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medRxiv PreprintsInternational1 November 2026

Evidence For Clinical Utility of a Dimensional Measure of Autistic Traits in Toddlers

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Objective: The Video-Referenced Rating of Reciprocal Social Behavior (vrRSB), a parent-report metric of quantitative autistic traits (QATs) in toddlers, leverages an innovative video scoring achor to reliably measure heritable, continuous varriation in autistic traits within the general population. However, the vrRSB's ability to distinguish toddlers with and without autism spectrum disorder (ASD) has not been formally tested. Here we compared vrRSB scores in children with and without ASD in two samples: a community-ascertained research sample (RS) recruiting toddlers with and without ASD and
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