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The association between autistic traits and serum testosterone, oxytocin, and androstenedione levels in prepubertal male drug naive children with attention-deficit/hyperactivity disorder.

International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience2023

Artık Abdulbaki, Çengel Kültür Sadriye Ebru, Portakal Oytun, Karaboncuk Arda Yamaç

What this study means for families

Researchers studied 83 young boys with ADHD to see if certain hormones were linked to autism-like behaviors. They found that boys showing more autism traits had higher levels of testosterone and androstenedione (male hormones), while boys with fewer autism traits had higher oxytocin levels (a hormone linked to social bonding). This suggests there might be a biological connection between hormones and autism-like behaviors in children with ADHD.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This study examined hormone levels and autistic traits in 83 prepubertal boys (ages 6-10) diagnosed with ADHD who were not taking medication. Researchers measured serum testosterone, oxytocin, and androstenedione levels alongside autistic traits using standardized assessments. Results showed children with higher autistic traits had significantly elevated testosterone and androstenedione levels, while those with lower autistic traits had significantly higher oxytocin levels. The study suggests a potential biological relationship between hormone profiles and autistic characteristics in children with ADHD, though the authors emphasize that further research is needed to clarify these associations.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Children with lower autistic traits had significantly lower testosterone levels compared to those with moderate and severe autistic traits

    Confidence: moderateRelevance: May inform understanding of hormonal differences in ADHD children with varying autistic presentations
  • 2

    Children with lower autistic traits had significantly higher oxytocin levels

    Confidence: moderateRelevance: Suggests potential role of oxytocin in social functioning within ADHD population
  • 3

    Children with severe autistic traits had significantly higher androstenedione levels than those with lower and moderate traits

    Confidence: moderateRelevance: Indicates possible androgen involvement in more pronounced autistic presentations

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Findings suggest potential hormonal biomarkers for autistic traits in ADHD children, though clinical utility remains unclear. Results may inform future research into biological mechanisms underlying co-occurring ADHD and autistic presentations, but should not guide current clinical practice without replication.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Single study with cross-sectional design limits causal inferences. Sample restricted to prepubertal males only. Unclear methodology details and statistical approaches. Authors acknowledge need for further research to clarify relationships.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

Children with attention-deficit/hyperactivity disorder (ADHD) might have similar problems as in autism spectrum disorder (ASD) and show impairment in social behaviour. Also, there is a relationship between social relationship skills and ToM (theory of mind) skills of children with ADHD. Besides, ASD is associated with prenatal exposure to high levels of androgens, and oxytocin plays a role in the modulation of emotions, coping with stress, and social behaviour like ASD. In this study, the relationship between autistic traits and serum oxytocin, testosterone, and androstenedione levels in prepubertal male drug naive children with ADHD has been investigated.

Eighty-three prepubertal children, who were diagnosed with ADHD between the ages of 6-10 years old, are included in the study. For the study, intelligence levels were evaluated by using WISC-4, and autistic traits were measured by using both social responsiveness scale and theory of mind tests. In addition, serum oxytocin, testosterone, and androstenedione levels were measured by using ELISA. It has been found that serum testosterone levels of patients with lower autistic traits are significantly lower than those with moderate and severe autistic traits, while the serum oxytocin levels are significantly higher.

Also, patients with severe autistic traits have had significantly higher serum androstenedione levels than those with lower and moderate autistic traits. This study suggests that patients who have higher autistic traits have elevated testosterone and androstenedione levels and lower serum oxytocin levels. Further studies are needed to clarify this relationship.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience
Year
2023
PMID
36398591
DOI
10.1002/jdn.10241

MeSH Terms

PregnancyFemaleHumansMaleChildAttention Deficit Disorder with HyperactivityAutism Spectrum DisorderAndrostenedioneOxytocinAutistic DisorderTestosterone