Parent-reported measure of repetitive behavior in Phelan-McDermid syndrome
Abstract Background Phelan McDermid syndrome (PMS) is a neurogenetic condition associated with a high prevalence of intellectual disability (ID) and autism spectrum disorder (ASD). This study provides a more comprehensive and quantitative profile of repetitive behaviors within the context of ID seen...
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2021
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oai:doaj.org-article:b343de3b427f461080af3528ec428f992021-11-07T12:04:34ZParent-reported measure of repetitive behavior in Phelan-McDermid syndrome10.1186/s11689-021-09398-71866-19471866-1955https://doaj.org/article/b343de3b427f461080af3528ec428f992021-11-01T00:00:00Zhttps://doi.org/10.1186/s11689-021-09398-7https://doaj.org/toc/1866-1947https://doaj.org/toc/1866-1955Abstract Background Phelan McDermid syndrome (PMS) is a neurogenetic condition associated with a high prevalence of intellectual disability (ID) and autism spectrum disorder (ASD). This study provides a more comprehensive and quantitative profile of repetitive behaviors within the context of ID seen with the condition. Methods Individuals age 3–21 years with a confirmed PMS diagnosis participated in a multicenter observational study evaluating the phenotype and natural history of the disorder. We evaluated data collected from this study pertaining to repetitive behaviors from the Repetitive Behavior Scales-Revised (RBS-R). Results There were n = 90 participants who were part of this analysis. Forty-seven percent (n = 42/90) were female, and the average age at baseline evaluation was 8.88 ± 4.72 years. The mean best estimate IQ of the cohort was 26.08 ± 17.67 (range = 3.4–88), with n = 8 with mild ID (or no ID), n = 20 with moderate ID, and n = 62 with severe-profound ID. The RBS-R total overall score was 16.46 ± 13.9 (compared to 33.14 ± 20.60 reported in previous studies of ASD) (Lam and Aman, 2007), and the total number of items endorsed was 10.40 ± 6.81 (range = 0–29). After statistical correction for multiple comparisons, IQ correlated with the RBS-R stereotypic behavior subscale score (r s = − 0.33, unadjusted p = 0.0014, adjusted p = 0.01) and RBS-R stereotypic behavior total number of endorsed items (r s = − 0.32, unadjusted p = 0.0019, adjusted p = 0.01). IQ did not correlate with any other RBS-R subscale scores. Conclusions The RBS-R total overall score in a PMS cohort appears milder compared to individuals with ASD characterized in previous studies. Stereotypic behavior in PMS may reflect cognitive functioning.Siddharth SrivastavaEmma CondyErin CarmodyRajna Filip-DhimaKush KapurJonathan A. BernsteinElizabeth Berry-KravisCraig M. PowellLatha SooryaAudrey ThurmJoseph D. BuxbaumMustafa SahinAlexander Kolevzonon behalf of Developmental Synaptopathies ConsortiumBMCarticleSHANK3Intellectual disability22q13 deletionRepetitive behaviorStereotypyAutismNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENJournal of Neurodevelopmental Disorders, Vol 13, Iss 1, Pp 1-12 (2021) |
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DOAJ |
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SHANK3 Intellectual disability 22q13 deletion Repetitive behavior Stereotypy Autism Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 |
spellingShingle |
SHANK3 Intellectual disability 22q13 deletion Repetitive behavior Stereotypy Autism Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Siddharth Srivastava Emma Condy Erin Carmody Rajna Filip-Dhima Kush Kapur Jonathan A. Bernstein Elizabeth Berry-Kravis Craig M. Powell Latha Soorya Audrey Thurm Joseph D. Buxbaum Mustafa Sahin Alexander Kolevzon on behalf of Developmental Synaptopathies Consortium Parent-reported measure of repetitive behavior in Phelan-McDermid syndrome |
description |
Abstract Background Phelan McDermid syndrome (PMS) is a neurogenetic condition associated with a high prevalence of intellectual disability (ID) and autism spectrum disorder (ASD). This study provides a more comprehensive and quantitative profile of repetitive behaviors within the context of ID seen with the condition. Methods Individuals age 3–21 years with a confirmed PMS diagnosis participated in a multicenter observational study evaluating the phenotype and natural history of the disorder. We evaluated data collected from this study pertaining to repetitive behaviors from the Repetitive Behavior Scales-Revised (RBS-R). Results There were n = 90 participants who were part of this analysis. Forty-seven percent (n = 42/90) were female, and the average age at baseline evaluation was 8.88 ± 4.72 years. The mean best estimate IQ of the cohort was 26.08 ± 17.67 (range = 3.4–88), with n = 8 with mild ID (or no ID), n = 20 with moderate ID, and n = 62 with severe-profound ID. The RBS-R total overall score was 16.46 ± 13.9 (compared to 33.14 ± 20.60 reported in previous studies of ASD) (Lam and Aman, 2007), and the total number of items endorsed was 10.40 ± 6.81 (range = 0–29). After statistical correction for multiple comparisons, IQ correlated with the RBS-R stereotypic behavior subscale score (r s = − 0.33, unadjusted p = 0.0014, adjusted p = 0.01) and RBS-R stereotypic behavior total number of endorsed items (r s = − 0.32, unadjusted p = 0.0019, adjusted p = 0.01). IQ did not correlate with any other RBS-R subscale scores. Conclusions The RBS-R total overall score in a PMS cohort appears milder compared to individuals with ASD characterized in previous studies. Stereotypic behavior in PMS may reflect cognitive functioning. |
format |
article |
author |
Siddharth Srivastava Emma Condy Erin Carmody Rajna Filip-Dhima Kush Kapur Jonathan A. Bernstein Elizabeth Berry-Kravis Craig M. Powell Latha Soorya Audrey Thurm Joseph D. Buxbaum Mustafa Sahin Alexander Kolevzon on behalf of Developmental Synaptopathies Consortium |
author_facet |
Siddharth Srivastava Emma Condy Erin Carmody Rajna Filip-Dhima Kush Kapur Jonathan A. Bernstein Elizabeth Berry-Kravis Craig M. Powell Latha Soorya Audrey Thurm Joseph D. Buxbaum Mustafa Sahin Alexander Kolevzon on behalf of Developmental Synaptopathies Consortium |
author_sort |
Siddharth Srivastava |
title |
Parent-reported measure of repetitive behavior in Phelan-McDermid syndrome |
title_short |
Parent-reported measure of repetitive behavior in Phelan-McDermid syndrome |
title_full |
Parent-reported measure of repetitive behavior in Phelan-McDermid syndrome |
title_fullStr |
Parent-reported measure of repetitive behavior in Phelan-McDermid syndrome |
title_full_unstemmed |
Parent-reported measure of repetitive behavior in Phelan-McDermid syndrome |
title_sort |
parent-reported measure of repetitive behavior in phelan-mcdermid syndrome |
publisher |
BMC |
publishDate |
2021 |
url |
https://doaj.org/article/b343de3b427f461080af3528ec428f99 |
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