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Published on: August 25, 2014
Psychological profile of children with Noonan syndrome
1Sub Department of Clinical Health Psychology, University College London, 1-19 Philips House, Torrington Place, WC1E 6BT, London, UK. deborah.lee@ucl.ac.uk
Insights
Children with Noonan syndrome often experience learning disabilities and motor impairments. While self-esteem levels were comparable to peers, a distinct behavioral pattern was not identified in this study.
Area of Science:
- Pediatric Psychology
- Neurodevelopmental Disorders
- Genetics
Background:
- Noonan syndrome is a genetic disorder associated with various developmental challenges.
- Previous research suggests potential cognitive and motor deficits in affected individuals.
- Understanding the psychological profile is crucial for comprehensive care.
Purpose of the Study:
- To investigate the cognitive, motor, and behavioral characteristics of children with Noonan syndrome.
- To assess self-esteem and emotional/behavioral problems in this cohort.
- To identify potential psychological phenotypes associated with Noonan syndrome.
Main Methods:
- A cohort of 48 children with Noonan syndrome underwent standardized cognitive (Wechsler Intelligence Scales) and motor assessments (Test of Motor Impairment-Revised).
- Self-esteem was evaluated using the Piers-Harris Self-evaluation Questionnaire.
- Parent and teacher ratings on the Rutter A and B scales assessed behavioral and emotional issues.
Main Results:
- The mean Full-scale IQ was 84, with 25% exhibiting learning disabilities; Verbal IQ was slightly lower than Performance IQ.
- Approximately 50% demonstrated mild to moderate motor impairment, consistent with developmental coordination disorder.
- Self-esteem levels were comparable to normative data, and no specific behavioral phenotype was identified.
Conclusions:
- Children with Noonan syndrome exhibit characteristic psychological features, including cognitive and motor deficits.
- While learning disabilities and motor impairments are common, self-esteem is generally within the normal range.
- Further research is needed to fully elucidate the behavioral aspects of Noonan syndrome.
Abstract:
A cohort of 48 children with Noonan syndrome, with a mean age of 9 years 10 months (SD 3y 7mo; 28 males, 20 females), was recruited from a national study. Children were assessed using the Wechsler Intelligence Scales and Test of Motor Impairment-Revised (TOMI-R). The Piers-Harris Self-evaluation Questionnaire was also completed in a subgroup of age-appropriate children. Children's parents and teachers completed the Rutter A and B scales to assess of the degree of behavioural and emotional problems respectively. Mean Full-scale IQ score was 84, and one-quarter of the participants had learning disabilities. Verbal IQ tended to be slightly lower than Performance IQ. About half of the group showed evidence of mild to moderate impairment, confirming the impression of 'clumsiness/developmental coordination disorder' on the TOMI-R. Level of self-esteem, as determined by the Piers-Harris Questionnaire, was comparable to that of a standardized population. This research has identified some characteristic psychological features in Noonan syndrome. However, a specific behavioural phenotype could not be identified.
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