Autism, regression, and the broader autism phenotype.
Lainhart JE, Ozonoff S, Coon H, Krasny L, Dinh E, Nice J, McMahon W.
Department of Psychiatry, University of Utah, Salt Lake City, Utah.
The broader autism phenotype (BAP) is a subclinical set of personality and other
features that is thought to index familiality and/or genetic liability to
autism. Eighteen parents of autistic probands with a history of language
regression and 70 parents of autistic probands without regression were assessed
for features of the BAP and compared with published rates in parents of
nonautistic subjects. Parents of probands with regressive and nonregressive
autism demonstrated similar rates of the BAP (27.8% vs. 32.9%; P = 0.33). The
rate of the BAP was significantly higher in both groups of autism parents than
in parents of nonautistic subjects (P </= 0.01). Thus, this measure of genetic
liability is increased equally in families with both forms of autism when
compared with controls. Environmental
events are therefore unlikely to be the sole cause of regressive autism in our
sample. Environmental events, however, may act in an additive or "second-hit"
fashion in individuals with a genetic vulnerability to autism. Copyright
2002 Wiley-Liss, Inc.
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