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ADHD, autism spectrum disorder, temperament, and character: Phenotypical associations and etiology in a Swedish childhood twin study

Kerekes, Nora ; Brandstrom, Sven ; Lundstrom, Sebastian ; Råstam, Maria LU orcid ; Nilsson, Thomas and Anckarsater, Henrik (2013) In Comprehensive Psychiatry 54(8). p.1140-1147
Abstract
Objective: To explore the links between neurodevelopmental disorders attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) and personality in a population-based, genetically sensitive study of children. Method: A population-based sample of 1886 twins aged 9 and 12, enriched for childhood mental health problems, was recruited from the Child and Adolescent Twin Study in Sweden (CATSS). Parents were interviewed over the telephone using the Autism-Tics, AD/HD and other Comorbidities (A-TAC) inventory, and in a second step they rated their children according to the Junior Temperament and Character Inventory (JTCI). Results: ADHD was strongly correlated with novelty seeking, while ASD was correlated positively with... (More)
Objective: To explore the links between neurodevelopmental disorders attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) and personality in a population-based, genetically sensitive study of children. Method: A population-based sample of 1886 twins aged 9 and 12, enriched for childhood mental health problems, was recruited from the Child and Adolescent Twin Study in Sweden (CATSS). Parents were interviewed over the telephone using the Autism-Tics, AD/HD and other Comorbidities (A-TAC) inventory, and in a second step they rated their children according to the Junior Temperament and Character Inventory (JTCI). Results: ADHD was strongly correlated with novelty seeking, while ASD was correlated positively with harm avoidance and negatively with reward dependence. The strongest associations between personality traits and neurodevelopmental disorders were negative correlations between the character dimensions of self-directedness and cooperativeness and ADHD and ASD alike. Cross-twin cross-trait correlations between ADHD, ASD, and personality dimensions in monozygotic twins were more than double those in dizygotic twins, indicating a strong genetic effect behind the phenotypic covariation between neurodevelopmental disorders and personality. Conclusions: Neurodevelopmental disorders are linked specifically to particular temperament profiles and generally to hampered development of the self-governing strategies referred to as "character." Poor self-agency and cooperation may be core functional outcomes in the separation of children with handicapping conditions from those with traits only reminiscent of neurodevelopmental disorders. The associations between neurodevelopmental disorders and personality are at least partly due to genetic effects influencing both conditions. As a consequence, personality must be broadly considered in neuropsychiatry, just as neuropsychiatric disorders and their genetic, neurodevelopmental, and cognitive susceptibilities have to be in personality research and clinical treatment. (C) 2013 Elsevier Inc. All rights reserved. (Less)
Please use this url to cite or link to this publication:
author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Comprehensive Psychiatry
volume
54
issue
8
pages
1140 - 1147
publisher
Elsevier
external identifiers
  • wos:000326709600002
  • scopus:84887022573
  • pmid:23790516
ISSN
0010-440X
DOI
10.1016/j.comppsych.2013.05.009
language
English
LU publication?
yes
id
98859b82-ff93-4f9a-b4df-3994f84f9ad4 (old id 4200939)
date added to LUP
2016-04-01 14:18:53
date last changed
2022-03-06 18:39:53
@article{98859b82-ff93-4f9a-b4df-3994f84f9ad4,
  abstract     = {{Objective: To explore the links between neurodevelopmental disorders attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) and personality in a population-based, genetically sensitive study of children. Method: A population-based sample of 1886 twins aged 9 and 12, enriched for childhood mental health problems, was recruited from the Child and Adolescent Twin Study in Sweden (CATSS). Parents were interviewed over the telephone using the Autism-Tics, AD/HD and other Comorbidities (A-TAC) inventory, and in a second step they rated their children according to the Junior Temperament and Character Inventory (JTCI). Results: ADHD was strongly correlated with novelty seeking, while ASD was correlated positively with harm avoidance and negatively with reward dependence. The strongest associations between personality traits and neurodevelopmental disorders were negative correlations between the character dimensions of self-directedness and cooperativeness and ADHD and ASD alike. Cross-twin cross-trait correlations between ADHD, ASD, and personality dimensions in monozygotic twins were more than double those in dizygotic twins, indicating a strong genetic effect behind the phenotypic covariation between neurodevelopmental disorders and personality. Conclusions: Neurodevelopmental disorders are linked specifically to particular temperament profiles and generally to hampered development of the self-governing strategies referred to as "character." Poor self-agency and cooperation may be core functional outcomes in the separation of children with handicapping conditions from those with traits only reminiscent of neurodevelopmental disorders. The associations between neurodevelopmental disorders and personality are at least partly due to genetic effects influencing both conditions. As a consequence, personality must be broadly considered in neuropsychiatry, just as neuropsychiatric disorders and their genetic, neurodevelopmental, and cognitive susceptibilities have to be in personality research and clinical treatment. (C) 2013 Elsevier Inc. All rights reserved.}},
  author       = {{Kerekes, Nora and Brandstrom, Sven and Lundstrom, Sebastian and Råstam, Maria and Nilsson, Thomas and Anckarsater, Henrik}},
  issn         = {{0010-440X}},
  language     = {{eng}},
  number       = {{8}},
  pages        = {{1140--1147}},
  publisher    = {{Elsevier}},
  series       = {{Comprehensive Psychiatry}},
  title        = {{ADHD, autism spectrum disorder, temperament, and character: Phenotypical associations and etiology in a Swedish childhood twin study}},
  url          = {{http://dx.doi.org/10.1016/j.comppsych.2013.05.009}},
  doi          = {{10.1016/j.comppsych.2013.05.009}},
  volume       = {{54}},
  year         = {{2013}},
}