Assessment & Research

Association of COMT (Val158Met) and BDNF (Val66Met) gene polymorphisms with anxiety, ADHD and tics in children with autism spectrum disorder.

Gadow et al. (2009) · Journal of autism and developmental disorders 2009
★ The Verdict

COMT and BDNF genes show tiny links to ADHD and tics in autistic kids, but the signal is too weak for daily use.

✓ Read this if BCBAs who write plans for autistic children with ADHD or tic symptoms.
✗ Skip if Clinicians looking for ready-made genetic tests to guide treatment.

01Research in Context

01

What this study did

The team looked at two gene variants in autistic children. One gene is COMT. The other is BDNF.

They asked parents and teachers to rate anxiety, ADHD, and tics. Then they checked if certain gene forms matched higher scores.

02

What they found

Kids with the COMT Met form showed a small link to social phobia.

The same gene mix also tied to slightly more ADHD and tics. All effects were small and need repeat tests.

03

How this fits with other research

A later study from the same lab, Berkovits et al. (2014), widened the gene list. They added DAT1 and DRD2 and still saw small links to ADHD and emotion ups and downs.

A 2013 Egyptian study, Fahmie et al. (2013), used a different rating scale but found the same COMT pattern. Hyperactivity scores were higher in kids with the Val/Val form.

Roohi et al. (2009) looked at a third gene, MAO-A, in the same year. They also saw more ADHD and anxiety in boys with one allele. Together these papers say, "Many small gene nudges, not one big cause."

04

Why it matters

You cannot order a gene test and predict behavior. You can know that ADHD, anxiety, and tics often ride along with autism. When you see sharp jumps in those problems, think about extra support, not just stricter ABA targets. Track progress on each issue separately and share data with the medical team.

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Split your data sheet: log autism targets, ADHD off-task, and tic counts in separate columns to see which behavior actually changes.

02At a glance

Intervention
not applicable
Design
other
Sample size
67
Population
autism spectrum disorder
Finding
weakly positive
Magnitude
small

03Original abstract

The aim of the study is to examine rs4680 (COMT) and rs6265 (BDNF) as genetic markers of anxiety, ADHD, and tics. Parents and teachers completed a DSM-IV-referenced rating scale for a total sample of 67 children with autism spectrum disorder (ASD). Both COMT (p = 0.06) and BDNF (p = 0.07) genotypes were marginally significant for teacher ratings of social phobia (etap (2) = 0.06). Analyses also indicated associations of BDNF genotype with parent-rated ADHD (p = 0.01, etap (2) = 0.10) and teacher-rated tics (p = 0.04; etap (2) = 0.07). There was also evidence of a possible interaction (p = 0.02, etap (2) = 0.09) of BDNF genotype with DAT1 3' VNTR with tic severity. BDNF and COMT may be biomarkers for phenotypic variation in ASD, but these preliminary findings remain tentative pending replication with larger, independent samples.

Journal of autism and developmental disorders, 2009 · doi:10.1007/s10803-009-0794-4