1. ASD Comorbidity in Fragile X Syndrome: Symptom Profile and Predictors of Symptom Severity in Adolescent and Young Adult Males
- Author
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Abbeduto, Leonard, Thurman, Angela John, McDuffie, Andrea, Klusek, Jessica, Feigles, Robyn Tempero, Ted Brown, W, Harvey, Danielle J, Adayev, Tatyana, LaFauci, Giuseppe, Dobkins, Carl, and Roberts, Jane E
- Subjects
Biological Psychology ,Psychology ,Basic Behavioral and Social Science ,Mental Health ,Behavioral and Social Science ,Pediatric ,Fragile X Syndrome ,Rare Diseases ,Intellectual and Developmental Disabilities (IDD) ,Autism ,Brain Disorders ,2.1 Biological and endogenous factors ,Mental health ,Adolescent ,Autism Spectrum Disorder ,Comorbidity ,Humans ,Male ,Predictive Value of Tests ,Severity of Illness Index ,Young Adult ,Fragile X syndrome ,Autism spectrum disorder ,Language ,IQ ,Psychiatric symptoms ,FMRP ,Education ,Psychology and Cognitive Sciences ,Developmental & Child Psychology ,Health sciences - Abstract
Many males with FXS meet criteria for ASD. This study was designed to (1) describe ASD symptoms in adolescent and young adult males with FXS (n = 44) and (2) evaluate the contributions to ASD severity of cognitive, language, and psychiatric factors, as well as FMRP (the protein deficient in FXS). A few ASD symptoms on the ADOS-2 were universal in the sample. There was less impairment in restricted and repetitive behaviors (RRB) than in the social affective (SA) domain. The best predictor of overall ASD severity and SA severity was expressive syntactic ability. RRB severity was best predicted by the psychiatric factors. Implications for clinical practice and for understanding the ASD comorbidity in FXS are discussed.
- Published
- 2019