Related Experiment Video
Updated: Jul 15, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
22q11.2 deletion syndrome: behaviour problems of infants and parental stress
W Briegel1, M Schneider, K O Schwab
1Department of Child and Adolescent Psychiatry, Leopoldina Hospital, Gustav-Adolf-Strasse 4, 97422 Schweinfurt, Germany. wbriegel@leopoldina.de
Insights
Infants with 22q11.2 deletion syndrome (22q11.2 DS) may exhibit behavioral issues, but their caregivers experience lower parental stress than expected. Further research is needed on the long-term impact of 22q11.2 DS on behavior and stress.
Area of Science:
- Pediatric Psychology
- Developmental Pediatrics
- Genetics
Background:
- 22q11.2 deletion syndrome (22q11.2 DS) is linked to developmental delays and psychiatric disorders.
- Limited data exists on early behavior problems and parental stress in 22q11.2 DS.
- This study addresses the gap in understanding early behavior in 22q11.2 DS and its impact on caregivers.
Purpose of the Study:
- To investigate behavior problems in infants with 22q11.2 DS.
- To assess parental stress levels in primary caregivers of these infants.
- To explore the relationship between child behavior and parental stress in 22q11.2 DS.
Main Methods:
- Anonymous questionnaires were distributed to parents of infants with 22q11.2 DS.
- The Child Behavior Checklist (CBCL) 1.5-5 was utilized to assess behavior.
- Data from 22 families were analyzed, including child age, gender, and developmental status.
Main Results:
- 17/21 children had motor delays, and 15/21 had language delays.
- 5/21 children exhibited clinical behavior issues on the CBCL 1.5-5.
- Caregiver stress was not elevated compared to the general population and was lower than parents of other handicapped children.
- Child age correlated with anxiety, and girls showed more sleep problems than boys.
- Parental stress correlated with externalizing and anxious/depressed behaviors.
Conclusions:
- Infants with 22q11.2 DS can present with behavioral challenges.
- Parental stress in this group is manageable and lower than in comparable populations.
- Longitudinal studies are crucial to track the progression of behavior problems and parental stress over time.
Background:
22q11.2 deletion syndrome (22q11.2 DS) can be associated with a variety of somatic symptoms, developmental delays and psychiatric disorders. At present, there is little information on early behaviour problems, and nothing is known about parental stress and possible relations between these factors. Therefore, the aim of this study was to investigate behaviour problems of infants with 22q11.2 DS, and their primary caregivers' stress.
Methods:
Parents of infants with 22q11.2 DS known to the German 22q11.2 deletion syndrome foundation were anonymously asked to fill out several questionnaires, e.g. the Child Behavior Checklist (CBCL) 1.5-5.
Results:
The primary caregivers of 22/30 children [12 boys and 10 girls aged 1 year 8 months to 3 years 11 months (mean age: 2 years 9 months)] sent back filled-out questionnaires. Seventeen out of 21 children showed motor, and 15/21 language delay. Five out of 21 children were rated as clinical on at least one CBCL 1.5-5 scale. The patients' age was correlated with anxiety problems, and girls had significantly more sleep problems than boys. Compared with the general population, the primary caregivers did not experience higher levels of strain, and compared with parents of mentally and/or physically handicapped children, their parental stress was significantly lower. Parental stress and strain were correlated to a variety of child behaviour problems, e.g. externalizing and anxious/depressed behaviour.
Conclusions:
Longitudinal studies are required to show whether behaviour problems and parental stress worsen when 22q11.2 DS patients grow older.
Related Concept Videos
Autism Spectrum Disorder
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Socioemotional Development during Infancy
Primary Temperament Types
Stella Chess...
Oppositional Defiant Disorder
Diagnostic Criteria and...
Psychological and Sociocultural Causes of Schizophrenia
Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Conduct Disorder

