No relationship between prenatal androgen exposure and autistic traits: convergent evidence from studies of children with congenital adrenal hyperplasia and of amniotic testosterone concentrations in typically developing children

Background There is a marked male preponderance in autism spectrum conditions. The extreme male brain theory and the fetal androgen theory of autism suggest that elevated prenatal testosterone exposure is a key contributor to autistic traits. The current paper reports findings from two separate stud...

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Veröffentlicht in:Journal of child psychology and psychiatry 2016-12, Vol.57 (12), p.1455-1462
Hauptverfasser: Kung, Karson T. F., Spencer, Debra, Pasterski, Vickie, Neufeld, Sharon, Glover, Vivette, O'Connor, Thomas G., Hindmarsh, Peter C., Hughes, Ieuan A., Acerini, Carlo L., Hines, Melissa
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container_end_page 1462
container_issue 12
container_start_page 1455
container_title Journal of child psychology and psychiatry
container_volume 57
creator Kung, Karson T. F.
Spencer, Debra
Pasterski, Vickie
Neufeld, Sharon
Glover, Vivette
O'Connor, Thomas G.
Hindmarsh, Peter C.
Hughes, Ieuan A.
Acerini, Carlo L.
Hines, Melissa
description Background There is a marked male preponderance in autism spectrum conditions. The extreme male brain theory and the fetal androgen theory of autism suggest that elevated prenatal testosterone exposure is a key contributor to autistic traits. The current paper reports findings from two separate studies that test this hypothesis. Methods A parent‐report questionnaire, the Childhood Autism Spectrum Test (CAST), was employed to measure autistic traits in both studies. The first study examined autistic traits in young children with congenital adrenal hyperplasia (CAH), a condition causing unusually high concentrations of testosterone prenatally in girls. Eighty one children with CAH (43 girls) and 72 unaffected relatives (41 girls), aged 4–11 years, were assessed. The second study examined autistic traits in relation to amniotic testosterone in 92 typically developing children (48 girls), aged 3–5 years. Results Findings from neither study supported the association between prenatal androgen (testosterone) exposure and autistic traits. Specifically, young girls with and without CAH did not differ significantly in CAST scores and amniotic testosterone concentrations were not significantly associated with CAST scores in boys, girls, or the whole sample. Conclusions These studies do not support a relationship between prenatal testosterone exposure and autistic traits. These findings augment prior research suggesting no consistent relationship between early androgen exposure and autistic traits. Read the Commentary on this article at doi: 10.1111/jcpp.12628
doi_str_mv 10.1111/jcpp.12602
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F. ; Spencer, Debra ; Pasterski, Vickie ; Neufeld, Sharon ; Glover, Vivette ; O'Connor, Thomas G. ; Hindmarsh, Peter C. ; Hughes, Ieuan A. ; Acerini, Carlo L. ; Hines, Melissa</creator><creatorcontrib>Kung, Karson T. F. ; Spencer, Debra ; Pasterski, Vickie ; Neufeld, Sharon ; Glover, Vivette ; O'Connor, Thomas G. ; Hindmarsh, Peter C. ; Hughes, Ieuan A. ; Acerini, Carlo L. ; Hines, Melissa</creatorcontrib><description>Background There is a marked male preponderance in autism spectrum conditions. The extreme male brain theory and the fetal androgen theory of autism suggest that elevated prenatal testosterone exposure is a key contributor to autistic traits. The current paper reports findings from two separate studies that test this hypothesis. Methods A parent‐report questionnaire, the Childhood Autism Spectrum Test (CAST), was employed to measure autistic traits in both studies. The first study examined autistic traits in young children with congenital adrenal hyperplasia (CAH), a condition causing unusually high concentrations of testosterone prenatally in girls. Eighty one children with CAH (43 girls) and 72 unaffected relatives (41 girls), aged 4–11 years, were assessed. The second study examined autistic traits in relation to amniotic testosterone in 92 typically developing children (48 girls), aged 3–5 years. Results Findings from neither study supported the association between prenatal androgen (testosterone) exposure and autistic traits. Specifically, young girls with and without CAH did not differ significantly in CAST scores and amniotic testosterone concentrations were not significantly associated with CAST scores in boys, girls, or the whole sample. Conclusions These studies do not support a relationship between prenatal testosterone exposure and autistic traits. These findings augment prior research suggesting no consistent relationship between early androgen exposure and autistic traits. 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F.</creatorcontrib><creatorcontrib>Spencer, Debra</creatorcontrib><creatorcontrib>Pasterski, Vickie</creatorcontrib><creatorcontrib>Neufeld, Sharon</creatorcontrib><creatorcontrib>Glover, Vivette</creatorcontrib><creatorcontrib>O'Connor, Thomas G.</creatorcontrib><creatorcontrib>Hindmarsh, Peter C.</creatorcontrib><creatorcontrib>Hughes, Ieuan A.</creatorcontrib><creatorcontrib>Acerini, Carlo L.</creatorcontrib><creatorcontrib>Hines, Melissa</creatorcontrib><title>No relationship between prenatal androgen exposure and autistic traits: convergent evidence from studies of children with congenital adrenal hyperplasia and of amniotic testosterone concentrations in typically developing children</title><title>Journal of child psychology and psychiatry</title><addtitle>J Child Psychol Psychiatr</addtitle><description>Background There is a marked male preponderance in autism spectrum conditions. The extreme male brain theory and the fetal androgen theory of autism suggest that elevated prenatal testosterone exposure is a key contributor to autistic traits. The current paper reports findings from two separate studies that test this hypothesis. Methods A parent‐report questionnaire, the Childhood Autism Spectrum Test (CAST), was employed to measure autistic traits in both studies. The first study examined autistic traits in young children with congenital adrenal hyperplasia (CAH), a condition causing unusually high concentrations of testosterone prenatally in girls. Eighty one children with CAH (43 girls) and 72 unaffected relatives (41 girls), aged 4–11 years, were assessed. The second study examined autistic traits in relation to amniotic testosterone in 92 typically developing children (48 girls), aged 3–5 years. Results Findings from neither study supported the association between prenatal androgen (testosterone) exposure and autistic traits. Specifically, young girls with and without CAH did not differ significantly in CAST scores and amniotic testosterone concentrations were not significantly associated with CAST scores in boys, girls, or the whole sample. Conclusions These studies do not support a relationship between prenatal testosterone exposure and autistic traits. These findings augment prior research suggesting no consistent relationship between early androgen exposure and autistic traits. 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F.</au><au>Spencer, Debra</au><au>Pasterski, Vickie</au><au>Neufeld, Sharon</au><au>Glover, Vivette</au><au>O'Connor, Thomas G.</au><au>Hindmarsh, Peter C.</au><au>Hughes, Ieuan A.</au><au>Acerini, Carlo L.</au><au>Hines, Melissa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>No relationship between prenatal androgen exposure and autistic traits: convergent evidence from studies of children with congenital adrenal hyperplasia and of amniotic testosterone concentrations in typically developing children</atitle><jtitle>Journal of child psychology and psychiatry</jtitle><addtitle>J Child Psychol Psychiatr</addtitle><date>2016-12</date><risdate>2016</risdate><volume>57</volume><issue>12</issue><spage>1455</spage><epage>1462</epage><pages>1455-1462</pages><issn>0021-9630</issn><eissn>1469-7610</eissn><abstract>Background There is a marked male preponderance in autism spectrum conditions. The extreme male brain theory and the fetal androgen theory of autism suggest that elevated prenatal testosterone exposure is a key contributor to autistic traits. The current paper reports findings from two separate studies that test this hypothesis. Methods A parent‐report questionnaire, the Childhood Autism Spectrum Test (CAST), was employed to measure autistic traits in both studies. The first study examined autistic traits in young children with congenital adrenal hyperplasia (CAH), a condition causing unusually high concentrations of testosterone prenatally in girls. Eighty one children with CAH (43 girls) and 72 unaffected relatives (41 girls), aged 4–11 years, were assessed. The second study examined autistic traits in relation to amniotic testosterone in 92 typically developing children (48 girls), aged 3–5 years. Results Findings from neither study supported the association between prenatal androgen (testosterone) exposure and autistic traits. Specifically, young girls with and without CAH did not differ significantly in CAST scores and amniotic testosterone concentrations were not significantly associated with CAST scores in boys, girls, or the whole sample. Conclusions These studies do not support a relationship between prenatal testosterone exposure and autistic traits. These findings augment prior research suggesting no consistent relationship between early androgen exposure and autistic traits. Read the Commentary on this article at doi: 10.1111/jcpp.12628</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>27460188</pmid><doi>10.1111/jcpp.12602</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adrenal Hyperplasia, Congenital - metabolism
Adrenal Hyperplasia, Congenital - physiopathology
Amniotic Fluid - metabolism
Androgens
Antenatal
Autism
Autism Spectrum Disorder - etiology
Autism Spectrum Disorder - metabolism
Autism Spectrum Disorder - physiopathology
Autistic children
autistic traits
Brain
Child
Child psychology
Child, Preschool
Childhood
Children
Congenital adrenal hyperplasia
Congenital diseases
extreme male brain
Female
Females
Fetal exposure
fetal testosterone
Humans
Male
Pregnancy
Prenatal Exposure Delayed Effects - metabolism
Prenatal Exposure Delayed Effects - physiopathology
prenatal testosterone exposure
Questionnaires
Testosterone
Testosterone - metabolism
Young girls
title No relationship between prenatal androgen exposure and autistic traits: convergent evidence from studies of children with congenital adrenal hyperplasia and of amniotic testosterone concentrations in typically developing children
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