Evidence map›Paper›PMID 41793610›Full record

ArticleJournal of autism and developmental disorders2026

Identifying Neurodevelopmental Domain Subgroups in Autism and ADHD.

Aneta D Krakowski, Katherine Tombeau Cost, Marlee Vandewouw, Peter Szatmari, Evdokia Anagnostou, Jennifer Crosbie, Russell Schachar, Eric Duku, Stelios Georgiades, Muhammad Ayub and 4 more

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Article in Journal of autism and developmental disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Aneta D KrakowskiDepartment of Psychiatry, University of Toronto, Toronto, Canada. aneta.krakowski@sickkids.ca.
Katherine Tombeau CostDepartment of Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, Canada.
Marlee VandewouwAutism Research Centre, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.
Peter SzatmariDepartment of Psychiatry, University of Toronto, Toronto, Canada.
Evdokia AnagnostouAutism Research Centre, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.
Jennifer CrosbieDepartment of Psychiatry, University of Toronto, Toronto, Canada.
Russell SchacharDepartment of Psychiatry, University of Toronto, Toronto, Canada.
Eric DukuDepartment of Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, Canada.
Stelios GeorgiadesDepartment of Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, Canada.
Muhammad AyubDepartment of Psychiatry, Queen's University, Kingston, Canada.
Elizabeth KelleyDepartment of Psychiatry, Queen's University, Kingston, Canada.
Rob NicolsonDepartment of Psychiatry, Schulich School of Medicine & Dentistry, Western University, London, Canada.
Eleanor PullenayegumChild Health Evaluative Sciences, Hospital for Sick Children, Toronto, Canada.
Carolina Barnett-TapiaDepartment of Medicine, Division of Neurology, University Health Network and University of Toronto, Toronto, Canada.

Funding

American Academy of Child and Adolescent Psychiatry American Academy of Child and Adolescent Psychiatry
6 · The paper itself

Abstract

purposeAutism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) have considerable overlap in clinical presentation, supporting the need for a framework of symptom domains which crosses traditional diagnostic boundaries. We aimed to identify latent groups based on similarities in factor scores across ASD and ADHD neurodevelopmental domains and to compare these groups on adaptive functioning and neuroimaging measures.

methodsParticipants included children and youth with a clinical diagnosis of ASD (n = 727) or ADHD (n = 770). Parents completed measures of autism and ADHD symptoms. We identified latent profiles of four symptom factors (inattention, hyperactivity/impulsivity, social communication, and restricted, repetitive behaviours and interests). The profiles were then compared on adaptive functioning and global structural and functional neuroimaging measures.

resultsA four-profile model was the best fitting model. All four profiles had varying levels of co-occurring ASD and ADHD symptoms, regardless of whether the class consisted of predominately ASD or ADHD participants. There was no profile with all ASD or ADHD participants. Adaptive Behavior Assessment System scores were significantly different among latent profiles after adjusting for age, sex and diagnosis (Χ2(3) = 360.747, p < 0.001). Total subcortical volume was significantly different among latent profiles after adjusting for age, sex, and brain volume (Χ2(4) = 10.868, p = 0.028).

conclusionsWe identified four latent profiles with varying levels of co-occurring ASD and ADHD symptoms, spanning diagnostic labels, and between-profile variation on adaptive functioning and subcortical volume. These results provide support for phenotypic overlap between ASD and ADHD and reinforce the need to focus on dimensionality in ASD and ADHD.

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Adaptive functioningADHDASDLatent class analysis

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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.