Oxytocin and Vasopressin in Children and Adolescents With Autism Spectrum Disorders: Sex Differences and Associations With Symptoms
Open accessAbstract
There has been intensified interest in the neuropeptides oxytocin ( OT ) and arginine vasopressin ( AVP ) in autism spectrum disorders ( ASD ) given their role in affiliative and social behavior in animals, positive results of treatment studies using OT , and findings that genetic polymorphisms in the AVP–OT pathway are present in individuals with ASD . Nearly all such studies in humans have focused only on males. With this preliminary study, we provide basic and novel information on the involvement of OT and AVP in autism, with an investigation of blood plasma levels of these neuropeptides in 75 preadolescent and adolescent girls and boys ages 8–18: 40 with high‐functioning ASD (19 girls, 21 boys) and 35 typically developing children (16 girls, 19 boys). We related neuropeptide levels to social, language, repetitive behavior, and internalizing symptom measures in these individuals. There were significant gender effects: Girls showed higher levels of OT , while boys had significantly higher levels of AVP . There were no significant effects of diagnosis on OT or AVP . Higher OT values were associated with greater anxiety in all girls, and with better pragmatic language in all boys and girls. AVP levels were positively associated with restricted and repetitive behaviors in girls with ASD but negatively (nonsignificantly) associated with these behaviors in boys with ASD . Our results challenge the prevailing view that plasma OT levels are lower in individuals with ASD , and suggest that there are distinct and sexually dimorphic mechanisms of action for OT and AVP underlying anxiety and repetitive behaviors. Autism Res 2013, 6: 91–102. © 2013 International Society for Autism Research, Wiley Periodicals, Inc.
AI snapshot
Written from the paper’s full text.
TL;DR
This preliminary study measured plasma oxytocin (OT) and arginine vasopressin (AVP) in 75 children and adolescents ages 8–18, including 40 with high-functioning ASD and 35 typically developing peers. It found sex differences in neuropeptide levels but no diagnostic differences, and reported sexually dimorphic associations with anxiety, social language, and repetitive behaviors.
Key findings
- Girls had significantly higher plasma OT than boys, F(1, 68) = 4.53, p = .037; boys had significantly higher plasma AVP than girls, F(1, 67) = 4.24, p = .043. There were no significant effects of diagnosis on OT, F(1, 68) = 2.28, p = .270, or AVP, F(1, 67) = 1.89, p = .174.
- Higher OT was associated with better social language in all boys and girls: in all girls, OT correlated with CCC coherence (rs = −.36, p = .033), scripted language (rs = −.43, p = .009), and nonverbal communication (rs = −.35, p = .041); in all boys, OT correlated with CCC coherence (rs = −.36, p = .022) and nonverbal communication (rs = −.32, p = .046).
- Higher OT was associated with greater anxiety in all girls (BASC anxiety rs = .375, p = .032), and in typically developing girls this association was significant after adjustment (rs = .64, p = .010; adjusted p = .020).
- In girls with ASD, AVP was positively associated with repetitive behaviors, including RBS self-injurious behavior (rs = .50, p = .042) and RBS overall score (rs = .51, p = .036); in boys with ASD, AVP was negatively associated with SRS social cognition (rs = −.46, p = .037) and social motivation (rs = −.44, p = .044), and the AVP–RBS self-injurious association significantly differed between girls and boys with ASD (Fisher z = 2.55, p < .01).
Methods
- Cross-sectional study of 75 participants ages 8–18: 40 with high-functioning ASD (19 girls, 21 boys) and 35 typically developing children (16 girls, 19 boys); four initial participants were removed as outliers, leaving the final sample.
- ASD diagnosis was confirmed using DSM-IV-TR criteria, ADOS-G, and SCQ; symptom measures included SRS, CCC-2, RBS-R, and BASC2 anxiety/depression scales. Blood samples were collected after fasting, plasma was assayed for OT and AVP by enzyme immunoassay, and values were log-transformed.
- ANOVA tested sex, diagnosis, and sex-by-diagnosis effects on OT/AVP while controlling for age, time of blood draw, and medication status. Spearman correlations related neuropeptide residuals to symptom measures, with false discovery rate adjustment also reported.
Limitations
- The paper states that plasma neuropeptide levels were measured from a single venipuncture, which likely gives an incomplete picture because OT is released in a pulsatile fashion; it also notes that relationships among brain, CNS, and plasma neuropeptide levels are not straightforward, especially for AVP.
- The authors state that they emphasized results prior to adjustment for multiple comparisons and that adjustment would reduce power and increase false negatives, consistent with the study’s exploratory goal of identifying novel associations.
- The paper states that secondary analyses including IQ and medication status are difficult to interpret because little is known about their associations with neuropeptide levels, particularly AVP, and because participants took different medication types that may have different effects. Evident from the text: the sample is small, exploratory, and restricted to high-functioning ASD without parent-reported depression, anxiety, ADHD, Fragile X, Tourette’s, or seizures, limiting generalizability.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
0 of 31 cited sources checked · 0 supported · 0 flagged
- Findingown data
In all girls, OT levels were significantly negatively correlated with CCC coherence (rs = -.36, p = .033).
“in all girls, there were significant associations between OT levels and CCC coherence (rs = −.36, p = .033)”
Quote in the paperSubstantial claim - Findingown data
There was no significant effect of diagnosis (ASD vs TYP) on plasma OT levels.
“There were no significant effects of diagnosis on OT or AVP.”
- Also stated in: § Blood plasma levels of OT and AVP · plain
“There was not a significant effect of diagnosis on OT levels, F(1, 68) = 2.28, p = .270”
- Also stated in: § Abstract · plain
“There were no differences in OT or AVP levels between the ASD and typically developing groups.”
Quote in the paperSubstantial claim - Also stated in: § Blood plasma levels of OT and AVP · plain
- Findingown data
In all girls, plasma OT levels were not associated with depression.
“In all girls, there was a significant correlation between OT levels and BASC anxiety (rs = .375, p = .032), but not depression.”
Quote in the paperNot a substantial claim - Findingown data
In all girls, OT levels were significantly negatively correlated with CCC nonverbal communication (rs = -.35, p = .041).
“CCC nonverbal communication (rs = −.35, p = .041)”
Quote in the paperSubstantial claim - Findingown data
In all boys, OT levels were significantly negatively correlated with CCC nonverbal communication (rs = -.32, p = .046).
“CCC nonverbal communication (rs = −.32, p = .046)”
Quote in the paperSubstantial claim
- Findingown data
There was no significant effect of diagnosis on plasma AVP levels.
“There were no significant effects of diagnosis on OT or AVP.”
- Also stated in: § Blood plasma levels of OT and AVP · plain
“Diagnosis was not significant, F(1, 67) = 1.89, p = .174”
- Also stated in: § Abstract · plain
“There were no differences in OT or AVP levels between the ASD and typically developing groups.”
Quote in the paperSubstantial claim - Also stated in: § Blood plasma levels of OT and AVP · plain
- Findingown data
Girls had higher plasma OT levels than boys.
“Girls showed higher levels of OT while boys had significantly higher levels of AVP.”
- Also stated in: § Blood plasma levels of OT and AVP · plain
“Girls exhibited higher OT levels than boys.”
- Also stated in: § Abstract · plain
“Girls had higher levels of OT while boys had higher levels of AVP.”
Quote in the paperSubstantial claim - Also stated in: § Blood plasma levels of OT and AVP · plain
- Findingown data
In all girls (ASD and TYP combined), higher plasma OT levels were associated with greater parent-reported anxiety (BASC anxiety).
“Higher OT values were associated with greater anxiety in all girls”
- Also stated in: § Internalizing symptoms · plain
“In all girls, there was a significant correlation between OT levels and BASC anxiety (rs = .375, p = .032), but not depression.”
- Also stated in: § Abstract · plain
“Higher OT values were associated with greater anxiety in all girls”
Quote in the paperSubstantial claim - Also stated in: § Internalizing symptoms · plain
- Findingown data
In boys with ASD, AVP levels were negatively but non-significantly associated with restricted and repetitive behaviors.
“but negatively (non-significantly) associated with these behaviors in boys with ASD.”
- Also stated in: § ASD and social language symptoms · hedged
“AVP levels were associated at a trend-level with RBS self-injurious behavior (rs = −.42, p = .056), and RBS restricted interests (rs = −.39, p = .083).”
- Also stated in: § Abstract · plain
“whereas lower levels of AVP levels were associated with lower levels of these behaviors in boys with ASD.”
Quote in the paperSubstantial claim - Also stated in: § ASD and social language symptoms · hedged
- Findingown data
In girls with ASD, AVP levels were positively associated with restricted and repetitive behaviors (RBS overall and self-injurious behavior).
“AVP levels were positively associated with restricted and repetitive behaviors in girls with ASD”
- Also stated in: § ASD and social language symptoms · plain
“AVP levels were significantly associated with the RBS self-injurious behavior (rs = .50, p = .042) and RBS overall scores (rs = .51, p = .036)”
- Also stated in: § Abstract · plain
“Higher levels of AVP were associated with greater restricted and repetitive behaviors in girls with ASD”
Quote in the paperSubstantial claim - Also stated in: § ASD and social language symptoms · plain
- Findingown data
In all girls, OT levels were significantly negatively correlated with CCC scripted language (rs = -.43, p = .009).
“CCC scripted language (rs = −.43, p = .009)”
Quote in the paperSubstantial claim - Findingown data
In all boys, OT levels were significantly negatively correlated with CCC coherence (rs = -.36, p = .022).
“In all boys, there were significant associations between OT and CCC coherence (rs = −.36, p = .022)”
Quote in the paperSubstantial claim - Findingown data
In boys with ASD, AVP levels were significantly negatively associated with SRS social cognition and social motivation.
“However, AVP levels were associated with SRS social cognition (rs = −.46, p = .037) and SRS social motivation (rs = −.44, p = .044).”
Quote in the paperSubstantial claim - Findingown data
Boys had significantly higher plasma AVP levels than girls.
“Girls showed higher levels of OT while boys had significantly higher levels of AVP.”
- Also stated in: § Blood plasma levels of OT and AVP · plain
“AVP levels were higher for boys.”
- Also stated in: § Abstract · plain
“Girls had higher levels of OT while boys had higher levels of AVP.”
Quote in the paperSubstantial claim - Also stated in: § Blood plasma levels of OT and AVP · plain
- Findingown data
AVP levels were negatively associated with repetitive behavior symptoms at a trend level in boys with ASD prior to adjustment for multiple comparisons.
“but were negatively associated with them at a trend level (prior to adjustment for multiple comparisons) in boys with ASD.”
Quote in the paperNot a substantial claim - Findingown data
Trend-level associations were present between OT and BASC anxiety in all girls.
“trend-level associations were present between OT and BASC anxiety in all girls”
Quote in the paperNot a substantial claim - Findingown data
The association between AVP and self-injurious behavior significantly differed between girls with ASD and boys with ASD.
“the association between AVP and self-injurious behavior (the only RBS variable for which significant or trend-level associations with AVP were present in both boys and girls with ASD) significantly differed between girls with ASD and boys with ASD.”
Quote in the paperSubstantial claim - Findingown data
The initially significant or trend-level correlations between AVP and repetitive behavior symptoms did not survive adjustment for multiple comparisons.
“While the initially significant or trend-level correlations between AVP and repetitive behavior symptoms did not survive adjustment for multiple comparisons”
Quote in the paperSubstantial claim - Findingown data
There were no differences in plasma AVP between the ASD and TYP groups.
“and there were also no differences in plasma AVP between the ASD and TYP groups.”
Quote in the paperSubstantial claim - Findingown data
High plasma OT values were associated with better social language skills in both boys and girls prior to (and after, in some cases) adjustment for multiple comparisons.
“In the current study, high plasma OT values were associated with better social language skills in both boys and girls prior to (and after, in some cases) adjustment for multiple comparisons.”
Quote in the paperSubstantial claim - Findingown data
Plasma AVP levels were higher in boys than girls.
“Similarly, plasma AVP levels were higher in boys than girls.”
Quote in the paperSubstantial claim - Findingown data
The association between AVP and repetitive behaviors in boys with ASD was not significant.
“although it should be noted that the association between AVP and repetitive behaviors in boys with ASD was not significant.”
Quote in the paperNot a substantial claim - Findingown data
AVP levels were positively associated with repetitive behavior symptoms in girls with ASD.
“AVP levels were positively associated with repetitive behavior symptoms in girls with ASD”
Quote in the paperSubstantial claim - Findingown data
In TYP girls, the association between BASC anxiety and OT remained significant when including IQ and medication status as additional covariates (rs = −.54, p = .039).
“When including IQ and medication status as additional covariates, the association between BASC anxiety and OT remained significant in TYP girls (rs = −.54, p = .039).”
Quote in the paperNot a substantial claim - Findingown data
There was a consistent relationship between plasma OT levels and social language abilities across both males and females.
“it is noteworthy that there was a consistent relationship between plasma OT levels and social language abilities across both males and females”
Quote in the paperSubstantial claim - Findingown data
Some of the significant associations between plasma OT levels and social language abilities did not survive adjustment for multiple comparisons.
“though, notably, some of these significant associations did not survive adjustment for multiple comparisons.”
Quote in the paperNot a substantial claim - Findingown data
All other associations between neuropeptide levels and internalizing symptoms were non-significant.
“All other associations between neuropeptide levels and internalizing symptoms were non-significant”
Quote in the paperNot a substantial claim - Findingown data
OT plasma levels in persons with ASD were not lower than those in the TYP group.
“Contrary to the extant literature, OT plasma levels in persons with ASD were not lower than those found in the TYP group”
Quote in the paperSubstantial claim - Findingown data
Across boys and girls, less impairment on social language measures was associated with higher levels of OT.
“Across boys and girls, we found similar associations between ASD-related language symptoms and OT levels, indicating that less impairment on social language measures was associated with higher levels of OT.”
Quote in the paperSubstantial claim - Findingown data
Trend-level associations were present between AVP and BASC depression in TYP girls.
“and AVP and BASC depression in TYP girls.”
Quote in the paperNot a substantial claim - Findingown data
Prior to adjustment for multiple comparisons, OT values were positively associated with anxiety in all girls.
“Specifically, prior to adjustment for multiple comparisons, OT values were positively associated with anxiety in all girls.”
Quote in the paperNot a substantial claim - Findingown data
In all girls, the association between AVP and BASC anxiety remained significant when including IQ and medication status as additional covariates (rs = .37, p = .036).
“The associations in all girls between AVP and BASC anxiety (rs = .37, p = .036) and BASC depression (rs = .36, p = .046) also remained significant.”
Quote in the paperNot a substantial claim - Findingown data
There was a significant difference between the association between AVP and RBS self-injurious behavior scores in boys and girls with ASD.
“There was a significant difference between the association between AVP and RBS self-injurious behavior scores in boys and girls with ASD”
Quote in the paperSubstantial claim - Findingown data
Higher AVP levels were associated with higher levels of repetitive behaviors in girls with ASD.
“with higher AVP levels associated with higher levels of repetitive behaviors in girls with ASD”
Quote in the paperSubstantial claim - Findingown data
In all girls, the association between AVP and BASC depression remained significant when including IQ and medication status as additional covariates (rs = .36, p = .046).
“The associations in all girls between AVP and BASC anxiety (rs = .37, p = .036) and BASC depression (rs = .36, p = .046) also remained significant.”
Quote in the paperNot a substantial claim - Findingown data
These associations in boys with ASD did not reach significance (ps < .09, prior to adjustment for multiple comparisons).
“It should be noted that these associations in boys with ASD did not reach significance (ps < .09, prior to adjustment for multiple comparisons)”
Quote in the paperSubstantial claim - Findingown data
The direction of similar associations between AVP and repetitive behaviors in boys with ASD was reversed.
“but the direction of similar associations in boys with ASD was reversed.”
Quote in the paperSubstantial claim - Findingown data
Plasma OT levels were related to increased anxiety in girls.
“we found that plasma OT levels were related to increased anxiety in girls.”
Quote in the paperSubstantial claim - Findingown data
AVP levels were significantly related to higher levels of repetitive behaviors in girls.
“Additionally, AVP levels also were significantly related to higher levels of repetitive behaviors in girls”
Quote in the paperSubstantial claim - Interpretationown data
The results suggest distinct and sexually dimorphic mechanisms of action for OT and AVP underlying anxiety and repetitive behaviors.
“suggest there are distinct and sexually dimorphic mechanisms of action for OT and AVP underlying anxiety and repetitive behaviors.”
- Also stated in: § Abstract · hedged
“suggest there are distinct mechanisms of action for OT and AVP underlying anxiety and repetitive behavior symptoms for boys versus girls.”
Quote in the paperSubstantial claim- Rests on an assumption: The cross-sectional associations between plasma OT/AVP and symptoms reflect mechanistic relationships rather than epiphenomena or reverse causation.
- Also stated in: § Abstract · hedged
- Study design and conductown data
There were no significant associations between IQ and OT or AVP levels.
“In the present sample, there were no significant associations between IQ and OT or AVP levels (ps range from .157 to .878 for OT and from .313 to .849 for AVP).”
Quote in the paperNot a substantial claim - Interpretationown data
In all boys and girls, higher plasma OT levels were associated with better pragmatic language (CCC).
“Higher OT values were associated with greater anxiety in all girls and with better pragmatic language in all boys and girls.”
- Also stated in: § ASD and social language symptoms · plain
“Thus, in boys and girls, high levels of OT were associated with better social communication abilities”
- Also stated in: § Abstract · plain
“Higher OT values were associated with greater anxiety in all girls and with less impaired social language in all boys and girls.”
Quote in the paperSubstantial claim - Also stated in: § ASD and social language symptoms · plain
- Study design and conductown data
ASD groups had significantly lower FSIQ scores than TYP counterparts.
“the ASD groups had significantly lower FSIQ scores than their TYP counterparts, t(32) = −3.30, p = .002 for girls and t(38) = −3.24, p = .002 for boys.”
Quote in the paperNot a substantial claim - Interpretationown data
The results challenge the prevailing view that plasma OT levels are lower in individuals with ASD.
“Our results challenge the prevailing view that plasma OT levels are lower in individuals with ASD”
- Also stated in: § Abstract · plain
“Results challenge the prevailing view that OT levels are lower in individuals with ASD”
Quote in the paperSubstantial claim - Also stated in: § Abstract · plain
- Study design and conductown data
Boys with ASD on medication had lower AVP levels than boys with ASD not on medication.
“Boys with ASD on medication showed similar levels of OT levels, t(19) = 1.72, p = .102 but lower levels of AVP, t(19) = 3.03, p = .007 to boys with ASD not on medication.”
Quote in the paperSubstantial claim - Premisecitation
Human studies found higher plasma AVP in males than females.
“human studies have found higher levels of plasma AVP in males than females (Asplund & Aberg, 1991).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Asplund & Aberg, 1991
Not checked in the free run.
- Study design and conductcitation
The enzyme immunoassay kit used for OT and AVP has been validated for humans.
“Assays were performed using an enzyme immunoassay kit (Assay Designs, Ann Arbor Michigan), which has been validated for humans (OT, Levine et al., 2007; and AVP, Carter, unpublished data).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Levine et al., 2007
Not checked in the free run.
- cites Carter, unpublished data
Not checked in the free run.
- Interpretationown data
Higher OT levels may be protective against impairments in social communication.
“That is, higher OT levels may be protective against impairments in social communication.”
Quote in the paperSubstantial claim - Premisecitation
The decision to include high-functioning autism, Asperger's, and PDD-NOS was based on studies showing difficulty distinguishing them.
“The decision to include individuals with high-functioning autism, Asperger’s, and PDD-NOS was made based on studies showing that it is difficult to reliably distinguish between them (Macintosh & Dissanayake, 2004; Ozonoff & Griffith, 2000).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Macintosh & Dissanayake, 2004
Not checked in the free run.
- cites Ozonoff & Griffith, 2000
Not checked in the free run.
- Premisecitation
Animal work found higher plasma OT in females than males.
“Peripherally, work in animals has found higher levels of plasma OT in females than males (Kramer, Cushing, Carter, Wu, & Ottinger, 2004)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Kramer, Cushing, Carter, Wu, & Ottinger, 2004
Not checked in the free run.
- Interpretationown data
The findings are suggestive of potential sexual dimorphism in that associations between AVP and repetitive behavior symptoms were in the opposite direction for boys versus girls with ASD.
“These findings are suggestive of potential sexual dimorphism in that associations between AVP and repetitive behavior symptoms were in the opposite direction for boys versus girls with ASD”
Quote in the paperSubstantial claim - Interpretationcitation
The present findings appear consistent with studies finding that intranasal OT infusion improves social language comprehension.
“the present findings appear to be consistent with studies finding that intranasal OT infusion improves social language comprehension (Hollander et al., 2007).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Hollander et al., 2007
Not checked in the free run.
- Premisenone given
Treatment studies found intranasal OT improves social behaviors in mostly males with ASD.
“treatment studies have found that intranasal infusions of OT increase social behaviors in mostly males with ASD.”
Quote in the paperNot a substantial claim - Interpretationcitation
The finding of an association between OT and social language is consistent with treatment studies that found intranasal administration of OT improves social language recognition abilities.
“this finding is consistent with treatment studies that have found that intranasal administration of OT improves social language recognition abilities (Hollander et al., 2007).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Hollander et al., 2007
Not checked in the free run.
- Premisecitation
The effects of OT and AVP are sexually dimorphic.
“The effects of OT and AVP are also known to be sexually dimorphic (Carter, 2007; deVries & Panzica, 2006).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Carter, 2007
Not checked in the free run.
- cites deVries & Panzica, 2006
Not checked in the free run.
- Premisecitation
Adolescent girls with ASD exhibited particularly high levels of anxiety compared to their male counterparts with ASD as well as TYP girls and boys.
“Our recent work suggesting that adolescent girls with ASD exhibited particularly high levels of anxiety compared to their male counterparts with ASD as well as TYP girls and boys (Solomon, Miller, Taylor, Hinshaw, & Carter, 2012)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Solomon, Miller, Taylor, Hinshaw, & Carter, 2012
Not checked in the free run.
- Premisecitation
In animal and human studies, high OT plasma levels have also been associated with negative emotions involving anxiety and depression.
“in animal and human studies, high OT plasma levels have also been associated with negative emotions involving anxiety and depression.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Gimpl & Fahrenholz, 2001 source
Not checked in the free run.
- cites Grippo et al. 2007
Not checked in the free run.
- cites Cyranowski et al., 2008
Not checked in the free run.
- Interpretationreasoning
The relationship between OT levels and repetitive behaviors in girls is consistent with the argument that OT may constitute a biomarker of stress in girls with ASD.
“The relationship between OT levels and repetitive behaviors in girls is thus consistent with the argument that OT may constitute a biomarker of stress in girls with ASD.”
Quote in the paperSubstantial claim - Interpretationown data
Results of the current study appear to contradict the argument that the female neuroendocrine system confers protection against autistic traits.
“at least at the surface, results of the current study appear to contradict this argument.”
Quote in the paperSubstantial claim - Interpretationreasoning
The present findings may suggest that higher levels of AVP in girls might also be a biomarker for stress related to repetitive behaviors.
“the present findings may suggest that higher levels of AVP in girls might also be a biomarker for stress related to repetitive behaviors.”
Quote in the paperSubstantial claim- Rests on an assumption: AVP is associated with the fight or flight response.
- May combine two claims. 13
- Classified as probably not a substantial claim. 18
- The quote only partly states this claim. 1
May combine two claims.
Findingown dataLower levels of repetitive behaviors in boys with ASD were associated with higher AVP levels, although this association did not reach statistical significance.
“but lower levels of repetitive behaviors in boys with ASD (although this latter association did not reach statistical significance).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataOverall plasma OT values differed by sex and were higher for girls.
“As predicted, overall plasma OT values differed by sex and were higher for girls.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe associations between OT and BASC anxiety in TYP girls and between AVP and BASC anxiety/depression in all girls did not survive adjustment for multiple comparisons.
“These associations did not survive adjustment for multiple comparisons.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe RBS-R has acceptable inter-rater, test-retest, and internal consistency reliability.
“The RBS-R has acceptable levels of inter-rater (.88), test-retest (.71), and internal consistency reliability (.78–.91).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Bodfish, Symons, & Lewis, 1999
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationThe ADOS-G has high inter-rater agreement and internal consistency for modules 3 and 4.
“Lord et al. (2000) showed that mean inter-rater agreement was 88% across all items for modules 3 and 4; internal consistency ranged from .91–.94.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Lord et al. (2000)
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationThe BASC2 has acceptable test-retest reliability and internal consistency.
“The BASC2 is used to evaluate adaptive and problem behaviors of children ages 2–25, and has exhibited acceptable levels of test-retest reliability (.76–.84) and internal consistency (.80–.87).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Reynolds & Kamphaus, 2004
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe SCQ cutoff of 15 gives sensitivity of .96 and specificity of .80 for autism versus other diagnoses.
“A cutoff of 15 gives sensitivity of .96 and specificity of .80 for autism versus other diagnoses (Berument, Rutter, Lord, Pickles, & Bailey, 1999).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Berument, Rutter, Lord, Pickles, & Bailey, 1999
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationThe SRS has acceptable internal consistency and test-retest reliability.
“The SRS has acceptable levels of internal consistency (.93–.97) and test-retest reliability (.77–.85).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Constantino, 2002
Not checked in the free run.
May combine two claims.
Premisenone givenThere is still much unknown about plasma levels of OT and AVP in individuals with ASD, and none in both high functioning boys and girls during childhood and adolescence.
“Despite the burgeoning OT and AVP literatures, there is still much unknown about plasma levels of OT and AVP in individuals with ASD, and none in both high functioning boys and girls during childhood and adolescence.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S1 (asserted).
PremisecitationOne common view is that restricted and repetitive behaviors in ASD are related to stress.
“one common view is that they are related to stress (Rodgers, Riby, Janes, Connolly, & McConachie, 2012).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Rodgers, Riby, Janes, Connolly, & McConachie, 2012
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationChronic stress associated with social isolation increases the synthesis of OT in prairie voles.
“Chronic stress associated with social isolation also increases the synthesis of OT in prairie voles (Grippo et al. 2007).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Grippo et al. 2007
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Premisenone givenGenetic polymorphisms in the AVP-OT pathway are present in individuals with ASD.
“findings that genetic polymorphisms in the AVP-OT pathway are present in individuals with ASD.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationTaylor et al. (2006) suggested that OT levels constitute a "biomarker" of social separation or distress in women, and that OT release may provide the impetus for affiliative "tend and befriend" behaviors exhibited by women under stress.
“Taylor et al. (2006) have suggested that OT levels constitute a “biomarker” of social separation or distress in women, and that OT release may provide the impetus for affiliative “tend and befriend” (versus male “fight or flight”) behaviors exhibited by women under stress.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Taylor et al. (2006)
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIn rats, forced swimming and shaker stress increase plasma OT levels.
“In rats, forced swimming and shaker stress increase plasma OT levels (Gimpl & Fahrenholz, 2001).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Gimpl & Fahrenholz, 2001 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationWomen with depression display more dysregulated patterns of peripheral OT release and higher plasma OT levels when asked to imagine depression-inducing scenarios.
“Women with depression have been shown to display more dysregulated patterns of peripheral OT release and higher plasma OT levels when asked to imagine depression-inducing scenarios (Cyranowski et al., 2008).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Cyranowski et al., 2008
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPrevious studies found lower plasma OT in individuals with ASD.
“Modahl et al. (1998) found lower levels of plasma OT in prepubertal boys with autism relative to typically developing (TYP) children.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Modahl et al. (1998)
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenInter-assay coefficients of variation were 3.47% for OT and 12.26% for AVP; intra-assay coefficients of variation were 3.58% for OT and 3.16% for AVP.
“Inter-assay coefficients of variation were 3.47% for OT and 12.26% for AVP; intra-assay coefficients of variation were 3.58% for OT and 3.16% for AVP.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductcitationParticipants on medication in the present study differed in the types of medications being taken, each of which could have a different effect on neuropeptide levels even within medication class.
“Additionally, the participants on medication in the present study differed in the types of medications being taken, each of which could have a different effect on neuropeptide levels even within medication class (e.g., Kiss, Bundzikova, Pirnik, & Mikkelsen, 2010).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Kiss, Bundzikova, Pirnik, & Mikkelsen, 2010
Not checked in the free run.
May combine two claims.
Study design and conductcitationThe study is limited because it measured plasma neuropeptide levels and used a single venipuncture, which likely provides an incomplete picture of OT due to pulsatile release.
“First, we measured plasma neuropeptide levels. OT is released into peripheral circulation in a pulsatile fashion. Thus, our approach of using a venipuncture for a single draw, which was based on the fact that we were studying children and adolescents, likely provides an incomplete picture (Cyranowski, 2010).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Cyranowski, 2010
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThere has been recent progress in the creation of a first generation small-molecule OT receptor agonist.
“there has been recent progress in the creation of a first generation small-molecule OT receptor agonist (Ring et al., 2010).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Ring et al., 2010
Not checked in the free run.
Probably not a substantial claim: may not pass S1 (asserted).
PremisecitationAccording to this view, the processes mediated by OT and the lack of reliance on AVP make being a girl a protective factor against manifesting autistic-like behavior.
“According to this view, the processes mediated by OT and the lack of reliance on AVP make being a girl a protective factor against manifesting autistic-like behavior.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Carter, 2007
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenIt is difficult to fully interpret the effects of IQ and medication status as covariates because little is known about their associations with neuropeptide levels, particularly AVP.
“it is difficult to fully interpret their effects on the relationships examined in the present study given that little is known about their associations with neuropeptide levels, particularly AVP.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductreasoningThe authors chose to emphasize results prior to adjustment for multiple comparisons because the reduced power from adjustment would unreasonably increase false negatives.
“Third, in this early but hypothesis-driven study, we chose to emphasize results prior to adjustment for multiple comparisons. While we also presented results with adjustment for multiple comparisons, we feel that the reduced power resulting from doing so would unreasonably increase the number of false negatives, which is at odds with our goal of identifying new potential relationships and patterns”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductcitationThe relationships among brain, CNS, and plasma levels of neuropeptides are not straightforward; while central and peripheral OT levels are believed to be correlated, the relationship may be less clear for AVP.
“Second, the relationships among brain, CNS, and plasma levels of neuropeptides are not straightforward. While central and peripheral OT levels are believed to be correlated, the relationship may be less clear for AVP (Landgraf & Neumann, 2004).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Landgraf & Neumann, 2004
Not checked in the free run.
The quote only partly states this claim.
Interpretationown dataThe findings support taking a more nuanced view of OT's role rather than uniformly conferring protection against symptoms.
“our findings support taking a more nuanced view of OT’s role.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S1 (asserted).
PremisecitationOne recent position advanced to explain the higher male prevalence of ASD is that the female neuroendocrine system confers "protection" against autistic traits.
“One recent position advanced to explain the higher male prevalence of ASD is that the female neuroendocrine system confers “protection” against autistic traits (Carter, 2007).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Carter, 2007
Not checked in the free run.
The paper relies on this without support.
Peripheral plasma levels of OT and AVP are meaningful indicators of central neuropeptide activity relevant to ASD symptoms.
“It is, as of yet, unclear what peripherally measured levels of OT and AVP (in plasma, saliva, or urine) represent, versus central levels.”
“However, peripheral levels of OT and AVP are clearly responsive to social stimuli”
The paper relies on this without support.
The cross-sectional associations between plasma OT/AVP and symptoms reflect mechanistic relationships rather than epiphenomena or reverse causation.
“suggest there are distinct and sexually dimorphic mechanisms of action for OT and AVP underlying anxiety and repetitive behaviors.”
The paper relies on this without support.
AVP is associated with the fight or flight response.
“Additionally, AVP is associated with the fight or flight response and the present findings may suggest that higher levels of AVP in girls might also be a biomarker for stress related to repetitive behaviors.”
The paper relies on this without support.
There is not necessarily a one-to-one relationship between peripheral and central levels of OT.
“Though we recognize that there is not necessarily a one-to-one relationship between peripheral and central levels of OT”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Newer evidence supports a novel Breath Powered nasal spray device.
“with newer evidence supportive of a novel”
From Beyond the hype and hope: critical considerations for intranasal oxytocin research in autism spectrum disorder (2017) · cites this paper as [83]
Statistics that don’t add up
Each reported p-value recomputed from its test statistic and degrees of freedom.
Inconsistent p-value: F(1, 68) = 2.28, p = .270
MinorThe paper reports p = .27 here; recomputing from the test statistic and its degrees of freedom gives p = .136. The check cannot tell whether the statistic or the p-value is the misprint.
Reported p = .27 · recomputed p = .136
“F(1, 68) = 2.28, p = .270”
p-value fits an unstated one-tailed test: (z = 2.55, p < .01
MinorThe paper reports p < .01 here; recomputing from the test statistic and its degrees of freedom gives p = .011 (two-tailed). The reported value is what a one-tailed test gives, but the paper does not say near this result that a one-tailed test was used.
Reported p < .01 · recomputed p = .011
“(z = 2.55, p < .01”
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Doesn’t add upF(1, 68) = 2.28reported p = .27 · recomputed p = .136
“F(1, 68) = 2.28, p = .270”
- Doesn’t add upz = 2.55reported p < .01 · recomputed p = .011
“(z = 2.55, p < .01”
- Consistentt(32) = -3.3reported p = .002 · recomputed p = .002
“t(32) = −3.30, p = .002”
- Consistentt(38) = -3.24reported p = .002 · recomputed p = .002
“t(38) = −3.24, p = .002”
- Consistentt(17) = 0.32reported p = .757 · recomputed p = .753
“t(17) = .32, p = .757”
- Consistentt(16) = 0.69reported p = .501 · recomputed p = .500
“t(16) = .69, p = .501”
- Consistentt(19) = 1.72reported p = .102 · recomputed p = .102
“t(19) = 1.72, p = .102”
- Consistentt(19) = 3.03reported p = .007 · recomputed p = .007
“t(19) = 3.03, p = .007”
- ConsistentF(1, 68) = 4.53reported p = .037 · recomputed p = .037
“F(1, 68) = 4.53, p = .037”
- ConsistentF(1, 68) = 0.07reported p = .797 · recomputed p = .792
“F(1, 68) = .07, p = .797”
- ConsistentF(1, 67) = 4.24reported p = .043 · recomputed p = .043
“F(1, 67) = 4.24, p = .043”
- ConsistentF(1, 67) = 1.89reported p = .174 · recomputed p = .174
“F(1, 67) = 1.89, p = .174”
- ConsistentF(1, 67) = 0.91reported p = .344 · recomputed p = .344
“F(1, 67) = .91, p = .344”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Lay abstract reverses the AVP association in boys with ASD
MinorThe lay abstract says lower AVP accompanies lower repetitive behavior in boys with ASD. The reported negative correlations indicate the opposite direction: higher AVP accompanies lower behavior scores.
“Higher levels of AVP were associated with greater restricted and repetitive behaviors in girls with ASD whereas lower levels of AVP levels were associated with lower levels of these behaviors in boys with ASD.”
“AVP levels were associated at a trend-level with RBS self-injurious behavior (rs = −.42, p = .056), and RBS restricted interests (rs = −.39, p = .083).”
Adjusted AVP-internalizing associations are incorrectly said to have remained significant
MinorThe initial analysis says AVP was not associated with anxiety or depression in all girls. The subsequent adjusted analysis calls both associations ones that "remained significant," although neither was reported significant before adjustment.
“AVP was not associated with either anxiety or depression levels.”
“The associations in all girls between AVP and BASC anxiety (rs = .37, p = .036) and BASC depression (rs = .36, p = .046) also remained significant.”
The citation lists haven’t been fetched yet
References 84 · Cited by 151
Research works printed but not linked: 3
- Bishop D., 2003, Children's communication checklist
- Ozonoff S., 2000, Asperger syndrome, 24
- Rutter M., 2003, SCQ: Social Communication Questionnaire
- Authors
- Miller, M., Bales, K. L., Taylor, S. L., Yoon, J., Hostetler, C. M., Carter, C. S., & Solomon, M.
- Affiliations
- University of California, Davis (US)
- University of California Davis Medical Center (US)
- Corresponding author
- Solomon, Marjorie
- Venue
- Autism Research
- Publisher
- Wiley
- Published
- 2013-02-14
- Volume
- 6
- Issue
- 2
- Pages
- 91-102
- ISSN
- 1939-3792 (ISSN-L)
- 1939-3806
- PMC
- PMC3657571
- OpenAlex
- W2127995502
- Cited by
- 151
- References
- 84
- Citations by year
- 2026: 7 · 2025: 3 · 2024: 4 · 2023: 7 · 2022: 10 · 2021: 15 · 2020: 11 · 2019: 9 · 2018: 15 · 2017: 10 · 2016: 22 · 2015: 13 · 2014: 18 · 2013: 6 · 2012: 1
- FWCI
- 29.45
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Autism Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by-nc-nd)
- Funders
- National Institutes of Health (P51OD011107)
- National Institute of Mental Health (R21MH099250, R01MH121416, T32MH073124, K08MH074967)
- National Center for Research Resources (UL1RR024146)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD051958)
- Topics
- Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Keywords
- oxytocin, vasopressin, autism spectrum disorder, sex differences, plasma neuropeptide levels, anxiety, restricted and repetitive behaviors, pragmatic language, social behavior, adolescents, children
- MeSH terms
- Adolescent, Adolescent Behavior, Child, Child Behavior, Child Development Disorders, Pervasive, Female, Humans, Internal-External Control, Language, Male, Oxytocin, Sex Factors, Social Behavior, Vasopressins
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-09.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-09.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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