Categorical versus dimensional structure of autism spectrum disorder: A multi‐method investigation

<h3>Background</h3><p dir="ltr">A key question for any psychopathological diagnosis is whether the condition is continuous or discontinuous with typical variation. The primary objective of this study was to use a multi-method approach to examine the broad latent categoric...

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Main Author: Thomas W. Frazier (4229593) (author)
Other Authors: Lacey Chetcuti (6159122) (author), Fouad A. Al‐Shaban (14777101) (author), Nick Haslam (405864) (author), Iman Ghazal (6176756) (author), Eric W. Klingemier (14777086) (author), Mohammed Aldosari (6176741) (author), Andrew J. O. Whitehouse (9432890) (author), Eric A. Youngstrom (9414748) (author), Antonio Y. Hardan (10886983) (author), Mirko Uljarević (5283140) (author)
Published: 2023
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author Thomas W. Frazier (4229593)
author2 Lacey Chetcuti (6159122)
Fouad A. Al‐Shaban (14777101)
Nick Haslam (405864)
Iman Ghazal (6176756)
Eric W. Klingemier (14777086)
Mohammed Aldosari (6176741)
Andrew J. O. Whitehouse (9432890)
Eric A. Youngstrom (9414748)
Antonio Y. Hardan (10886983)
Mirko Uljarević (5283140)
author2_role author
author
author
author
author
author
author
author
author
author
author_facet Thomas W. Frazier (4229593)
Lacey Chetcuti (6159122)
Fouad A. Al‐Shaban (14777101)
Nick Haslam (405864)
Iman Ghazal (6176756)
Eric W. Klingemier (14777086)
Mohammed Aldosari (6176741)
Andrew J. O. Whitehouse (9432890)
Eric A. Youngstrom (9414748)
Antonio Y. Hardan (10886983)
Mirko Uljarević (5283140)
author_role author
dc.creator.none.fl_str_mv Thomas W. Frazier (4229593)
Lacey Chetcuti (6159122)
Fouad A. Al‐Shaban (14777101)
Nick Haslam (405864)
Iman Ghazal (6176756)
Eric W. Klingemier (14777086)
Mohammed Aldosari (6176741)
Andrew J. O. Whitehouse (9432890)
Eric A. Youngstrom (9414748)
Antonio Y. Hardan (10886983)
Mirko Uljarević (5283140)
dc.date.none.fl_str_mv 2023-02-21T03:00:00Z
dc.identifier.none.fl_str_mv 10.1002/jcv2.12142
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Categorical_versus_dimensional_structure_of_autism_spectrum_disorder_A_multi_method_investigation/26095003
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Neurosciences
Psychology
Clinical and health psychology
autism
categorical
dimensional
latent
taxometric
dc.title.none.fl_str_mv Categorical versus dimensional structure of autism spectrum disorder: A multi‐method investigation
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">A key question for any psychopathological diagnosis is whether the condition is continuous or discontinuous with typical variation. The primary objective of this study was to use a multi-method approach to examine the broad latent categorical versus dimensional structure of autism spectrum disorder (ASD).</p><h3>Method</h3><p dir="ltr">Data were aggregated across seven independent samples of participants with ASD, other neurodevelopmental disorders (NDD), and non-ASD/NDD controls (aggregate Ns = 512–16,755; ages 1.5–22). Scores from four distinct phenotype measures formed composite “indicators” of the latent ASD construct. The primary indicator set included eye gaze metrics from seven distinct social stimulus paradigms. Logistic regressions were used to combine gaze metrics within/across paradigms, and derived predicted probabilities served as indicator values. Secondary indicator sets were constructed from clinical observation and parent-report measures of ASD symptoms. Indicator sets were submitted to taxometric- and latent class analyses.</p><h3>Results</h3><p dir="ltr">Across all indicator sets and analytic methods, there was strong support for categorical structure corresponding closely to ASD diagnosis. Consistent with notions of substantial phenotypic heterogeneity, the ASD category had a wide range of symptom severity. Despite the examination of a large sample with a wide range of IQs in both genders, males and children with lower IQ were over-represented in the ASD category, similar to observations in diagnosed cases.</p><h3>Conclusions</h3><p dir="ltr">Our findings provide strong support for categorical structure corresponding closely to ASD diagnosis. The present results bolster the use of well-diagnosed and representative ASD groups within etiologic and clinical research, motivating the ongoing search for major drivers of the ASD phenotype. Despite the categorical structure of ASD, quantitative symptom measurements appear more useful for examining relationships with other factors.</p><h2>Other Information</h2><p dir="ltr">Published in: JCPP Advances<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/jcv2.12142" target="_blank">https://dx.doi.org/10.1002/jcv2.12142</a></p><p dir="ltr"><br></p>
eu_rights_str_mv openAccess
id Manara2_ae757e0e133abcb411766db60583e265
identifier_str_mv 10.1002/jcv2.12142
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/26095003
publishDate 2023
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rights_invalid_str_mv CC BY 4.0
spelling Categorical versus dimensional structure of autism spectrum disorder: A multi‐method investigationThomas W. Frazier (4229593)Lacey Chetcuti (6159122)Fouad A. Al‐Shaban (14777101)Nick Haslam (405864)Iman Ghazal (6176756)Eric W. Klingemier (14777086)Mohammed Aldosari (6176741)Andrew J. O. Whitehouse (9432890)Eric A. Youngstrom (9414748)Antonio Y. Hardan (10886983)Mirko Uljarević (5283140)Biomedical and clinical sciencesClinical sciencesNeurosciencesPsychologyClinical and health psychologyautismcategoricaldimensionallatenttaxometric<h3>Background</h3><p dir="ltr">A key question for any psychopathological diagnosis is whether the condition is continuous or discontinuous with typical variation. The primary objective of this study was to use a multi-method approach to examine the broad latent categorical versus dimensional structure of autism spectrum disorder (ASD).</p><h3>Method</h3><p dir="ltr">Data were aggregated across seven independent samples of participants with ASD, other neurodevelopmental disorders (NDD), and non-ASD/NDD controls (aggregate Ns = 512–16,755; ages 1.5–22). Scores from four distinct phenotype measures formed composite “indicators” of the latent ASD construct. The primary indicator set included eye gaze metrics from seven distinct social stimulus paradigms. Logistic regressions were used to combine gaze metrics within/across paradigms, and derived predicted probabilities served as indicator values. Secondary indicator sets were constructed from clinical observation and parent-report measures of ASD symptoms. Indicator sets were submitted to taxometric- and latent class analyses.</p><h3>Results</h3><p dir="ltr">Across all indicator sets and analytic methods, there was strong support for categorical structure corresponding closely to ASD diagnosis. Consistent with notions of substantial phenotypic heterogeneity, the ASD category had a wide range of symptom severity. Despite the examination of a large sample with a wide range of IQs in both genders, males and children with lower IQ were over-represented in the ASD category, similar to observations in diagnosed cases.</p><h3>Conclusions</h3><p dir="ltr">Our findings provide strong support for categorical structure corresponding closely to ASD diagnosis. The present results bolster the use of well-diagnosed and representative ASD groups within etiologic and clinical research, motivating the ongoing search for major drivers of the ASD phenotype. Despite the categorical structure of ASD, quantitative symptom measurements appear more useful for examining relationships with other factors.</p><h2>Other Information</h2><p dir="ltr">Published in: JCPP Advances<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/jcv2.12142" target="_blank">https://dx.doi.org/10.1002/jcv2.12142</a></p><p dir="ltr"><br></p>2023-02-21T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1002/jcv2.12142https://figshare.com/articles/journal_contribution/Categorical_versus_dimensional_structure_of_autism_spectrum_disorder_A_multi_method_investigation/26095003CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/260950032023-02-21T03:00:00Z
spellingShingle Categorical versus dimensional structure of autism spectrum disorder: A multi‐method investigation
Thomas W. Frazier (4229593)
Biomedical and clinical sciences
Clinical sciences
Neurosciences
Psychology
Clinical and health psychology
autism
categorical
dimensional
latent
taxometric
status_str publishedVersion
title Categorical versus dimensional structure of autism spectrum disorder: A multi‐method investigation
title_full Categorical versus dimensional structure of autism spectrum disorder: A multi‐method investigation
title_fullStr Categorical versus dimensional structure of autism spectrum disorder: A multi‐method investigation
title_full_unstemmed Categorical versus dimensional structure of autism spectrum disorder: A multi‐method investigation
title_short Categorical versus dimensional structure of autism spectrum disorder: A multi‐method investigation
title_sort Categorical versus dimensional structure of autism spectrum disorder: A multi‐method investigation
topic Biomedical and clinical sciences
Clinical sciences
Neurosciences
Psychology
Clinical and health psychology
autism
categorical
dimensional
latent
taxometric