Behavior in Prader‐Willi syndrome: relationship to genetic subtypes and age

EM Dykens, E Roof - Journal of Child Psychology and …, 2008 - Wiley Online Library
EM Dykens, E Roof
Journal of Child Psychology and Psychiatry, 2008Wiley Online Library
Background: Some behavioral features of Prader‐Willi syndrome (PWS) are associated with
the major genetic subtypes of this disorder. While most agree that those with maternal
uniparental disomy (UPD) have a distinctive cognitive and psychiatric profile, findings are
more controversial regarding possible differences among persons who vary in paternal
deletion size. Methods: Caregivers of 88 persons with PWS aged 5 to 51 years (M= 22
years) were administered measures of problem behavior, compulsivity, hyperphagia, and …
Background:  Some behavioral features of Prader‐Willi syndrome (PWS) are associated with the major genetic subtypes of this disorder. While most agree that those with maternal uniparental disomy (UPD) have a distinctive cognitive and psychiatric profile, findings are more controversial regarding possible differences among persons who vary in paternal deletion size.
Methods:  Caregivers of 88 persons with PWS aged 5 to 51 years (M =22 years) were administered measures of problem behavior, compulsivity, hyperphagia, and adaptive skills. The sample was well characterized as having relatively large, Type I (n =26) or smaller, Type II (n =29) deletions, or UPD (n =33).
Results:  No significant behavioral differences were found between the Type I versus Type II deletion groups. Within each genetic subtype, however, differences emerged in how advancing age related to behavior. Although age did not emerge as a significant correlate of behavior in the Type II or UPD groups, in the Type I group age was consistently associated with lower problem behaviors, adaptive skills, and externalizing symptoms.
Conclusion:  Although differences between deletion subtypes were not found, significant within‐subtype differences emerged in relationships between age and behavior. Negative associations between age and behavior in the Type I group only may relate to non‐imprinted genes that are deleted in Type I but not Type II cases, including CYFIP1. Altered expression of CYFIP1 is seen in other developmental disabilities, including 15q disorders, and haploinsufficiency of CYFIP1 in Type I PWS cases may be associated with age‐related phenotypic effects. Findings underscore the importance of a life‐span perspective in phenotypic research.
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