The Effects of Siblings and Twin Testosterone Transfer on Autistic Traits
Background: Having twin and non-twin siblings might influence autistic traits both prenatally and postnatally. The twin testosterone transfer hypothesis suggests that girls with a twin brother are exposed to higher levels of prenatal testosterone than girls with a twin sister. Prenatally, increased testosterone exposure could masculinize neural development and increase autistic traits. Postnatally, siblings may provide example behaviour, which could reduce autistic traits. Methods: We studied pre- and postnatal influences of twin and non-twin siblings on (mother and teacher-reported) autistic traits in 7,714 dizygotic twins. We examined the effect of gender of the proband child and of the siblings. We fitted regression models (for boys and girls separately) with as predictors sex of co-twin and having older and/or younger siblings. Results: Prenatally, girls’ (mother-reported) autistic traits were slightly lower for those with a twin brother than those with a twin sister, β = -.08, p = .001. This difference was not replicated in teacher-reported autistic traits, β = .01, p = .734. Boys’ (mother and teacher-reported) autistic traits were not related to the sex of their cotwin, p’s > .05. Postnatally, girls’ teacher-reported autistic traits were slightly higher if they had an older brother, β = .07, p = .013. Other than this small effect, girls’ autistic traits were not related to having siblings. Likewise, boys’ autistic traits were not related to having siblings. Conclusions: We do not find increased autistic traits in girls with a twin brother compared to a twin sister. This finding contributes to the body of literature that rejects the twin testosterone transfer hypothesis. In all, we find little evidence for pre- and postnatal sibling influences. Besides, our findings suggest that parent reports on autistic traits in twins might be slightly biased. Our findings align with ASD’s high heritability and absence of shared-environmental influences.