Evidence map›Paper›PMID 41444737›Full record

ArticleScientific reports2025

Irritability in autism examined through network analysis of phenotypic and physiological correlates.

Sara Alatrash, Tithi Paul, Brendan F Andrade, Suneeta Monga, Jessica Brian, Evdokia Anagnostou, Melanie Penner, Atena Roshan Fekr, Azadeh Kushki

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

Sara AlatrashHolland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Tithi PaulHolland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Brendan F AndradeUniversity of Toronto, Toronto, ON, Canada.
Suneeta MongaUniversity of Toronto, Toronto, ON, Canada.
Jessica BrianHolland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Evdokia AnagnostouHolland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Melanie PennerHolland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Atena Roshan FekrUniversity of Toronto, Toronto, ON, Canada.
Azadeh KushkiHolland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada. akushki@hollandbloorview.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Symptoms of irritability are commonly reported in autism, yet correlates of this domain remain poorly understood. While prevalence estimates in the literature vary considerably, they range up to 80%. Irritability can interfere with daily functioning, social relationships, and academic performance. Despite years of research and the availability of approved medications, intervention outcomes for irritability remain highly variable. To advance understanding and inform more targeted, personalized interventions, the present study aimed to clarify the correlates of irritability in autism using network analysis, an analytical tool suited to capture complex associations across interconnected variables. We examined demographic, phenotypic, and physiological factors in a sample of autistic and neurotypical children. Our findings identified strong direct associations between irritability and externalizing behaviors, emotion dysregulation, autism features, and negative affect. Physiological responses, including heart rate reactivity and variability, were indirectly connected to irritability through links with self-regulation abilities and ADHD traits. These results highlight the importance of conceptualizing irritability in autism as part of a broader, interconnected network of influences rather than an isolated symptom. Recognizing these relationships informs potential targets for future intervention studies.

Indexed as

Autistic DisorderIrritable MoodAdolescentChildFemaleHeart RateHumansMalePhenotypeAutismCorrelateIrritabilityPhenotypePhysiology

Identifiers

PMID41444737
PMCPMC12738722

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.