Autism & Developmental

Thyroid hormone in autistic children.

Cohen et al. (1980) · Journal of autism and developmental disorders 1980
★ The Verdict

Thyroid hormone levels are the same in autistic and typical kids, so don’t use them as an autism test.

✓ Read this if BCBAs who get medical records or sit in diagnostic teams.
✗ Skip if Clinicians only treating acquired thyroid disease.

01Research in Context

01

What this study did

Doctors drew blood from 20 autistic kids and 20 matched peers. They checked T3, T4, and TSH levels. The lab work happened in 1980, before modern autism criteria.

No pills or diets were given. The team just wanted to know if thyroid numbers looked different.

02

What they found

All hormone levels landed in the same range for both groups. High, low, or middle scores showed up equally in each child set.

The authors wrote: "Thyroid function is not a useful marker for autism."

03

How this fits with other research

Lalli et al. (1995) ran the same null play with androgens. They also found no group gap, backing the idea that basic blood hormones rarely flag autism.

Hranilovic et al. (2007) looks like a clash — they saw high platelet serotonin in autistic adults. The gap is simple: different chemical, older sample. Kids’ thyroid and adults’ serotonin can both be normal in their own studies without conflict.

Goldberg et al. (2009) moved the hunt to parents’ brains, finding lower serotonin-2 receptors. Together these papers show the field keeps testing biology, yet single blood draws keep coming up empty.

04

Why it matters

You can skip thyroid panels when diagnosing autism. Save families time and money. If a child shows slow growth or fatigue, run the test for medical care, not for autism clues. Focus your assessment on behavior and development, not routine hormone screens.

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→ Action — try this Monday

Drop thyroid labs from your autism intake checklist unless medical signs are present.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder, neurotypical
Finding
null

03Original abstract

Thyroid hormone plays an important role in the pre- and postnatal development and function of the central nervous system. Disturbances in thyroid hormone regulation have been hypothesized in childhood autism. We evaluated blood indices of thyroid function, including serum thyroxine, triiodothyronine, and thyroid-stimulating hormone, in a large population of autistic children. No differences were found between autistic and normal children.

Journal of autism and developmental disorders, 1980 · doi:10.1007/BF02414820