Childhood cognitive development in 22q11.2 deletion syndrome: case-control study

22q11.2 deletion syndrome (22q11.2DS) is associated with a high risk of childhood as well as adult psychiatric disorders, in particular schizophrenia. Childhood cognitive deterioration in 22q11.2DS has previously been reported, but only in studies lacking a control sample. To compare cognitive traje...

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Veröffentlicht in:British journal of psychiatry 2017-10, Vol.211 (4), p.223-230
Hauptverfasser: Chawner, Samuel J R A, Doherty, Joanne L, Moss, Hayley, Niarchou, Maria, Walters, James T R, Owen, Michael J, van den Bree, Marianne B M
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container_end_page 230
container_issue 4
container_start_page 223
container_title British journal of psychiatry
container_volume 211
creator Chawner, Samuel J R A
Doherty, Joanne L
Moss, Hayley
Niarchou, Maria
Walters, James T R
Owen, Michael J
van den Bree, Marianne B M
description 22q11.2 deletion syndrome (22q11.2DS) is associated with a high risk of childhood as well as adult psychiatric disorders, in particular schizophrenia. Childhood cognitive deterioration in 22q11.2DS has previously been reported, but only in studies lacking a control sample. To compare cognitive trajectories in children with 22q11.2DS and unaffected control siblings. A longitudinal study of neurocognitive functioning (IQ, executive function, processing speed and attention) was conducted in children with 22q11.2DS ( = 75, mean age time 1 ( ) 9.9, time 2 ( ) 12.5) and control siblings ( = 33, mean age 10.6, 13.4). Children with 22q11.2DS exhibited deficits in all cognitive domains. However, mean scores did not indicate deterioration. When individual trajectories were examined, some participants showed significant decline over time, but the prevalence was similar for 22q11.2DS and control siblings. Findings are more likely to reflect normal developmental fluctuation than a 22q11.2DS-specific abnormality. Childhood cognitive deterioration is not associated with 22q11.2DS. Contrary to previous suggestions, we believe it is premature to recommend repeated monitoring of cognitive function for identifying individual children with 22q11.2DS at high risk of developing schizophrenia.
doi_str_mv 10.1192/bjp.bp.116.195651
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Childhood cognitive deterioration in 22q11.2DS has previously been reported, but only in studies lacking a control sample. To compare cognitive trajectories in children with 22q11.2DS and unaffected control siblings. A longitudinal study of neurocognitive functioning (IQ, executive function, processing speed and attention) was conducted in children with 22q11.2DS ( = 75, mean age time 1 ( ) 9.9, time 2 ( ) 12.5) and control siblings ( = 33, mean age 10.6, 13.4). Children with 22q11.2DS exhibited deficits in all cognitive domains. However, mean scores did not indicate deterioration. When individual trajectories were examined, some participants showed significant decline over time, but the prevalence was similar for 22q11.2DS and control siblings. Findings are more likely to reflect normal developmental fluctuation than a 22q11.2DS-specific abnormality. Childhood cognitive deterioration is not associated with 22q11.2DS. 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subjects Adolescent
Age
Attention deficit hyperactivity disorder
Case-Control Studies
Child
Child Development
Childhood
Children
Cognition
Cognition & reasoning
Cognition Disorders - complications
Cognition Disorders - psychology
Cognitive ability
Cognitive development
Cognitive functioning
Deterioration
DiGeorge Syndrome - complications
DiGeorge Syndrome - psychology
Executive function
Female
High risk
Humans
Hypotheses
Intelligence
Intelligence tests
Longitudinal Studies
Male
Mental disorders
Neurocognition
Neuropsychological Tests
Psychiatry
Schizophrenia
Siblings
title Childhood cognitive development in 22q11.2 deletion syndrome: case-control study
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