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Autism Families with a High Incidence of Alcoholism

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Abstract

To determine the significance of neuropsychiatric disorders in autism families, we analyzed 167 pedigrees ascertained through an autistic child; 39% had alcoholism in patterns consistent with transmission of a genetic trait. Children from high alcoholism families were more likely to have the onset of their autistic behavior occur with a loss of language (52.5% vs. 35.8%, p = 0.04). This occurred primarily in families where the mother was alcoholic (80% vs. 40%, p = 0.05), suggesting an association between maternal alcoholism and regressive onset autism. Children from high alcoholism families were less likely to be macrocephalic (14.7% vs. 40.6%, p = 0.0006). Children from high alcohol and low alcohol families did not differ in dysmorphology status, IQ, sex ratio or sib recurrence risk.

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REFERENCES

  • Aase, J. M. (1990). Diagnostic Dysmorphology. Plenum Press, New York.

    Google Scholar 

  • Abramson, R. K., Wright, H. H., Cuccaro, M. L., Lawrence, L. G., Babb, S., Pencarinha, D., Marsteller, F., & Harris, E. C. (1992). Biological liability in families with autism. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 370–371.

    Google Scholar 

  • Anderson, G. M., Freedman, D. X., Cohen, D. J., Volkmar, F. R., Hoder, E. L., McPhedran, P., Minderaa, R. B., Hansen, C. R., & Young, J. G. (1987). Whole blood serotonin in autistic and normal subjects. Journal of Child Psychology & Psychiatry & Allied Disciplines, 28, 885–900.

    Google Scholar 

  • Andreasen, N. C., Rice, J., Endicott, J., Reich, T., & Coryell, W. (1986). The family history approach to diagnosis. How useful is it? Archives of General Psychiatry, 43, 421–429.

    PubMed  Google Scholar 

  • Aronson, M., Hagberg, B., & Gillberg, C. (1997). Attention deficits and autistic spectrum problems in children exposed to alcohol during gestation: A follow-up study. Developmental Medicine & Child Neurology, 39, 583–587.

    Google Scholar 

  • Awad, G. A. (1996). The use of selective serotonin reuptake inhibitors in young children with pervasive developmental disorders: Some clinical observations. Canadian Journal of Psychiatry, 41, 361–366.

    Google Scholar 

  • Babor, T. F., Hofmann, M., DelBoca, F. K., Hesselbrock, V., Meyer, R. E., Dolinsky, Z. S., & Rounsaville, B. (1992). Types of alcoholics, I. Evidence for an empirically derived typology based on indicators of vulnerability and severity. Archives of General Psychiatry, 49, 599–608.

    PubMed  Google Scholar 

  • Bailey, A., Le Couteur, A., Gottesman, I., Bolton, P., Simonoff, E., Yuzda, E., & Rutter, M. (1995). Autism as a strongly genetic disorder: Evidence from a British twin study. Psychological Medicine, 25, 63–77.

    PubMed  Google Scholar 

  • Balkovetz, D. F., Tiruppathi, C., Leibach, F. H., Mahesh, V. B., & Ganapathy, V. (1989). Evidence for an imipramine-sensitive serotonin transporter in human placental brush-border membranes. Journal of Biological Chemistry, 264, 2195–2198.

    PubMed  Google Scholar 

  • Barnes, N. M., & Sharp, T. (1999). A review of central 5-HT receptors and their function. Neuropharmacology, 38, 1083–1152.

    PubMed  Google Scholar 

  • Bierut, L. J., Dinwiddie, S. H., Begleiter, H., Crowe, R. R., Hesselbrock, V., Nurnberger, J. I., Jr., Porjesz, B., Schuckit, M. A., & Reich, T. (1998). Familial transmission of substance dependence: Alcohol, marijuana, cocaine, and habitual smoking: A report from the Collaborative Study on the Genetics of Alcoholism. Archives of General Psychiatry, 55, 982–988.

    PubMed  Google Scholar 

  • Bloom, F. E., & Morales, M. (1998). The central 5-HT3 receptor in CNS disorders. Neurochemical Research, 23, 653–659.

    PubMed  Google Scholar 

  • Bohman, M., Sigvardsson, S., & Cloninger, C. R. (1981). Maternal inheritance of alcohol abuse. Cross-fostering analysis of adopted women. Archives of General Psychiatry, 38, 965–969.

    PubMed  Google Scholar 

  • Bolton, P., Macdonald, H., Pickles, A., Rios, P., Goode, S., Crowson, M., Bailey, A., & Rutter, M. (1994). A case-control family history study of autism. Journal of Child Psychology & Psychiatry & Allied Disciplines, 35, 877–900.

    Google Scholar 

  • Bolton, P. F., Pickles, A., Murphy, M., & Rutter, M. (1998). Autism, affective and other psychiatric disorders: Patterns of familial aggregation. Psychological Medicine, 28, 385–395.

    PubMed  Google Scholar 

  • Bolton, P. F., Roobol, M., Allsopp, L., & Pickles, A. (2001). Association between idiopathic infantile macrocephaly and autism spectrum disorders. Lancet, 358, 726–727.

    Article  PubMed  Google Scholar 

  • Brown, T. G., Seraganian, P., & Tremblay, J. (1994). Alcoholics also dependent on cocaine in treatment: Do they differ from “pure” alcoholics? Addictive Behaviors, 19, 105–112.

    Article  PubMed  Google Scholar 

  • Bucholz, K. K., Helzer, J. E., Shayka, J. J., & Lewis, C. E. (1994). Comparison of alcohol dependence in subjects from clinical, community, and family studies. Alcoholism, Clinical and Experimental Research, 18, 1091–1099.

    Google Scholar 

  • Bucholz, K. K., Hesselbrock, V. M., Shayka, J. J., Nurnberger, J. I., Jr., Schuckit, M. A., Schmidt, I., & Reich, T. (1995). Reliability of individual diagnostic criterion items for psychoactive substance dependence and the impact on diagnosis. Journal of Studies on Alcohol, 56, 500–505.

    PubMed  Google Scholar 

  • Bucholz, K. K., Marion, S. L., Shayka, J. J., Marcus, S. C., & Robins, L. N. (1996). A short computer interview for obtaining psychiatric diagnoses. Psychiatric Services, 47, 293–297.

    PubMed  Google Scholar 

  • Bukstein, O. G., Brent, D. A., & Kaminer, Y. (1989). Comorbidity of substance abuse and other psychiatric disorders in adolescents. The American Journal of Psychiatry, 146, 1131–1141.

    PubMed  Google Scholar 

  • Cloninger, C. R., Reich, T., & Wetzel, R. (1979). Alcoholism and affective disorders: Familial associations and genetic models. In Alcoholism and Affective Disorders: Clinical, Genetic and Biochemical Studies, eds. Goodwin, D. W. & Erickson, C. K., pp. 57–86. SP Medical & Scientific Books, New York.

    Google Scholar 

  • Cook, E. H., & Leventhal, B. L. (1996). The serotonin system in autism. Current Opinion in Pediatrics, 8, 348–354.

    PubMed  Google Scholar 

  • Cook, E. H., Jr., Arora, R. C., Anderson, G. M., Berry-Kravis, E. M., Yan, S. Y., Yeoh, H. C., Sklena, P. J., Charak, D. A., & Leventhal, B. L. (1993). Platelet serotonin studies in hyperserotonemic relatives of children with autistic disorder. Life Sciences, 52, 2005–2015.

    Article  PubMed  Google Scholar 

  • Cook, E. H., Jr., Rowlett, R., Jaselskis, C., & Leventhal, B. L. (1992). Fluoxetine treatment of children and adults with autistic disorder and mental retardation. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 739–745.

    PubMed  Google Scholar 

  • Davidovitch, M., Patterson, B., & Gartside, P. (1996). Head circumference measurements in children with autism. Journal of Child Neurology, 11, 389–393.

    PubMed  Google Scholar 

  • Davies, N. J., Sham, P. C., Gilvarry, C., Jones, P. B., & Murray, R. M. (1997). Comparison of the family history with the family study method: Report from the Camberwell Collaborative Psychosis Study. American Journal of Human Genetics, 74, 12–17.

    Google Scholar 

  • Dawson, D. A., & Grant, B. F. (1998). Family history of alcoholism and gender: Their combined effects on DSM-IV alcohol dependence and major depression. Journal of Studies on Alcohol, 59, 97–106.

    PubMed  Google Scholar 

  • DeLong, G. R. (1999). Autism: New data suggest a new hypothesis. Neurology, 52, 911–916.

    PubMed  Google Scholar 

  • DeLong, G. R., & Dwyer, J. T. (1988). Correlation of family history with specific autistic subgroups: Asperger's syndrome and bipolar affective disease. Journal of Autism & Developmental Disorders, 18, 593–600.

    Google Scholar 

  • Di Chiara, G., & Imperato, A. (1988). Drugs abused by humans preferentially increase synaptic dopamine concentrations in the mesolimbic system of freely moving rats. Proceedings of the National Academy of Sciences of the United States of America, 85, 5274–5278.

    PubMed  Google Scholar 

  • Du, X., & Iacovitti, L. (1995). Synergy between growth factors and transmitters required for catecholamine differentiation in brain neurons. Journal of Neuroscience, 15, 5420–5427.

    PubMed  Google Scholar 

  • Eaton, W. W., Kramer, M., Anthony, J. C., & Dryman, A. (1989). The incidence of specific DIS/DSM-III mental disorders: Data from the NIMH Epidemiologic Catchment Area program. Acta Psychiatrica Scandinavica, 79, 163–178.

    PubMed  Google Scholar 

  • Endicott, J., & Spitzer, R. L. (1978). A diagnostic interview: The schedule for affective disorders and schizophrenia. Archives of General Psychiatry, 35, 837–844.

    PubMed  Google Scholar 

  • Enoch, M. A., & Goldman, D. (2001). The genetics of alcoholism and alcohol abuse. Current Psychiatry Reports, 3, 144–151.

    PubMed  Google Scholar 

  • Fombonne, E., Roge, B., Claverie, J., Courty, S., & Fremolle, J. (1999). Microcephaly and macrocephaly in autism. Journal of Autism & Developmental Disorders, 29, 113–119.

    Google Scholar 

  • Foroud, T., Bucholz, K. K., Edenberg, H. J., Goate, A., Neuman, R. J., Porjesz, B., Koller, D. L., Rice, J., Reich, T., Bierut, L. J., Cloninger, C. R., Nurnberger, J. I., Jr., Li, T. K., Conneally, P. M., Tischfield, J. A., Crowe, R., Hesselbrock, V., Schuckit, M., & Begleiter, H. (1998). Linkage of an alcoholism-related severity phenotype to chromosome 16. Alcoholism, Clinical and Experimental Research, 22, 2035–2042.

    Google Scholar 

  • George, D. T., Rawlings, R., Eckardt, M. J., Phillips, M. J., Shoaf, S. E., & Linnoila, M. (1999). Buspirone treatment of alcoholism: Age of onset, and cerebrospinal fluid 5-hydroxyindolacetic acid and homovanillic acid concentrations, but not medication treatment, predict return to drinking. Alcoholism, Clinical and Experimental Research, 23, 272–278.

    Google Scholar 

  • Gordon, C. T., State, R. C., Nelson, J. E., Hamburger, S. D., & Rapoport, J. L. (1993). A double-blind comparison of clomipramine, desipramine, and placebo in the treatment of autistic disorder. Archives of General Psychiatry, 50, 441–447.

    PubMed  Google Scholar 

  • Grant, B. F. (1997). Prevalence and correlates of alcohol use and DSM-IV alcohol dependence in the United States: Results of the National Longitudinal Alcohol Epidemiologic Survey. Journal of Studies on Alcohol, 58, 464–473.

    PubMed  Google Scholar 

  • Greenberg, D. A., Hodge, S. E., Sowinski, J., & Nicoll, D. (2001). Excess of twins among affected sibling pairs with autism: Implications for the etiology of autism. American Journal of Human Genetics, 69, 1062–1067.

    Article  PubMed  Google Scholar 

  • Gurling, H. M., Murray, R. M., & Clifford, C. A. (1981). Investigations into the genetics of alcohol dependence and into its effects on brain function. Progress in Clinical and Biological Research, 69 Pt C, 77–87.

    Google Scholar 

  • Hall, J. G., Froster-Iskenius U. G., & Allanson, J. E. (1989). Handbook of Normal Physical Measurements. Oxford University Press, New York.

    Google Scholar 

  • Harris, S. R., MacKay, L. L., & Osborn, J. A. (1995). Autistic behaviors in offspring of mothers abusing alcohol and other drugs: A series of case reports. Alcoholism, Clinical and Experimental Research, 19, 660–665.

    Google Scholar 

  • Heinz, A., Mann, K., Weinberger, D. R., & Goldman, D. (2001). Serotonergic dysfunction, negative mood states, and response to alcohol. Alcoholism, Clinical and Experimental Research, 25, 487–495.

    Google Scholar 

  • Hemby, S. E., Co, C., Koves, T. R., Smith, J. E., & Dworkin, S. I. (1997). Differences in extracellular dopamine concentrations in the nucleus accumbens during response-dependent and responseindependent cocaine administration in the rat. Psychopharmacology, 133, 7–16.

    Article  PubMed  Google Scholar 

  • Hill, S. Y. (1993). Etiology. In Annual Review of Addictions Research and Treatment, eds. Langenbucher, J. W., McCrady, B. S., Frankenstein, W., & Nathan, P. E., pp. 127–148. Pergamon Press, Inc., Tarrytown, NY.

    Google Scholar 

  • Hollingshead, A. B. (1975). Four factor index of social status. New Haven, CT: Department of Sociology, Yale University.

    Google Scholar 

  • Johnson, B. A., & Ait-Daoud, N. (2000). Neuropharmacological treatments for alcoholism: scientific basis and clinical findings. Psychopharmacology (Berl), 149, 327–344.

    Article  Google Scholar 

  • Jones, K. L. (1997). Smith's Recognizable Patterns of Human Malformation, 5 ed. WB Saunders Company, Philadelphia.

    Google Scholar 

  • Kendler, K. S., Heath, A. C., Neale, M. C., Kessler, R. C., & Eaves, L. J. (1993). Alcoholism and major depression in women. A twin study of the causes of comorbidity. Archives of General Psychiatry, 50, 690–698.

    PubMed  Google Scholar 

  • Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., Wittchen, H. U., & Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8–19.

    PubMed  Google Scholar 

  • Koob, G. F. (1992). Neural mechanisms of drug reinforcement. Annals of the New York Academy of Sciences, 654, 171–191.

    PubMed  Google Scholar 

  • Kurita, H. (1985). Infantile autism with speech loss before the age of thirty months. Journal of the American Academy of Child Psychiatry, 24, 191–196.

    PubMed  Google Scholar 

  • Labuda, D., Krajinovic, M., Sabbagh, A., Infante-Rivard, D., & Sinnett, D. (2002). Parental genotypes in the risk of a complex disease. American Journal of Human Genetics, 71, 193–197.

    Article  PubMed  Google Scholar 

  • Lainhart, J. E., Piven, J., Wzorek, M., Landa, R., Santangelo, S. L., Coon, H., & Folstein, S. E. (1997). Macrocephaly in children and adults with autism. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 282–290.

    Article  PubMed  Google Scholar 

  • Lainhart, J. D., Ozonoff, S., Coon, H., Krasny, L., & McMahon, W. (2002). Autism, regression and the broader autism phenotype. American Journal of Medical Genetics, in press.

  • Lauder, J. M. (1988). Neurotransmitters as morphogens. Progress in Brain Research, 73, 365–387.

    PubMed  Google Scholar 

  • Levitt, P., Harvey, J. A., Friedman, E., Simansky, K., & Murphy, E. H. (1997). New evidence for neurotransmitter influences on brain development. Trends in Neurosciences, 20, 269–274.

    Article  PubMed  Google Scholar 

  • Litt, M. D., Babor, T. F., DelBoca, F. K., Kadden, R. M., & Cooney, N. L. (1992). Types of alcoholics, II. Application of an empirically derived typology to treatment matching. Archives of General Psychiatry, 49, 609–614.

    PubMed  Google Scholar 

  • Liu, J., Nyholt, D. R., Magnussen, P., Parano, E., Pavone, P., Geschwind, D., Lord, C., Iversen, P., Hoh, J., Ott, J., & Gilliam, T. C. (2001). Agenomewide screen for autism susceptibility loci. American Journal of Human Genetics, 69, 327–340.

    Article  PubMed  Google Scholar 

  • Lobascher, M. E., Kingerlee, P. E., & Gubbay, S. S. (1970). Childhood autism: an investigation of aetiological factors in twentyfive cases. British Journal of Psychiatry, 117, 525–529.

    Google Scholar 

  • Lord, C., Rutter, M., & DiLavore, P. C. (1998). Manual for the Autism Diagnostic Observation Schedule.

  • Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism & Developmental Disorders, 24, 659–685.

    Google Scholar 

  • Lovinger, D. M. (1991). Inhibition of 5-HT3 receptor-mediated ion current by divalent metal cations in NCB-20 neuroblastoma cells. Journal of Neurophysiology, 66, 1329–1337.

    PubMed  Google Scholar 

  • Lovinger, D. M., Sung, K. W., & Zhou, Q. (2000). Ethanol and trichloroethanol alter gating of 5-HT3 receptor-channels in NCB-20 neuroblastoma cells. Neuropharmacology, 39, 561–570.

    Article  PubMed  Google Scholar 

  • McBride, P. A., Anderson, G. M., Hertzig, M. E., Snow, M. E., Thompson, S. M., Khait, V. D., Shapiro, T., & Cohen, D. J. (1998). Effects of diagnosis, race, and puberty on platelet serotonin levels in autism and mental retardation. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 767–776.

    PubMed  Google Scholar 

  • McBride, P. A., Anderson, G. M., & Mann, J. J. (1990). Serotonin in Autism. In Serotonin in Major Psychiatric Disorders, eds. Coccaro, E. F., & Murphy, D. L., pp. 49–68. American Psychiatric Press, Washington, D.C.

    Google Scholar 

  • McDougle, C. J., Brodkin, E. S., Naylor, S. T., Carlson, D. C., Cohen, D. J., & Price, L. H. (1998). Sertraline in adults with pervasive developmental disorders: A prospective open-label investigation. Journal of Clinical Psychopharmacology, 18, 62–66.

    PubMed  Google Scholar 

  • McDougle, C. J., Kresch, L. E., & Posey, D. J. (2000). Repetitive thoughts and behavior in pervasive developmental disorders: treatment with serotonin reuptake inhibitors. Journal of Autism & Developmental Disorders, 30, 427–435.

    Google Scholar 

  • McGue, M., Iacono, W. G., Legrand, L. N., & Elkins, I. (2001). Origins and consequences of age at first drink. II. Familial risk and heritability. Alcoholism, Clinical and Experimental Research, 25, 1166–1173.

    Google Scholar 

  • Merikangas, K. R., & Gelernter, C. S. (1990). Comorbidity for alcoholism and depression. Psychiatric Clinics of North America, 13, 613–632.

    PubMed  Google Scholar 

  • Miles, J. H., Hadden, L., Takahashi, T. N., & Hillman, R. E. (2000). Head circumference is an independent clinical finding associated with autism. American Journal of Medical Genetics, 95, 339–350.

    PubMed  Google Scholar 

  • Miles, J. H., & Hillman, R. E. (2000). Value of a clinical morphology examination in autism. American Journal of Medical Genetics, 91, 245–253.

    PubMed  Google Scholar 

  • Miles, J. H., Takahashi, T. N., Jones, C., & Hillman, R. E. (1999). Families concordant for autism and alcoholism. American Journal of Human Genetics, 65, A335.

    Google Scholar 

  • Miles, J. H., Takahashi, T. N., Sahota, P. K., Jones, C. E., & Hillman, R. E. (2001). Essential vs. complex autism: Definition of fundamental prognostic subtypes. American Journal of Human Genetics, 69, 193.

    Google Scholar 

  • Murphy, M., Bolton, P. F., Pickles, A., Fombonne, E., Piven, J., & Rutter, M. (2000). Personality traits of the relatives of autistic probands. Psychological Medicine, 30, 1411–1424.

    Article  PubMed  Google Scholar 

  • Nanson, J. L. (1992). Autism in fetal alcohol syndrome: a report of six cases. Alcoholism, Clinical and Experimental Research, 16, 558–565.

    Google Scholar 

  • Nurnberger, J. I., Jr., Foroud, T., Flury, L., Su, J., Meyer, E. T., Hu, K., Crowe, R., Edenberg, H., Goate, A., Bierut, L., Reich, T., Schuckit, M., & Reich, W. (2001). Evidence for a locus on chromosome 1 that influences vulnerability to alcoholism and affective disorder. The American Journal of Psychiatry, 158, 718–724.

    Article  PubMed  Google Scholar 

  • Orvaschel, H., Thompson, W. D., Belanger, A., Prusoff, B. A., & Kidd, K. K. (1982). Comparison of the family history method to direct interview. Factors affecting the diagnosis of depression. Journal of Affective Disorders, 4, 49–59.

    Article  PubMed  Google Scholar 

  • Pettinati, H. M., Volpicelli, J. R., Kranzler, H. R., Luck, G., Rukstalis, M. R., & Cnaan, A. (2000). Sertraline treatment for alcohol dependence: interactive effects of medication and alcoholic subtype. Alcoholism, Clinical and Experimental Research, 24, 1041–1049.

    Google Scholar 

  • Pickens, R. W., & Svikis, D. S. (1988). The twin method in the study of vulnerability to drug abuse. National Institute on Drug Abuse Research Monograph, 89, 41–51.

    Google Scholar 

  • Piven, J., Chase, G. A., Landa, R., Wzorek, M., Gayle, J., Cloud, D., & Folstein, S. (1991). Psychiatric disorders in the parents of autistic individuals. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 471–478.

    PubMed  Google Scholar 

  • Piven, J., & Palmer, P. (1999). Psychiatric disorder and the broad autism phenotype: Evidence from a family study of multipleincidence autism families. American Journal of Psychiatry, 156, 557–563.

    PubMed  Google Scholar 

  • Posey, D. I., Litwiller, M., Koburn, A., & McDougle, C. J. (1999). Paroxetine in autism. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 111–112.

    PubMed  Google Scholar 

  • Prescott, C. A., & Kendler, K. S. (2000). Influence of ascertainment strategy on finding sex differences in genetic estimates from twin studies of alcoholism. American Journal of Medical Genetics, 96, 754–761.

    PubMed  Google Scholar 

  • Ramamoorthy, S., Leibach, F. H., Mahesh, V. B., & Ganapathy, V. (1992). Active transport of dopamine in human placental brushborder membrane vesicles. American Journal of Physiology, 262, C1189-C1196.

    PubMed  Google Scholar 

  • Reich, T., Edenberg, H. J., Goate, A., Williams, J. T., Rice, J. P., Van Eerdewegh, P., Foroud, T., Hesselbrock, V., Schuckit, M. A., Bucholz, K., Porjesz, B., Li, T. K., Conneally, P. M., Nurnberger, J. I., Jr., Tischfield, J. A., Crowe, R. R., Cloninger, C. R., Wu, W., Shears, S., Carr, K., Crose, C., Willig, C., & Begleiter, H. (1998). Genome-wide search for genes affecting the risk for alcohol dependence. American Journal of Medical Genetics, 81, 207–215.

    PubMed  Google Scholar 

  • Rice, J. P., Reich, T., Bucholz, K. K., Neuman, R. J., Fishman, R., Rochberg, N., Hesselbrock, V. M., Nurnberger, J. I., Jr., Schuckit, M. A., & Begleiter, H. (1995). Comparison of direct interview and family history diagnoses of alcohol dependence. Alcoholism, Clinical and Experimental Research, 19, 1018–1023.

    Google Scholar 

  • Risch, N., Spiker, D., Lotspeich, L., Nouri, N., Hinds, D., Hallmayer, J., Kalaydjieva, L., McCague, P., Dimiceli, S., Pitts, T., Nguyen, L., Yang, J., Harper, C., Thorpe, D., Vermeer, S., Young, H., Hebert, J., Lin, A., Ferguson, J., Chiotti, C., Wiese-Slater, S., Rogers, T., Salmon, B., Nicholas, P., & Myers, R. M. (1999). A genomic screen of autism: Evidence for a multilocus etiology. American Journal of Human Genetics, 65, 493–507.

    Article  PubMed  Google Scholar 

  • Robins, L. N., Helzer, J. E., Weissman, M. M., Orvaschel, H., Gruenberg, E., Burke, J. D., Jr., & Regier, D. A. (1984). Lifetime prevalence of specific psychiatric disorders in three sites. Archives of General Psychiatry, 41, 949–958.

    PubMed  Google Scholar 

  • Robinson, P. D., Schutz, C. K., Macciardi, F., White, B. N., & Holden, J. J. (2001). Genetically determined low maternal serum dopamine beta-hydroxylase levels and the etiology of autism spectrum disorders. American Journal of Medical Genetics, 100, 30–36.

    Article  PubMed  Google Scholar 

  • Roid, G. H. (1997). Leiter international performance scale-revised: Examiners manual. Stoelting, Wood Dale, IL.

    Google Scholar 

  • Sander, T., Harms, H., Dufeu, P., Kuhn, S., Hoehe, M., Lesch, K. P., Rommelspacher, H., & Schmidt, L. G. (1998). Serotonin transporter gene variants in alcohol-dependent subjects with dissocial personality disorder. Biological Psychiatry, 43, 908–912.

    Article  PubMed  Google Scholar 

  • Schopler, E., Reichler, R. J., & Renner, B. R. (1986). The Childhood Autism Rating Scale (CARS) for diagnostic screening and classification of autism. New York, Irvington.

  • Schreier, H., Rapin, I., & Davis, J. (1974). Familial megalencephaly or hydrocephalus? Neurology, 24, 232–236.

    PubMed  Google Scholar 

  • Seeman, M. V. (1997). Psychopathology in women and men: Focus on female hormones. American Journal of Psychiatry, 154, 1641–1647.

    PubMed  Google Scholar 

  • Shinnar, S., Rapin, I., Arnold, S., Tuchman, R. F., Shulman, L., Ballaban-Gil, K., Maw, M., Deuel, R. K., & Volkmar, F. R. (2001). Language regression in childhood. Pediatric Neurology, 24, 183–189.

    PubMed  Google Scholar 

  • Smalley, S. L., McCracken, J., & Tanguay, P. (1995). Autism, affective disorders, and social phobia. American Journal of Human Genetics, 60, 19–26.

    Google Scholar 

  • Sparrow, S., Balla, D., & Cicchetti, D. (1984). Vineland Adaptive Behavior Scales. American Guidance Service, Circle Pines, MN.

    Google Scholar 

  • Stevenson, R. E., Schroer, R. J., Skinner, C., Fender, D., & Simensen, R. J. (1997). Autism and macrocephaly. Lancet, 349, 1744–1745.

    PubMed  Google Scholar 

  • Thomas, S. A., Marck, B. T., Palmiter, R. D., & Matsumoto, A. M. (1998). Restoration of norepinephrine and reversal of phenotypes in mice lacking dopamine beta-hydroxylase. Journal of Neurochemistry, 70, 2468–2476.

    PubMed  Google Scholar 

  • Thomas, S. A., Matsumoto, A. M., & Palmiter, R. D. (1995). Noradrenaline is essential for mouse fetal development. Nature, 374, 643–646.

    Article  PubMed  Google Scholar 

  • Thompson, W. D., Orvaschel, H., Prusoff, B. A., & Kidd, K. K. (1982). An evaluation of the family history method for ascertaining psychiatric disorders. Archives of General Psychiatry, 39, 53–58.

    PubMed  Google Scholar 

  • Thorndike, R. L., Hagen, E. P., & Sattler, J. M. (1986). Stanford-Binet Intelligence Scale. Riverside, Riverside, CA.

    Google Scholar 

  • Todd, R. D. (1992). Neural development is regulated by classical neurotransmitters: Dopamine D2 receptor stimulation enhances neurite outgrowth. Biological Psychiatry, 31, 794–807.

    Article  PubMed  Google Scholar 

  • Tsuang, M. T., Lyons, M. J., Meyer, J. M., Doyle, T., Eisen, S. A., Goldberg, J., True, W., Lin, N., Toomey, R., & Eaves, L. (1998). Co-occurrence of abuse of different drugs in men: The role of drug-specific and shared vulnerabilities. Archives of General Psychiatry, 55, 967–972.

    Article  PubMed  Google Scholar 

  • Tuchman, R. F., & Rapin, I. (1997). Regression in pervasive developmental disorders: Seizures and epileptiform electroencephalogram correlates. Pediatrics, 99, 560–566.

    Article  PubMed  Google Scholar 

  • Valdes, A. M., McWeeney, S. K., & Thomson, G. (1999). Evidence for linkage and association to alcohol dependence on chromosome 19. Genetic Epidemiology, 17 Suppl 1, S367-S372.

    PubMed  Google Scholar 

  • Weaver, D. D., & Christian, J. C. (1980). Familial variation of head size and adjustment for parental head circumference. Journal of Pediatrics, 96, 990–994.

    PubMed  Google Scholar 

  • Wechsler, D. (1991). Manual for the Wechsler Scale for Children. Psychological Corp., San Antonio, TX.

    Google Scholar 

  • Wise, R. A., & Bozarth, M. A. (1987). A psychomotor stimulant theory of addiction. Psychological Review, 94, 469–492.

    Article  PubMed  Google Scholar 

  • Woodhouse, W., Bailey, A., Rutter, M., Bolton, P., Baird, G., & Le Couteur, A. (1996). Head circumference in autism and other pervasive developmental disorders. Journal of Child Psychology & Psychiatry & Allied Disciplines, 37, 665–671.

    Google Scholar 

  • Yuan, H., Marazita, M. L., & Hill, S. Y. (1996). Segregation analysis of alcoholism in high density families: A replication. American Journal of Medical Genetics, 67, 71–96.

    Article  PubMed  Google Scholar 

  • Zhou, Q., & Lovinger, D. M. (1996). Pharmacologic characteristics of potentiation of 5-HT3 receptors by alcohols and diethyl ether in NCB-20 neuroblastoma cells. The Journal of Pharmacology and Experimental Therapeutics, 278, 732–740.

    PubMed  Google Scholar 

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Correspondence to Judith H. Miles.

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Miles, J.H., Takahashi, T.N., Haber, A. et al. Autism Families with a High Incidence of Alcoholism. J Autism Dev Disord 33, 403–415 (2003). https://doi.org/10.1023/A:1025010828304

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