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Intellectual development in Noonan syndrome: a longitudinal study.
Renée L Roelofs1, Nikki Janssen2, Ellen Wingbermühle3
1Centre of Excellence for Neuropsychiatry Vincent van Gogh Institute for Psychiatry Venray The Netherlands; Centre of Excellence for Korsakoff and Alcohol-Related Cognitive Disorders Vincent van Gogh Institute for Psychiatry Venray The Netherlands; Donders Institute for Brain Cognition and Behavior Radboud University Nijmegen Nijmegen The Netherlands; Behavioral Science Institute Radboud University Nijmegen NijmegenThe Netherlands.
Intellectual development in Noonan syndrome shows improvement from childhood to adulthood. Performance IQ increased significantly, while verbal IQ lagged, suggesting potential executive functioning delays in children with Noonan syndrome.
Area of Science:
- Neuroscience
- Genetics
- Developmental Psychology
Background:
- Noonan syndrome (NS) is a genetic disorder associated with cognitive impairments.
- While adult NS cognitive deficits are often mild, childhood studies reveal broader issues in language, memory, attention, and executive functions.
- Longitudinal data on intellectual development in NS is limited.
Purpose of the Study:
- To longitudinally examine intellectual development in individuals with Noonan syndrome from childhood to adulthood.
- To identify predictors of adult intellectual functioning in Noonan syndrome.
Main Methods:
- Sixteen patients with Noonan syndrome were assessed using Wechsler intelligence scales in childhood and adulthood.
- Comparison of childhood and adult IQ scores, including verbal and performance IQ.
- Analysis of childhood IQ as a predictor for adult intellectual outcomes.
Main Results:
- Significant increases in full-scale IQ and performance IQ were observed from childhood to adulthood.
- Adult performance IQ surpassed verbal IQ.
- Childhood verbal and performance IQ predicted most adult IQ scores, excluding processing speed.
Conclusions:
- Intellectual development in Noonan syndrome is dynamic, with performance IQ improving to normal levels in adulthood.
- A persistent discrepancy between verbal and performance IQ in adulthood suggests potential developmental delays in executive functioning.
- Childhood IQ is a significant predictor of adult intellectual outcomes in Noonan syndrome.
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