To determine whether aberrant behaviors described in boys with fragile
X syndrome distinguish them from other boys with developmental disabi
lities, we asked the primary caregivers of 55 boys with fragile X and
57 matched controls to complete five behavioral questionnaires. Twenty
-one items distinguished the groups. Principal components analysis (PC
A) yielded five behavioral clusters: abnormal language, tactile defens
iveness, poor self-control, poor eye contact/shyness, and hand flappin
g. Boys with fragile X were four times more likely to have both tactil
e defensiveness and abnormal language. The presence of these abnormal
behaviors in boys with developmental delays warrants further assessmen
t for fragile X.