Copyright @ 2006 American Academy of Child and Adolescent Psychiatry. Unauthorized reproduction of this article is prohibited. Phenotypic and Genetic Overlap Between Autistic Traits at the Extremes of the General Population

Objective: To investigate children selected from a community sample for showing extreme autistic-like traits and to assess the degree to which these individual traitsVsocial impairments (SIs), communication impairments (CIs), and restricted repetitive behaviors and interests (RRBIs)Vare caused by genes and environments, whether all of them are caused by the same genes and environments, and how often they occur together (as required by an autism diagnosis). Method: The most extreme-scoring 5 % were selected from 3,419 8-year-old pairs in the Twins Early Development Study assessed on the Childhood Asperger Syndrome Test. Phenotypic associations between extreme traits were compared with associations among the full-scale scores. Genetic associations between extreme traits were quantified using bivariate DeFries-Fulker extremes analysis. Results: Phenotypic relationships between extreme SIs, CIs, and RRBIs weremodest. There was a degree of genetic overlap between them, but also substantial genetic specificity.Conclusions: This first twin study assessing the links between extreme individual autistic-like traits (SIs, CIs, and RRBIs) found that all are highly heritable but show modest phenotypic and genetic overlap. This finding concurs with that of an earlier study from the same cohort that showed that a total autistic symptoms score at the extreme showed high heritability and that SIs, CIs, and RRBIs show weak links in the general population. This new finding has relevance for both clinical models and future molecular genetic studies. J. Am. Acad. Child Adolesc. Psychiatry, 2006;45(10):1206Y1214. Key Words: twins