Skip to main content

Advertisement

Log in

Autism symptoms in Attention-Deficit/Hyperactivity Disorder: A Familial trait which Correlates with Conduct, Oppositional Defiant, Language and Motor Disorders

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

An Erratum to this article was published on 19 September 2008

An Erratum to this article was published on 19 September 2008

Abstract

It is hypothesised that autism symptoms are present in Attention-Deficit/Hyperactivity Disorder (ADHD), are familial and index subtypes of ADHD. Autism symptoms were compared in 821 ADHD probands, 1050 siblings and 149 controls. Shared familiality of autism symptoms and ADHD was calculated using DeFries-Fulker analysis. Autism symptoms were higher in probands than siblings or controls, and higher in male siblings than male controls. Autism symptoms were familial, partly shared with familiality of ADHD in males. Latent class analysis using SCQ-score yielded five classes; Class 1(31%) had few autism symptoms and low comorbidity; Classes 2–4 were intermediate; Class 5(7%) had high autism symptoms and comorbidity. Thus autism symptoms in ADHD represent a familial trait associated with increased neurodevelopmental and oppositional/conduct disorders.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text revision). Washington DC: American Psychiatric Association.

    Google Scholar 

  • Andreou, P., Neale, B. M., Chen, W., Christiansen, H., Gabriels, I., Heise, A., et al. (2007). Reaction time performance in ADHD: Improvement under fast-incentive condition and familial effects. Psychological Medicine, 31, 1–13. doi:10.1007/s11013-006-9042-y.

    Article  Google Scholar 

  • Arnold, L. E., Vitello, B., McDougle, C., Scahill, L., Shah, B., Conazalez, N., et al. (2003). Parent-defined target symptoms respond to risperidone in rupp autism study: Customer approach to clinical trials. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1443–1450. doi:10.1097/00004583-200312000-00011.

    Article  PubMed  Google Scholar 

  • Berument, S. K., Rutter, M., Lord, C., Pickles, A., & Bailey, A. (1999). Autism screening questionnaire: Diagnostic validity. The British Journal of Psychiatry, 175, 444–451.

    Article  PubMed  Google Scholar 

  • Bishop, D. V. M., & Baird, G. (2001). Parent and teacher report of pragmatic aspects of communication: Use of the children’s communication checklist in a clinical setting. Developmental Medicine and Child Neurology, 43, 809–818. doi:10.1017/S0012162201001475.

    Article  PubMed  Google Scholar 

  • Bishop, D. V. M., & Norbury, C. F. (2002). Exploring the borderlands of autistic disorder and specific language impairment: A study using standardized diagnostic instruments. Journal of Child Psychology and Psychiatry and Allied Disciplines, 43, 917–929. doi:10.1111/1469-7610.00114.

    Article  Google Scholar 

  • Bölte, S., Holtmann, M., & Poustka, F. (2008). The social communication questionnaire (SCQ) as a screener for autism spectrum disorders: Additional evidence and cross-cultural validity. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 719–720.

    Article  PubMed  Google Scholar 

  • Brookes, K., Xu, X., Chen, W., Zhou, K., Neale, B., Lowe, N., et al. (2006). The analysis of 51 genes in DSM-IV combined type attention deficit hyperactivity disorder: Association signals in DRD4, DAT1 and 16 other genes. Molecular Psychiatry, 11, 934–953. doi:10.1038/sj.mp. 4001869.

    Article  PubMed  Google Scholar 

  • Buitelaar, J. K., van der Wees, W. M., Swaab-Barneveld, H., & van der Gaag, R. J. (1999). Theory of mind and emotion-recognition functioning in autism spectrum disorders and in psychiatric control and normal children. Development and Psychopathology, 11, 39–58. doi:10.1017/S0954579499001947.

    Article  PubMed  Google Scholar 

  • Caron, C., & Rutter, M. (1991). Comorbidity in child psychopathology concepts, issues and research strategies. Journal of Child Psychology and Psychiatry and Allied Disciplines, 32, 1063–1080. doi:10.1111/j.1469-7610.1991.tb00350.x.

    Article  Google Scholar 

  • Chandler, S., Charman, T., Baird, G., Simonoff, E., Loucas, T., Meldrum, D., et al. (2007). Validation of the social communication questionnaire in a population cohort of children with autism spectrum disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1324–1332. doi:10.1097/chi.0b013e31812f7d8d.

    Article  PubMed  Google Scholar 

  • Clarke, T., Feehan, C., Tinline, C., & Vostanis, P. (1999). Autism symptoms in children with attention deficit-hyperactivity disorder. European Child and Adolescent Psychiatry, 8, 50–55. doi:10.1007/s007870050083.

    Article  Google Scholar 

  • Conners, C. K. (2001). Conners’ rating scales- revised (CRS-R) technical manual. Toronto: Multi-Health Systems Inc.

    Google Scholar 

  • Constantino, J. N., & Todd, R. D. (2003). Autistic traits in the general population: A twin study. Archives of General Psychiatry, 60, 524–530. doi:10.1001/archpsyc.60.5.524.

    Article  PubMed  Google Scholar 

  • Constantino, J. N., & Todd, R. D. (2005). Intergenerational transmission of subthreshold autism trains in the general population. Biological Psychiatry, 57, 655–660. doi:10.1016/j.biopsych.2004.12.014.

    Article  PubMed  Google Scholar 

  • Corsello, C., Hus, V., Pickles, A., Risi, S., Cook, E. H., Leventhal, B. L., Jr., et al. (2007). Between a ROC and a hard place: Decision making and making decisions about using the SCQ. Journal of Child Psychology and Psychiatry and Allied Disciplines, 48, 932–940. doi:10.1111/j.1469-7610.2007.01762.x.

    Article  Google Scholar 

  • Curran, S., Newman, S., Taylor, E., & Asherson, P. (2000). Hypescheme: An operational criteria checklist and minimum data set for molecular genetic studies of attention deficit and hyperactivity disorders. American Journal of Medical Genetics, 96, 244–250. doi:10.1002/1096-8628(20000612)96:3<244::AID-AJMG2>3.0.CO;2-L.

    Article  PubMed  Google Scholar 

  • DeFries, J. C., & Fulker, D. W. (1985). Multiple regression analysis of twin data. Behavior Genetics, 15, 467–473. doi:10.1007/BF01066239.

    Article  PubMed  Google Scholar 

  • Dyck, M. J., Ferguson, K., & Shochet, I. M. (2001). Do autism spectrum disorders differ from each other and from non-spectrum disorders on emotion recognition tests? European Child and Adolescent Psychiatry, 10, 105–116. doi:10.1007/s007870170033.

    Google Scholar 

  • Faraone, S. V., Biederman, J., Weber, W., & Russell, R. L. (1998). Psychiatric, neuropsychological, and psychosocial features of DSM-IV subtypes of attention-deficit/hyperactivity disorder: Results from a clinically referred sample. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 185–193.

    Article  PubMed  Google Scholar 

  • Faraone, S. V., Perlis, R. H., Doyle, A. E., Smoller, J. W., Goralnick, J. J., Holmgren, M. A., et al. (2005). Advancing the neuroscience of ADHD––molecular genetics of attention-deficit/hyperactivity disorder. Biological Psychiatry, 57, 1313–1323. doi:10.1016/j.biopsych.2004.11.024.

    Article  PubMed  Google Scholar 

  • Farzin, F., Perry, H., Hessl, D., Loesch, D., Cohen, J., Bacalman, S., et al. (2006). Autism spectrum disorders and attention-deficit/hyperactivity disorder in boys with the fragile × permutation. Developmental and Behavioural Pediatrics, 27, S137–S144. doi:10.1097/00004703-200604002-00012.

    Article  Google Scholar 

  • Gadow, K. D., DeVincent, C. J., & Pomeroy, J. (2006). ADHD symptom subtypes in children with pervaisive developmental disorder. Journal of Autism and Developmental Disorders, 36, 271–283. doi:10.1007/s10803-005-0060-3.

    Article  PubMed  Google Scholar 

  • Geurts, H. M., Verte, S., Oosterlaan, J., Roeyers, H., Hartman, C. A., Mulder, E. J., et al. (2004). Can the children’s communication checklist differentiate between children with autism, children with ADHD, and normal controls? Journal of Child Psychology and Psychiatry and Allied Disciplines, 45, 1437–1453. doi:10.1111/j.1469-7610.2004.00326.x.

    Google Scholar 

  • Gillberg, C. (1983). Perceptual, motor and attentional deficits in Swedish primary school children. Some child psychiatric aspects. Journal of Child Psychology and Psychiatry and Allied Disciplines, 24, 377–403. doi:10.1111/j.1469-7610.1983.tb00116.x.

    Article  Google Scholar 

  • Gillberg, C. (2003). Deficits in attention, motor control, and perception: A brief review. Archives of Disease in Childhood, 88, 904–910. doi:10.1136/adc.88.10.904.

    Article  PubMed  Google Scholar 

  • Gillberg, C., Rasmussen, P., Carlström, G., Svenson, B., & Waldenström, E. (1982). Perceptual, motor and attentional deficits in six-year-old children. Epidemiological aspects. Journal of Child Psychology and Psychiatry and Allied Disciplines, 23, 131–144. doi:10.1111/j.1469-7610.1982.tb00058.x.

    Article  Google Scholar 

  • Goldstein, S., & Schwebach, A. (2004). The comorbidity of pervasive developmental disorder and attention deficit hyperactivity disorder: Results of a retrospective chart review. Journal of Autism and Developmental Disorders, 34, 329–339. doi:10.1023/B:JADD.0000029554.46570.68.

    Article  PubMed  Google Scholar 

  • Goodman, R., Ford, T., Corbin, T., & Meltzer, H. (2004). Using the strengths and difficulties questionnaire (SDQ) multi-informant algorithm to screen looked-after children for psychiatric disorders. European Child and Adolescent Psychiatry, 13(Suppl 2), 11/25–11/31.

    Google Scholar 

  • Greene, R. W., Biederman, J., Faraone, S. V., Ouellette, C. A., Penn, C., & Griffin, S. M. (1996). Toward a new psychometric definition of social disability in children with attention-deficit hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 571–578. doi:10.1097/00004583-199605000-00011.

    Article  PubMed  Google Scholar 

  • Greene, R. W., Biederman, J., Faraone, S. V., Sienna, M., & Garcia-Jetton, J. (1997). Adolescent outcome of boys with attention deficit/hyperactivity disorder and social disability: Results from a 4-year longitudinal follow-up study. Journal of Consulting and Clinical Psychology, 65, 758–767. doi:10.1037/0022-006X.65.5.758.

    Article  PubMed  Google Scholar 

  • Hattori, J., Ogino, T., Abiru, K., Nakano, K., Oka, M., & Ohtsuka, Y. (2006). Are pervasive developmental disorder and attention deficit/hyperactivity disorder distinct disorders? Brain and Development, 28, 371–374. doi:10.1016/j.braindev.2005.11.009.

    Article  PubMed  Google Scholar 

  • Hoza, B. (2007). Peer functioning in children with ADHD. Journal of Pediatric Psychology, 32, 655–663. doi:10.1093/jpepsy/jsm024.

    Article  PubMed  Google Scholar 

  • Hoza, B., Gerdes, A. C., Murg, S., Hinshaw, S. P., Bukowski, W. M., Gold, J. A., et al. (2005). Peer assessed outcomes in the multimodal treatment study of children with attention deficit hyperactivity disorder. Journal of Clinical Child and Adolescent Psychology, 34, 74–86. doi:10.1207/s15374424jccp3401_7.

    Article  PubMed  Google Scholar 

  • Kadesjo, B., & Gillberg, C. (2001). The comorbidity of ADHD in the general population of Swedish school-age children. Journal of Child Psychology and Psychiatry and Allied Disciplines, 42, 487–492. doi:10.1017/S0021963001007090.

    Article  Google Scholar 

  • Lee, L.-C., David, A. B., Rusyniak, J., Landa, R., & Newschaffer, C. J. (2007). Performance of the social communication questionnaire in children receiving preschool special education services. Research in Autism Spectrum Disorders, 1, 126–138. doi:10.1016/j.rasd.2006.08.004.

    Article  Google Scholar 

  • Lord, C., Cook, E. H., Leventhal, B. L., & Amaral, D. G. (2000). Autism spectrum disorders. Neuron, 28, 355–363. doi:10.1016/S0896-6273(00)00115-X.

  • Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview––revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685. doi:10.1007/BF02172145.

    Article  PubMed  Google Scholar 

  • Luteijn, E. F., Serra, M., Jackson, S., Seenhuis, M. P., Althaus, M., Volkmar, F., et al. (2000). How unspecified are disorders of children with a pervasive developmental disorder not otherwise specified? A study of social problems in children with PDD-NOS and ADHD. European Child and Adolescent Psychiatry, 9, 168–179. doi:10.1007/s007870070040.

    Article  PubMed  Google Scholar 

  • Mulligan, A., Richardson, T., Anney, R. J. L., & Gill, M. (2008). The Social communication questionnaire in a sample of the general population of school-going children. Irish Journal of Medical Science, in press.

  • Neale, M. C., & Kendler, K. S. (1995). Models of comorbidity for multifactorial disorders. American Journal of Human Genetics, 57, 935–953.

    PubMed  Google Scholar 

  • Nijmeijer, J. S., Minderaa, R. B., Buitelaar, J. K., Mulligan, A., Hartman, C. A., & Hoekstra, P. J. (2008). Attention-deficit/hyperactivity disorder and social dysfunctioning. Clinical Psychology Review, 28, 692–708. doi:10.1016/j.cpr.2007.10.003.

    Google Scholar 

  • Pelham, W. E., & Bender, M. E. (1982). Peer relationships in hyperactive children: Description and treatment. In K. D. Gadow & I. Bialer (Eds.), Advances in learning and behavioural disabilities (Vol. 1, pp. 365–436). Greenwich, Conn: JA1 Press.

    Google Scholar 

  • Purcell, S., & Sham, P. C. (2003). A model fitting implementation of the DeFries-Fulker model for selected twin data. Behavior Genetics, 33, 271–278. doi:10.1023/A:1023494408079.

    Article  PubMed  Google Scholar 

  • Rabe-Hesketh, S., & Skrondal, A. (2005). Multilevel and longitudinal modeling using stata. Texas: Stata Press Publication.

    Google Scholar 

  • Reiersen, A. M., Constantino, J. N., & Todd, R. D. (2008). Co-occurrence of motor problems and autistic symptoms in attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 662–672. doi:10.1097/CHI.0b013e31816bff88.

    Article  PubMed  Google Scholar 

  • Reiersen, A. M., Constantino, J. N., Volk, H. E., & Todd, R. D. (2007). Autism symptoms in a population-based ADHD twin sample. Journal of Child Psychology and Psychiatry and Allied Disciplines, 48, 464–472. doi:10.1111/j.1469-7610.2006.01720.x.

    Article  Google Scholar 

  • Reiersen, A. M., & Todd, R. D. (2008). Co-occurrence of ADHD and autism spectrum disorders: Phenomenology and treatment. Expert Review of Neurotherapeutics, 8, 657–669. doi:10.1586/14737175.8.4.657. review.

    Article  PubMed  Google Scholar 

  • Ronald, A., Happe, F., Bolton, P., Butcher, L. M., Price, T. S., Wheelwright, S., et al. (2006). Genetic heterogeneity between the three components of the autism spectrum: A twin study. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 691–699. doi:10.1097/01.chi.0000215325.13058.9d.

    Article  PubMed  Google Scholar 

  • Ronald, A., Simonoff, E., Kuntsi, J., Asherson, P., & Plomin, R. (2008). Evidence for overlapping genetic influences on autistic and ADHD behaviours in a community twin sample. Journal of Child Psychology and Psychiatry and Allied Disciplines, 49, 535–542. doi:10.1111/j.1469-7610.2007.01857.x.

    Article  Google Scholar 

  • Rutter, M., Anderson-Wood, L., Beckett, C., Bredenkamp, D., Castle, J., Groothues, C., et al. (1999). Quasi-autism patterns following severe early global privation. Journal of Child Psychology and Psychiatry and Allied Disciplines, 40, 537–549. doi:10.1017/S0021963099003935.

    Article  Google Scholar 

  • Rutter, M., Bailey, A., & Lord, C. (2003). The social communication questionnaire manual. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Santosh, P., & Mijovic, A. (2004). Social impairment in hyperkinetic disorder, relationship to psychopathology and environmental stressors. European Child and Adolescent Psychiatry, 13, 141–150. doi:10.1007/s00787-004-0372-4.

    PubMed  Google Scholar 

  • Sattler, J. M. (1992). Assessment of children: WISC-III and WPPSI-R supplement. San Diego, CA.

  • Scott, S., Spender, Q., Doolan, M., Jacobs, B., & Aspland, H. (2001). Multicentre controlled trial of parenting groups for childhood antisocial behaviour in clinical practice. British Medical Journal, 323, 194–197. doi:10.1136/bmj.323.7306.194.

    Article  PubMed  Google Scholar 

  • Taylor, E., Schachar, R., Thorley, G., & Wieselberg, M. (1986). Conduct disorder and hyperactivity: I. Separation of hyperactivity and antisocial conduct in British child psychiatric patients. The British Journal of Psychiatry, 149, 760–767.

    Article  PubMed  Google Scholar 

  • Vermunt, J. K., & Magidson, J. (2000). Latent gold 2.00 user’s guide. Belmont, M.A.: Statistical Innovations.

    Google Scholar 

  • Webster-Stratton, C., & Hancock, L. (1998). Training for parents of young children with conduct problems: Content, methods, and therapeutic processes. In J. M. Briesmeister & C. E. Schaefer (Eds.), Handbook of parent training (2nd ed ed.). New York: Wiley.

    Google Scholar 

  • Wechsler, D. (1981). Wechsler adult intelligence scale-revised. San Antonio: Psychological Corporation.

    Google Scholar 

  • Wechsler, D. (1991). Wechsler intelligence scale for children-revised. San Antonio: The Psychological Corporation.

    Google Scholar 

  • World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders––clinical descriptions and diagnostic guidelines. Geneva, World Health Organization.

  • Yoshida, Y., & Uchiyama, T. (2004). The clinical necessity for assessing attention deficit/hyperactivity disorder (AD/HD) symptoms in children with high-functioning pervasive developmental disorder (PDD). European Child and Adolescent Psychiatry, 13, 307–314. doi:10.1007/s00787-004-0391-1.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The IMAGE project is a multisite, international effort supported by NIH Grant R01MH62873 to SV Faraone. Site Principal Investigators are Philip Asherson, Tobias Banaschewski, Jan Buitelaar, Richard P Ebstein, Stephen V Faraone, Michael Gill, Ana Miranda, Robert D Oades, Herbert Roeyers, Aribert Rothenberger, Joseph Sergeant, Edmund Sonuga-Barke, and Hans-Christoph Steinhausen. Senior co-investigators are Margaret Thompson, Pak Sham, Peter McGuffin, Robert Plomin, Ian Craig and Eric Taylor. Chief Investigators at each site are Rafaela Marco, Nanda Rommelse, Ueli Mueller, Aisling Mulligan, Wai Chen, Henrik Uebel, Hanna Christiansen, Cathelijne Buschgens, Lamprini Psychogiou, Sheera Meidad, Isabel Gabriels. Other investigators are Marieke Altink, Ellen Fliers, Barbara Franke, Ruud Minderaa, Fernando Mulas and Alysa Doyle. We thank all the families who kindly participated in this research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Aisling Mulligan.

Additional information

An erratum to this article can be found at http://dx.doi.org/10.1007/s10803-008-0640-0

Author Note

Author Note

Aisling Mulligan, Richard JL Anney, Louise Butler, Michael Fitzgerald and Michael Gill are affiliated with the Department of Psychiatry, Trinity Centre for Health Sciences, St James’s Hospital, Dublin, Ireland. Myra O’Regan is affiliated with the Department of Statistics, Trinity College Dublin, Ireland. Wai Chen, Jonna Kuntsi and Phil Asherson are affiliated with the MRC Social Genetic Developmental and Psychiatry Centre, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, United Kingdom. Jan Buitelaar, Cathelijne Buschgens, Nanda Rommelse and Barbara Franke are affiliated with the Department of Psychiatry, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands. Hans-Christoph Steinhausen and Ueli Mueller are affiliated with the Department of Child and Adolescent Psychiatry, University of Zurich, Switzerland. Aribert Rothenberger, Tobias Banaschewski and Henrik Uebel are affiliated with the. Ruud Minderaa, Judith Nijmeijer, Catharina Hartman and Pieter J. Hoekstra are affiliated with the Child and Adolescent Psychiatry Center, Groningen, The Netherlands. Robert D. Oades and Hanna Christiansen are affiliated with the University Clinic for Child and Adolescent Psychiatry, 45147 Essen, Germany. Herbert Roeyers and Isabel Gabriels are affiliated with Ghent University, Dunantlaan 2, B-9000 Ghent, Belgium. Richard Ebstein and Iris Manor are affiliated with the ADHD Clinic, Geha Mental Health Center, Petak Tikvah, Israel. Sheera Meidad and Jacques Eisenberg are affiliated with S. Herzog Memorial Hospital, Jerusalem, Israel. Rafaela Marco and Ana Miranda are affiliated with the Department of Developmental and Educational Psychology, University of Valencia, Spain. Fernando Mulas is affiliated with the Neuropediatric Service, University Hospital La Fe, Valencia, Spain. Joseph Sergeant is affiliated with Vrije Universiteit, De Boelelaan 1105 1081 HV, Amsterdam, The Netherlands. Lamprini Psychogiou, Margaret Thompson and Edmund Sonuga-Barke are affiliated with the School of Psychology, University of Southampton, United Kingdom. Stephen V. Faraone is affiliated with the Department of Neuroscience and Physiology, SUNY Upstate Medical University and with the Department of Psychiatry, SUNY Upstate Medical University, Syracuse, NY.

Aisling Mulligan is now at the Mater Misericordiae Hospital, Eccles Street, Dublin 7 and University College Dublin, Ireland. Barbara Franke is also associated with the Department of Human Genetics, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands. Tobias Banaschewski is also affiliated with the Central Institute of Mental Health, Department of Child and Adolescent Psychiatry and Psychotherapy, J 5, D-68159 Mannheim, Germany.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mulligan, A., Anney, R.J.L., O’Regan, M. et al. Autism symptoms in Attention-Deficit/Hyperactivity Disorder: A Familial trait which Correlates with Conduct, Oppositional Defiant, Language and Motor Disorders. J Autism Dev Disord 39, 197–209 (2009). https://doi.org/10.1007/s10803-008-0621-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-008-0621-3

Keywords

Navigation