.ORCID 0000-0001-6199-5644
Rachel BlakeyPopulation Health Sciences and MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.ORCID 0000-0001-6779-8780
Lucy RiglinDivision of Psychological Medicine and Clinical Neurosciences, Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Cardiff, UK.ORCID 0000-0002-5124-5230
George Davey SmithPopulation Health Sciences and MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Evie StergiakouliPopulation Health Sciences and MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.ORCID 0000-0003-3586-0927
Kate TillingPopulation Health Sciences and MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Anita ThaparDivision of Psychological Medicine and Clinical Neurosciences, Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Cardiff, UK.ORCID 0000-0002-3689-737X
University of Bristol · GBCardiff University · GB

Funding

Medical Research Council MC_UU_00011/1Medical Research Council MC_UU_00011/3Medical Research Council MC_UU_00032/1Medical Research Council MR/L010305/1Wellcome Trust 204895Wellcome Trust 204895/Z/16/ZWellcome Trust 217065/Z/19/Z
6 · The paper itself

Abstract

backgroundAttention deficit hyperactivity disorder (ADHD) and autism, defined as traits or disorders, commonly co-occur. Developmental trajectories of ADHD and autistic traits both show heterogeneity in onset and course, but little is known about how symptom trajectories co-develop into adulthood.

methodsUsing data from a population cohort, the Avon Longitudinal Study of Parents and Children, we examined correlations between ADHD and autistic traits across development, using the Social Communication Disorders Checklist and ADHD subscale of the Strengths and Difficulties Questionnaire. We modelled joint developmental trajectories of parent-reported ADHD and autistic traits between 4 and 25 years, then characterised trajectory classes based on sociodemographic, perinatal, psychopathology, cognition and social functioning variables and tested for associations with neurodevelopmental/psychiatric polygenic scores (PGS).

resultsThree classes of trajectories were identified; a typically developing majority with low-stable ADHD-autistic traits (87%), a male-predominant subgroup with child/adolescent-declining traits (6%) and a subgroup with late-emerging traits (6%). ADHD-autistic trait correlations were greatest in young adulthood for the two nontypically developing classes. There were higher rates of emotional and conduct problems, low IQ, childhood seizures and poor social functioning in the declining and late-emerging classes compared to the low-stable class. Emotional, conduct and peer problems were more prevalent during childhood in the childhood/adolescent-declining class compared to other classes, but were more prevalent in young adulthood in the late-emerging class. Neurodevelopmental/psychiatric PGS also differed: both nontypically developing classes showed elevated ADHD PGS compared to the low-stable group, and the late-emerging group additionally showed elevated schizophrenia PGS and decreased executive function PGS, whereas the declining group showed elevated broad depression PGS.

conclusionsDistinct patterns of ADHD-autism co-development are present across development in the general population, each with different characterising factors and genetic signatures as indexed by PGS.

Indexed as

Attention Deficit Disorder with HyperactivityAutistic DisorderAdolescentAdultChildFemaleHumansLongitudinal StudiesMaleParentsPhenotypePregnancyYoung AdultADHDALSPACAutismgeneticlongitudinaltrajectories

Identifiers

PMID37350028
PMCPMC7615536
OpenAlexW4381715109

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.