4.3 Article

Executive functioning in Cornelia de Lange syndrome: domain asynchrony and age-related performance

Journal

Publisher

BIOMED CENTRAL LTD
DOI: 10.1186/s11689-017-9208-7

Keywords

Cornelia de Lange; CdLS; Executive functioning; Behavioural phenotype

Funding

  1. Cornelia de Lange syndrome Foundation UK and Ireland
  2. Cerebra
  3. University of Birmingham

Ask authors/readers for more resources

Background: The aim of this study was to examine executive functioning in adolescents and adults with Cornelia de Lange syndrome (CdLS) to identify a syndrome and age-related profile of cognitive impairment. Methods: Participants were 24 individuals with CdLS aged 13-42 years (M = 22; SD = 8.98), and a comparable contrast group of 21 individuals with Down syndrome (DS) aged 15-33 years (M = 24; SD = 5.82). Measures were selected to test verbal and visual fluency, inhibition, perseverance/flexibility, and working memory and comprised both questionnaire and performance tests. Results: Individuals with CdLS showed significantly greater impairment on tasks requiring flexibility and inhibition (rule switch) and on forwards span capacity. These impairments were also reported in the parent/carer-rated questionnaire measures. Backwards Digit Span was significantly negatively correlated with chronological age in CdLS, indicating increased deficits with age. This was not identified in individuals with DS. Conclusions: The relative deficits in executive functioning task performance are important in understanding the behavioural phenotype of CdLS. Prospective longitudinal follow-up is required to examine further the changes in executive functioning with age and if these map onto observed changes in behaviour in CdLS. Links with recent research indicating heightened responses to oxidative stress in CdLS may also be important.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.3
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Psychiatry

Autistic traits and mental health in women with the fragile-X premutation: maternal status versus genetic risk

Sarah J. White, Denise Gerber, Romina D. Sanchez Hernandez, Anthonia Efiannayi, Ishita Chowdhury, Hannah Partington, Joanna F. Moss

Summary: Research on women with the fragile-X premutation has shown that they have an increased risk for autistic traits and anxiety, which is specifically related to the presence of the premutation and not fully explained by maternal status or the stress of caring for children with neurodevelopmental disorders.

BRITISH JOURNAL OF PSYCHIATRY (2021)

Review Psychiatry

Behaviour across the lifespan in Cornelia de Lange syndrome

Laura Groves, Chris Oliver, Joanna Moss

Summary: Recent studies have found varying presentations of the behavioural phenotype of CdLS across the lifespan, with autistic characteristics and behaviors related to compromised mental health being more common and severe in older individuals. Further research is needed to thoroughly document the behavioral phenotype of CdLS patients and consider multiple factors that may influence negative outcomes.

CURRENT OPINION IN PSYCHIATRY (2021)

Review Clinical Neurology

Autism spectrum disorder in females with fragile X syndrome: a systematic review and meta-analysis of prevalence

M. Marlborough, A. Welham, C. Jones, S. Reckless, J. Moss

Summary: The prevalence of ASD in females with FXS is reliably higher than in the general population, but the characteristic profiles of impairment are not clear. Possible associations between ASD traits and IQ, and between ASD and levels of fragile X mental retardation protein, are suggested, but data are equivocal.

JOURNAL OF NEURODEVELOPMENTAL DISORDERS (2021)

Article Psychology, Developmental

The prevalence and profile of autism in Sturge-Weber syndrome

Jenny Sloneem, Jo Moss, Sebastian Powell, Christina Hawkins, Tang Fosi, Hanna Richardson, Sarah Aylett

Summary: A study found that children with Sturge-Weber syndrome had relative strengths in social awareness and social motivation, with some showing significant social communication difficulties even without a clinical diagnosis of autism. Therefore, screening for social communication difficulties in this population is recommended to provide timely support.

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS (2022)

Article Clinical Neurology

The behavioural phenotype of SATB2-associated syndrome: a within-group and cross-syndrome analysis

Stacey Bissell, Chris Oliver, Joanna Moss, Mary Heald, Jane Waite, Hayley Crawford, Vishakha Kothari, Lauren Rumbellow, Grace Walters, Caroline Richards

Summary: The study found that patients with SATB2-associated syndrome have a distinct profile of repetitive and autistic behaviors, different from Angelman syndrome and non-syndromal autism. Male patients showed higher rates of overactivity and higher general anxiety scores compared to females.

JOURNAL OF NEURODEVELOPMENTAL DISORDERS (2022)

Article Education, Special

Executive function, repetitive behaviour and restricted interests in neurodevelopmental disorders

Victoria Perry, Katherine Ellis, Jo Moss, Sarah R. Beck, Gursharan Singla, Hayley Crawford, Jane Waite, Caroline Richards, Chris Oliver

Summary: This study describes the behavioral profiles of individuals with Cornelia de Lange (CdLS), fragile X (FXS), Rubinstein-Taybi syndromes (RTS), and autism (AUT), and explores the relationship between executive function behaviors and autistic traits. The results show impairments in executive function behaviors in all groups, with differences in the manifestation of repetitive behaviors and restricted interests between syndrome groups and the AUT group.

RESEARCH IN DEVELOPMENTAL DISABILITIES (2022)

Review Clinical Neurology

Phenotypic characteristics and variability in CHARGE syndrome: a PRISMA compliant systematic review and meta-analysis

Andrea T. Thomas, Jane Waite, Caitlin A. Williams, Jeremy Kirk, Chris Oliver, Caroline Richards

Summary: This meta-analysis provides a comprehensive review of clinical features, behavioral, psychological, cognitive, and physical characteristics, conditions, and comorbidities in CHARGE syndrome, laying an empirically based foundation for further research and practice.

JOURNAL OF NEURODEVELOPMENTAL DISORDERS (2022)

Article Clinical Neurology

Divergent presentation of anxiety in high-risk groups within the intellectual disability population

Laura Groves, Joanna Moss, Chris Oliver, Rachel Royston, Jane Waite, Hayley Crawford

Summary: The study examined the prevalence and characteristics of anxiety symptoms in individuals with intellectual disability, finding that high-risk genetic disorders such as CdLS and FXS are associated with both DSM-5 and ASD-related anxiety. Anxiety symptoms persist over time in these groups, with anxiety types partially associated with repetitive behavior.

JOURNAL OF NEURODEVELOPMENTAL DISORDERS (2022)

Article Education, Special

The 10-year trajectory of aggressive behaviours in autistic individuals

C. Laverty, G. Agar, L. Sinclair-Burton, C. Oliver, J. Moss, L. Nelson, C. Richards

Summary: A longitudinal study on individuals with autism over a period of 10 years found that aggressive behaviors are common but decrease with age. Behavioral correlates of attention deficit hyperactivity disorder (ADHD) predict the presence and persistence of aggressive behavior, which can be useful in directing proactive intervention resources to alleviate aggressive behaviors.

JOURNAL OF INTELLECTUAL DISABILITY RESEARCH (2023)

Review Psychology, Developmental

Heterogeneity of Autism Characteristics in Genetic Syndromes: Key Considerations for Assessment and Support

Lauren Jenner, Caroline Richards, Rachel Howard, Joanna Moss

Summary: This review discusses the elevated prevalence of autism characteristics in genetic syndromes associated with intellectual disability. Recent findings indicate that the behavioural heterogeneity of autism in these syndromes may have some degree of syndrome specificity, which interacts with broader behavioural phenotypes, intellectual disability, and mental health. The genetic subtype and co-occurring epilepsy within syndromes contribute to the increased significance of autism characteristics. Existing screening/diagnostic tools and criteria lack sensitivity and specificity within these populations, leading to the potential overlooking or misunderstanding of autism-related strengths and challenges.

CURRENT DEVELOPMENTAL DISORDERS REPORTS (2023)

Article Psychology, Developmental

Behaviours that Challenge in SATB2-associated Syndrome: Correlates of Self-injury, Aggression and Property Destruction

Lauren Shelley, Jane Waite, Joanne Tarver, Chris Oliver, Hayley Crawford, Caroline Richards, Stacey Bissell

Summary: SATB2-associated syndrome (SAS) is a genetic syndrome characterized by intellectual disability, severe speech delay, and palatal and dental problems. This study explores the correlates of self-injury, aggression, and property destruction in individuals with SAS. It found that there are specific individual characteristics associated with each behavior, emphasizing the importance of specificity when studying challenging behaviors. Understanding these correlates has important implications for behavioral interventions in SAS.

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS (2023)

Review Clinical Neurology

The use of eye-tracking technology as a tool to evaluate social cognition in people with an intellectual disability: a systematic review and meta-analysis

L. A. Jenner, E. K. Farran, A. Welham, C. Jones, J. Moss

Summary: Relatively little is known about social cognition in people with ID and its association with co-occurring autism. Traditional social-cognitive tasks are not suitable for people with ID and lack sensitivity. Eye-tracking technology offers an effective method to study social cognition in ID and has shown a negative correlation between visual attention on SSRs and autism characteristics. Further research is needed to explore additional covariates and determine the specificity of the association.

JOURNAL OF NEURODEVELOPMENTAL DISORDERS (2023)

Article Education, Special

Low speech rate but high gesture rate during conversational interaction in people with Cornelia de Lange syndrome

E. Pearson, E. Nielsen, S. Kita, L. Groves, L. Nelson, J. Moss, C. Oliver

Summary: The study found that individuals with CdLS use gestures more frequently compared to DS and TD groups, indicating a unique feature in expressive communication for CdLS individuals even with impaired spoken language.

JOURNAL OF INTELLECTUAL DISABILITY RESEARCH (2021)

Review Education, Special

A systematic review of the behaviours associated with depression in people with severe-profound intellectual disability

C. Eaton, J. Tarver, A. Shirazi, E. Pearson, L. Walker, M. Bird, C. Oliver, J. Waite

Summary: Assessing depression in individuals with severe to profound intellectual disability is challenging due to the inability to report internal states, but behaviors captured by standard diagnostic schemes show a relationship with depression. Challenging behaviors are associated with depression, suggesting caution in labeling them as 'depressive equivalents' without controlling for potential confounds and bias.

JOURNAL OF INTELLECTUAL DISABILITY RESEARCH (2021)

No Data Available