title: Shift happens: family background influences clinical variability in genetic neurodevelopmental disorders.
authors.affiliation: Autism & Developmental Medicine Institute, Geisinger Health System, Lewisburg, Pennsylvania, USA.
authors.forename: Brenda
authors.identifier: http://orcid.org/0000-0003-4841-669X
authors.initials: B
authors.lastname: Finucane
authors.affiliation: Autism & Developmental Medicine Institute, Geisinger Health System, Lewisburg, Pennsylvania, USA.
authors.forename: Thomas D
authors.identifier: http://orcid.org/0000-0002-2906-0635
authors.initials: TD
authors.lastname: Challman
authors.affiliation: Autism & Developmental Medicine Institute, Geisinger Health System, Lewisburg, Pennsylvania, USA.
authors.forename: Christa Lese
authors.initials: CL
authors.lastname: Martin
authors.affiliation: Autism & Developmental Medicine Institute, Geisinger Health System, Lewisburg, Pennsylvania, USA.
authors.forename: David H
authors.identifier: http://orcid.org/0000-0001-8934-4210
authors.initials: DH
authors.lastname: Ledbetter
mesh_terms: D019468:Disease Management; D005190:Family; D000068617:Genetic Background; D006801:Humans; D065886:Neurodevelopmental Disorders / Q000175:diagnosis* / Q000235:genetics*; D010375:Pedigree; D010641:Phenotype; D019655:Quantitative Trait, Heritable