Is There a ‘Regressive Phenotype’ of Autism Spectrum Disorder Associated with the Measles-Mumps-Rubella Vaccine? A CPEA Study
Abstract
A multi-site study of 351 children with Autism Spectrum Disorders (ASD) and 31 typically developing children used caregiver interviews to describe the children's early acquisition and loss of social-communication milestones. For the majority of children with ASD who had experienced a regression, pre-loss development was clearly atypical. Children who had lost skills also showed slightly poorer outcomes in verbal IQ and social reciprocity, a later mean age of onset of autistic symptoms, and more gastrointestinal symptoms than children with ASD and no regression. There was no evidence that onset of autistic symptoms or of regression was related to measles-mumps-rubella vaccination. The implications of these findings for the existence of a 'regressive phenotype' of ASD are discussed.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
These findings support the potential of a subtype of ASD with comorbid SLI and unique underlying biological mechanisms.
“further supporting the potential of a subtype of ASD with comorbid SLI and unique underlying biological mechanisms [57].”
From DSM-5 and autism spectrum disorders (ASDs): an opportunity for identifying ASD subtypes (2013) · cites this paper as [57]
Cites
2 retracted
Wakefield, A., Murch, S., Anthony, A., Linnell, J., Casson, D., Malik, M., Berelowitz, M., Dhillon, A., Thomson, M., Harvey, P., et al. (1998) · The Lancet · doi:10.1016/s0140-6736(97)11096-0 · Cited by 3,006 · see citing works
RetractedRetraction of an interpretation
Murch, S. H., Anthony, A., Casson, D. H., Malik, M., Berelowitz, M., Dhillon, A. P., Thomson, M. A., Valentine, A., Davies, S. E., & Walker-Smith, J. A. (2004) · The Lancet · doi:10.1016/s0140-6736(04)15715-2 · Cited by 321 · see citing works
Retracted
Flagged first, then by citations
Cited by
Sorted by citations
Identification and Evaluation of Children With Autism Spectrum Disorders
Johnson, C. P., Myers, S. M., & and the Council on Children With Disabilities (2007) · Pediatrics · doi:10.1542/peds.2007-2361 · Cited by 2,011 · see citing works
The Epidemiology of Autism Spectrum Disorders
Newschaffer, C. J., Croen, L. A., Daniels, J., Giarelli, E., Grether, J. K., Levy, S. E., Mandell, D. S., Miller, L. A., Pinto-Martin, J., Reaven, J., et al. (2007) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.28.021406.144007 · Cited by 1,228 · see citing works
Geschwind, D. H. (2009) · Annual Review of Medicine · doi:10.1146/annurev.med.60.053107.121225 · Cited by 512 · see citing works
Williams, B. L., Hornig, M., Buie, T., Bauman, M. L., Cho Paik, M., Wick, I., Bennett, A., Jabado, O., Hirschberg, D. L., & Lipkin, W. I. (2011) · PLoS ONE · doi:10.1371/journal.pone.0024585 · Cited by 492 · see citing works
DSM-5 and autism spectrum disorders (ASDs): an opportunity for identifying ASD subtypes
Grzadzinski, R., Huerta, M., & Lord, C. (2013) · Molecular Autism · doi:10.1186/2040-2392-4-12 · Cited by 378 · see citing works
“In some studies, regressiononset patterns have been associated with lower verbal ability, more severe social impairments [66,67], and possible higher rates of epilepsy [68,69], whereas other studies have found no differences between groups [61,70].”
ResultSelf-citationThe onset of autism: patterns of symptom emergence in the first years of life
Ozonoff, S., Heung, K., Byrd, R., Hansen, R., & Hertz‐Picciotto, I. (2008) · Autism Research · doi:10.1002/aur.53 · Cited by 293 · see citing works
Trajectories of Autism Severity in Children Using Standardized ADOS Scores
Gotham, K., Pickles, A., & Lord, C. (2012) · Pediatrics · doi:10.1542/peds.2011-3668 · Cited by 271 · see citing works
Self-citationBarbaro, J., & Dissanayake, C. (2009) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0b013e3181ba0f9f · Cited by 257 · see citing works
Prenatal, perinatal, and neonatal factors associated with autism spectrum disorders
Bilder, D., Pinborough-Zimmerman, J., Miller, J., & McMahon, W. (2009) · Pediatrics · doi:10.1542/peds.2008-0927 · Cited by 222 · see citing works
Self-citationBaird, G., Charman, T., Pickles, A., Chandler, S., Loucas, T., Meldrum, D., Carcani-Rathwell, I., Serkana, D., & Simonoff, E. (2008) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-008-0571-9 · Cited by 182 · see citing works
Loss of language in early development of autism and specific language impairment
Pickles, A., Simonoff, E., Conti‐Ramsden, G., Falcaro, M., Simkin, Z., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2009) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2008.02032.x · Cited by 154 · see citing works
Onset Patterns in Autism: Correspondence Between Home Video and Parent Report
Ozonoff, S., Iosif, A.-M., Young, G. S., Hepburn, S., Thompson, M., Colombi, C., Cook, I. C., Werner, E., Goldring, S., Baguio, F., et al. (2011) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2011.03.012 · Cited by 151 · see citing works
Self-citationOzonoff, S., & Iosif, A.-M. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.03.012 · Cited by 146 · see citing works
Maenner, M. J., Arneson, C. L., Levy, S. E., Kirby, R. S., Nicholas, J. S., & Durkin, M. S. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-011-1379-6 · Cited by 122 · see citing works
Rose, S., Bennuri, S. C., Murray, K. F., Buie, T., Winter, H., & Frye, R. E. (2017) · PLOS ONE · doi:10.1371/journal.pone.0186377 · Cited by 82 · see citing works
Boterberg, S., Charman, T., Marschik, P. B., Bölte, S., & Roeyers, H. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.03.013 · Cited by 77 · see citing works
Jones, L. A., & Campbell, J. M. (2010) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-009-0823-3 · Cited by 76 · see citing works
The Behavioral Manifestations of Autism Spectrum Disorders
Kim, S. H., & Lord, C. (2013) · The Neuroscience of Autism Spectrum Disorders · doi:10.1016/b978-0-12-391924-3.00002-8 · Cited by 31 · see citing works
Self-citation
- Authors
- Richler, J., Luyster, R., Risi, S., Hsu, W.-L., Dawson, G., Bernier, R., Dunn, M., Hepburn, S., Hyman, S. L., McMahon, W. M., Goudie-Nice, J., Minshew, N., Rogers, S., Sigman, M., Spence, M. A., Goldberg, W. A., Tager-Flusberg, H., Volkmar, F. R., & Lord, C.
- Affiliations
- University of Michigan (US)
- University of Washington (US)
- Albert Einstein College of Medicine (US)
- University of Colorado Health (US)
- University of Rochester (US)
- University of Utah (US)
- University of Pittsburgh (US)
- University of California, Davis (US)
- University of California, Los Angeles (US)
- University of California, Irvine (US)
- Boston University (US)
- Yale University (US)
- Corresponding author
- Lord, Catherine
- ORCID
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2006-04
- Volume
- 36
- Issue
- 3
- Pages
- 299-316
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W2000764724
- Cited by
- 149
- References
- 2
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 2 · 2023: 5 · 2021: 10 · 2020: 1 · 2019: 7 · 2018: 4 · 2017: 6 · 2016: 1 · 2015: 3 · 2014: 6 · 2013: 13 · 2012: 16
- FWCI
- 6.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of California, Los Angeles
- Medical Center, University of Rochester
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD35482, P01HD035482)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Keywords
- autism spectrum disorder, regression analysis, MMR vaccine, vaccine safety, social reciprocity, verbal IQ, gastrointestinal symptoms, age of onset, atypical development
- MeSH terms
- Autistic Disorder, Child, Communication, Female, Humans, Male, Parents, Phenotype, Surveys and Questionnaires, Regression, Psychology, Social Behavior, Observer Variation, Measles-Mumps-Rubella Vaccine
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.
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.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review